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Self-Management of Cancer-Related Fatigue by Adolescents: Pilot Study of an Evidence Based Educational Resource

13 Years
18 Years
Not Enrolling
Neoplasms, Fatigue

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Trial Information

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.

Inclusion Criteria:

- adolescents 13-18 years inclusive

- leukemia, lymphoma, or malignant solid tumor; newly diagnosed and within 2 weeks of
initiating therapy

- patient and consenting parent able to speak, read, and write English.

Exclusion Criteria:

- failure to meet all of inclusion criteria

Type of Study:


Study Design:

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Outcome Measure:

Change From Baseline in Fatigue Scale-Adolescent (FS-A) Score Categorized According to 1-5 Rating Scale of Resource Use and Resource Helpfulness.

Outcome Description:

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.

Outcome Time Frame:

baseline and weekly up to 8 weeks

Safety Issue:


Principal Investigator

Catherine Fiona Macpherson, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Seattle Children's Hospital


United States: Institutional Review Board

Study ID:




Start Date:

April 2009

Completion Date:

December 2010

Related Keywords:

  • Neoplasms
  • Fatigue
  • Neoplasms
  • Fatigue
  • Self Care
  • Neoplasms
  • Fatigue



Seattle Children's Hospital Seattle, Washington  98105