Moderators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer: Individual patient data meta- analyses
dc.contributor.author | Abrahams, Harriët J. G. | |
dc.contributor.author | Knoop, Hans | |
dc.contributor.author | Schreurs, Maartje | |
dc.contributor.author | Aaronson, Neil K. | |
dc.contributor.author | Jacobsen, Paul B. | |
dc.contributor.author | Newton, Robert U. | |
dc.contributor.author | Courneya, Kerry S. | |
dc.contributor.author | Aitken, Joanne F. | |
dc.contributor.author | Arving, Cecilia | |
dc.contributor.author | Brandberg, Yvonne | |
dc.contributor.author | Chambers, Suzanne K. | |
dc.contributor.author | Gielissen, Marieke F.M. | |
dc.contributor.author | Glimelius, Bengt | |
dc.contributor.author | Goedendorp, Martine M. | |
dc.contributor.author | Graves, Kristi D. | |
dc.contributor.author | Heiney, Sue P. | |
dc.contributor.author | Horne, Rob | |
dc.contributor.author | Hunter, Myra S. | |
dc.contributor.author | Johansson, Birgitta | |
dc.contributor.author | Northouse, Laurel L. | |
dc.contributor.author | Oldenburg, Hester S.A. | |
dc.contributor.author | Prins, Judith B. | |
dc.contributor.author | Savard, Josée | |
dc.contributor.author | Beurden, Marc | |
dc.contributor.author | Berg, Sanne W. | |
dc.contributor.author | Verdonck‐de Leeuw, Irma M. | |
dc.contributor.author | Buffart, Laurien M. | |
dc.date.accessioned | 2020-12-02T14:37:36Z | |
dc.date.available | WITHHELD_12_MONTHS | |
dc.date.available | 2020-12-02T14:37:36Z | |
dc.date.issued | 2020-11 | |
dc.identifier.citation | Abrahams, Harriët J. G. ; Knoop, Hans; Schreurs, Maartje; Aaronson, Neil K.; Jacobsen, Paul B.; Newton, Robert U.; Courneya, Kerry S.; Aitken, Joanne F.; Arving, Cecilia; Brandberg, Yvonne; Chambers, Suzanne K.; Gielissen, Marieke F.M.; Glimelius, Bengt; Goedendorp, Martine M.; Graves, Kristi D.; Heiney, Sue P.; Horne, Rob; Hunter, Myra S.; Johansson, Birgitta; Northouse, Laurel L.; Oldenburg, Hester S.A.; Prins, Judith B.; Savard, Josée ; Beurden, Marc; Berg, Sanne W.; Verdonck‐de Leeuw, Irma M. ; Buffart, Laurien M. (2020). "Moderators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer: Individual patient data meta- analyses." Psycho- Oncology 29(11): 1772-1785. | |
dc.identifier.issn | 1057-9249 | |
dc.identifier.issn | 1099-1611 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/163575 | |
dc.description.abstract | ObjectivePsychosocial interventions can reduce cancer- related fatigue effectively. However, it is still unclear if intervention effects differ across subgroups of patients. These meta- analyses aimed at evaluating moderator effects of (a) sociodemographic characteristics, (b) clinical characteristics, (c) baseline levels of fatigue and other symptoms, and (d) intervention- related characteristics on the effect of psychosocial interventions on cancer- related fatigue in patients with non- metastatic breast and prostate cancer.MethodsData were retrieved from the Predicting OptimaL cAncer RehabIlitation and Supportive care (POLARIS) consortium. Potential moderators were studied with meta- analyses of pooled individual patient data from 14 randomized controlled trials through linear mixed- effects models with interaction tests. The analyses were conducted separately in patients with breast (n = 1091) and prostate cancer (n = 1008).ResultsStatistically significant, small overall effects of psychosocial interventions on fatigue were found (breast cancer: β = - 0.19 [95% confidence interval (95%CI) = - 0.30; - 0.08]; prostate cancer: β = - 0.11 [95%CI = - 0.21; - 0.00]). In both patient groups, intervention effects did not differ significantly by sociodemographic or clinical characteristics, nor by baseline levels of fatigue or pain. For intervention- related moderators (only tested among women with breast cancer), statistically significant larger effects were found for cognitive behavioral therapy as intervention strategy (β = - 0.27 [95%CI = - 0.40; - 0.15]), fatigue- specific interventions (β = - 0.48 [95%CI = - 0.79; - 0.18]), and interventions that only targeted patients with clinically relevant fatigue (β = - 0.85 [95%CI = - 1.40; - 0.30]).ConclusionsOur findings did not provide evidence that any selected demographic or clinical characteristic, or baseline levels of fatigue or pain, moderated effects of psychosocial interventions on fatigue. A specific focus on decreasing fatigue seems beneficial for patients with breast cancer with clinically relevant fatigue. | |
dc.publisher | New England Medical Center. The Health Institute | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | breast cancer | |
dc.subject.other | psychosocial interventions | |
dc.subject.other | prostate cancer | |
dc.subject.other | psycho- oncology | |
dc.subject.other | cancer | |
dc.subject.other | fatigue | |
dc.subject.other | individual patient data meta- analysis | |
dc.subject.other | moderators | |
dc.subject.other | oncology | |
dc.title | Moderators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer: Individual patient data meta- analyses | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Hematology and Oncology | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/163575/2/pon5522_am.pdf | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/163575/1/pon5522.pdf | en_US |
dc.identifier.doi | 10.1002/pon.5522 | |
dc.identifier.source | Psycho- Oncology | |
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