OBJECTIVE: Rehabilitation programmes are intended to help cancer patients achieve optimal functioning and live independently. We evaluated whether a psychosocial rehabilitation course was effective in relieving cancer patients' distress and improving their well-being. METHODS:Patients with breast, prostate or colorectal cancer diagnosed within 2 years who had finished primary treatment were randomised to usual care or a 6-day residential course of lectures, discussions and peer groups on issues related to treatment and living with cancer. Changes in self-reported distress (POMS-Sf) and quality of life (EORTC QLQ-C30) from baseline to 1 and 6 months' follow-up were measured. Analyses were adjusted for baseline scores of outcome, cancer site, time since diagnosis, gender, age and education. RESULTS:Of 507 patients, 452 were included in the analyses, 404 completed the 1-month and 394 the 6-month assessment. Patients in the control group showed greater decreases in total mood disturbance and subscales of the POMS-Sf and showed more improvement in emotional, cognitive and social functioning at both 1 and 6 months and in role functioning at 6 months than the intervention group. A similar pattern was observed in analyses of breast cancer patients only. CONCLUSION: A 6-day residential rehabilitation course did not relieve cancer patients' distress or improve their well-being.
RCT Entities:
OBJECTIVE: Rehabilitation programmes are intended to help cancerpatients achieve optimal functioning and live independently. We evaluated whether a psychosocial rehabilitation course was effective in relieving cancerpatients' distress and improving their well-being. METHODS:Patients with breast, prostate or colorectal cancer diagnosed within 2 years who had finished primary treatment were randomised to usual care or a 6-day residential course of lectures, discussions and peer groups on issues related to treatment and living with cancer. Changes in self-reported distress (POMS-Sf) and quality of life (EORTC QLQ-C30) from baseline to 1 and 6 months' follow-up were measured. Analyses were adjusted for baseline scores of outcome, cancer site, time since diagnosis, gender, age and education. RESULTS: Of 507 patients, 452 were included in the analyses, 404 completed the 1-month and 394 the 6-month assessment. Patients in the control group showed greater decreases in total mood disturbance and subscales of the POMS-Sf and showed more improvement in emotional, cognitive and social functioning at both 1 and 6 months and in role functioning at 6 months than the intervention group. A similar pattern was observed in analyses of breast cancerpatients only. CONCLUSION: A 6-day residential rehabilitation course did not relieve cancerpatients' distress or improve their well-being.
Authors: Loni Ledderer; Karen la Cour; Ole Mogensen; Erik Jakobsen; René Depont Christensen; Jakob Kragstrup; Helle Ploug Hansen Journal: Patient Date: 2013 Impact factor: 3.883
Authors: Charlene J Treanor; Una C McMenamin; Roisin F O'Neill; Chris R Cardwell; Mike J Clarke; Marie Cantwell; Michael Donnelly Journal: Cochrane Database Syst Rev Date: 2016-08-16
Authors: August Zabernigg; Johannes M Giesinger; Georg Pall; Eva-Maria Gamper; Klaus Gattringer; Lisa M Wintner; Monika J Sztankay; Bernhard Holzner Journal: BMC Cancer Date: 2012-09-06 Impact factor: 4.430