Self-Management of Cancer-Related Fatigue by Adolescents: Pilot Study of an Evidence Based Educational Resource
Cancer-related fatigue is a prevalent and distressing symptom which has a significant impact
on quality of life for children and adolescents with cancer and their families. Evidence
based guidelines issued by the Oncology Nursing Society and National Comprehensive Cancer
Network recommend educational interventions for preventing and treating cancer-related
fatigue.The primary study aim is to examine the relationships among: intensity of
cancer-related fatigue; frequency of use of an evidence based educational resource for
self-management of cancer-related fatigue; and perceived helpfulness of resource use. The
secondary aim is to examine the relationship between the Fatigue Scale-Adolescent (FS-A) and
the Symptom Distress Scale (SDS) 'tired' item as measures of intensity of cancer-related
fatigue. The tertiary aim is to examine the feasibility of recruiting and retaining
adolescents with cancer for longitudinal study of cancer-related fatigue.
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Change From Baseline in Fatigue Scale-Adolescent (FS-A) Score Categorized According to 1-5 Rating Scale of Resource Use and Resource Helpfulness.
The FS-A is a 14-item self-report instrument which measures on a 5 point scale ranging from '1 - not at all' to '5 - all the time' the extent to which each of 14 statements describes how the respondent has been feeling during the past 7 days (Hinds et al., 2007). The potential score range is 14-70; higher scores represent greater fatigue (Hinds et al., 2007). The scores (1 through 5) on the Likert-type scales for resource use and resource helpfulness were determined at each post baseline time point, as were change from baseline values for the FS-A. All FS-A change from baseline values, per Resource Use or Resource Helpfulness Categorization, were combined regardless of post-baseline time point.
baseline and weekly up to 8 weeks
Catherine Fiona Macpherson, PhD
Seattle Children's Hospital
United States: Institutional Review Board
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