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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.authorAbrahams, Harriët J. G.
dc.contributor.authorKnoop, Hans
dc.contributor.authorSchreurs, Maartje
dc.contributor.authorAaronson, Neil K.
dc.contributor.authorJacobsen, Paul B.
dc.contributor.authorNewton, Robert U.
dc.contributor.authorCourneya, Kerry S.
dc.contributor.authorAitken, Joanne F.
dc.contributor.authorArving, Cecilia
dc.contributor.authorBrandberg, Yvonne
dc.contributor.authorChambers, Suzanne K.
dc.contributor.authorGielissen, Marieke F.M.
dc.contributor.authorGlimelius, Bengt
dc.contributor.authorGoedendorp, Martine M.
dc.contributor.authorGraves, Kristi D.
dc.contributor.authorHeiney, Sue P.
dc.contributor.authorHorne, Rob
dc.contributor.authorHunter, Myra S.
dc.contributor.authorJohansson, Birgitta
dc.contributor.authorNorthouse, Laurel L.
dc.contributor.authorOldenburg, Hester S.A.
dc.contributor.authorPrins, Judith B.
dc.contributor.authorSavard, Josée
dc.contributor.authorBeurden, Marc
dc.contributor.authorBerg, Sanne W.
dc.contributor.authorVerdonck‐de Leeuw, Irma M.
dc.contributor.authorBuffart, Laurien M.
dc.date.accessioned2020-12-02T14:37:36Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-12-02T14:37:36Z
dc.date.issued2020-11
dc.identifier.citationAbrahams, 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.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.urihttps://hdl.handle.net/2027.42/163575
dc.description.abstractObjectivePsychosocial 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.publisherNew England Medical Center. The Health Institute
dc.publisherWiley Periodicals, Inc.
dc.subject.otherbreast cancer
dc.subject.otherpsychosocial interventions
dc.subject.otherprostate cancer
dc.subject.otherpsycho- oncology
dc.subject.othercancer
dc.subject.otherfatigue
dc.subject.otherindividual patient data meta- analysis
dc.subject.othermoderators
dc.subject.otheroncology
dc.titleModerators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer: Individual patient data meta- analyses
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHematology and Oncology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/163575/2/pon5522_am.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/163575/1/pon5522.pdfen_US
dc.identifier.doi10.1002/pon.5522
dc.identifier.sourcePsycho- Oncology
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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