Long-term effects on cancer survivors' quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial

Anne M May, Irene Korstjens, Ellen van Weert, Bart van den Borne, Josette E H M Hoekstra-Weebers, Cees van der Schans, Ilse Mesters, Jan Passchier, Diederick E Grobbee, Wynand J G Ros

Onderzoeksoutput: ArticleAcademicpeer review

Uittreksel

BACKGROUND: We compared the effect of a 12-week group-based multidisciplinary self-management rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral therapy (once weekly) with the effect of 12-week group-based physical training (twice weekly) on cancer survivors' quality of life over a 1-year period.

MATERIALS AND METHODS: One hundred forty-seven survivors [48.8 +/- 10.9 years (mean +/- SD), all cancer types, medical treatment > or = 3 months ago] were randomly assigned to either physical training (PT, n = 71) or to physical training plus cognitive-behavioral therapy (PT + CBT, n = 76). Quality of life and physical activity levels were measured before and immediately after the intervention and at 3- and 9-month post-intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 questionnaire and the Physical Activity Scale for the Elderly, respectively.

RESULTS: Multilevel linear mixed-effects models revealed no differential pattern in change of quality of life and physical activity between PT and PT + CBT. In both PT and PT + CBT, quality of life and physical activity were significantly and clinically relevantly improved immediately following the intervention and also at 3- and 9-month post-intervention compared to pre-intervention (p < 0.001).

CONCLUSION: Self-management physical training had substantial and durable positive effects on cancer survivors' quality of life. Participants maintained physical activity levels once the program was completed. Combining physical training with our cognitive-behavioral intervention did not add to these beneficial effects of physical training neither in the short-term nor in the long-term. Physical training should be implemented within the framework of standard care for cancer survivors.

Originele taal-2English
Pagina's (van-tot)653-663
TijdschriftSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
Volume17
Nummer van het tijdschrift6
DOI's
StatusPublished - jun 2009

Keywords

  • kanker
  • cognitieve therapie
  • fysiotherapie

Citeer dit

May, Anne M ; Korstjens, Irene ; van Weert, Ellen ; van den Borne, Bart ; Hoekstra-Weebers, Josette E H M ; van der Schans, Cees ; Mesters, Ilse ; Passchier, Jan ; Grobbee, Diederick E ; Ros, Wynand J G. / Long-term effects on cancer survivors' quality of life of physical training versus physical training combined with cognitive-behavioral therapy : results from a randomized trial. In: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2009 ; Vol. 17, Nr. 6. blz. 653-663.
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title = "Long-term effects on cancer survivors' quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial",
abstract = "BACKGROUND: We compared the effect of a 12-week group-based multidisciplinary self-management rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral therapy (once weekly) with the effect of 12-week group-based physical training (twice weekly) on cancer survivors' quality of life over a 1-year period.MATERIALS AND METHODS: One hundred forty-seven survivors [48.8 +/- 10.9 years (mean +/- SD), all cancer types, medical treatment > or = 3 months ago] were randomly assigned to either physical training (PT, n = 71) or to physical training plus cognitive-behavioral therapy (PT + CBT, n = 76). Quality of life and physical activity levels were measured before and immediately after the intervention and at 3- and 9-month post-intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 questionnaire and the Physical Activity Scale for the Elderly, respectively.RESULTS: Multilevel linear mixed-effects models revealed no differential pattern in change of quality of life and physical activity between PT and PT + CBT. In both PT and PT + CBT, quality of life and physical activity were significantly and clinically relevantly improved immediately following the intervention and also at 3- and 9-month post-intervention compared to pre-intervention (p < 0.001).CONCLUSION: Self-management physical training had substantial and durable positive effects on cancer survivors' quality of life. Participants maintained physical activity levels once the program was completed. Combining physical training with our cognitive-behavioral intervention did not add to these beneficial effects of physical training neither in the short-term nor in the long-term. Physical training should be implemented within the framework of standard care for cancer survivors.",
keywords = "cancer, cognitive therapy, exercise therapy, quality of life, survivors, comparative study, kanker, cognitieve therapie, fysiotherapie",
author = "May, {Anne M} and Irene Korstjens and {van Weert}, Ellen and {van den Borne}, Bart and Hoekstra-Weebers, {Josette E H M} and {van der Schans}, Cees and Ilse Mesters and Jan Passchier and Grobbee, {Diederick E} and Ros, {Wynand J G}",
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Long-term effects on cancer survivors' quality of life of physical training versus physical training combined with cognitive-behavioral therapy : results from a randomized trial. / May, Anne M; Korstjens, Irene; van Weert, Ellen; van den Borne, Bart; Hoekstra-Weebers, Josette E H M; van der Schans, Cees; Mesters, Ilse; Passchier, Jan; Grobbee, Diederick E; Ros, Wynand J G.

In: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, Vol. 17, Nr. 6, 06.2009, blz. 653-663.

Onderzoeksoutput: ArticleAcademicpeer review

TY - JOUR

T1 - Long-term effects on cancer survivors' quality of life of physical training versus physical training combined with cognitive-behavioral therapy

T2 - results from a randomized trial

AU - May, Anne M

AU - Korstjens, Irene

AU - van Weert, Ellen

AU - van den Borne, Bart

AU - Hoekstra-Weebers, Josette E H M

AU - van der Schans, Cees

AU - Mesters, Ilse

AU - Passchier, Jan

AU - Grobbee, Diederick E

AU - Ros, Wynand J G

PY - 2009/6

Y1 - 2009/6

N2 - BACKGROUND: We compared the effect of a 12-week group-based multidisciplinary self-management rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral therapy (once weekly) with the effect of 12-week group-based physical training (twice weekly) on cancer survivors' quality of life over a 1-year period.MATERIALS AND METHODS: One hundred forty-seven survivors [48.8 +/- 10.9 years (mean +/- SD), all cancer types, medical treatment > or = 3 months ago] were randomly assigned to either physical training (PT, n = 71) or to physical training plus cognitive-behavioral therapy (PT + CBT, n = 76). Quality of life and physical activity levels were measured before and immediately after the intervention and at 3- and 9-month post-intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 questionnaire and the Physical Activity Scale for the Elderly, respectively.RESULTS: Multilevel linear mixed-effects models revealed no differential pattern in change of quality of life and physical activity between PT and PT + CBT. In both PT and PT + CBT, quality of life and physical activity were significantly and clinically relevantly improved immediately following the intervention and also at 3- and 9-month post-intervention compared to pre-intervention (p < 0.001).CONCLUSION: Self-management physical training had substantial and durable positive effects on cancer survivors' quality of life. Participants maintained physical activity levels once the program was completed. Combining physical training with our cognitive-behavioral intervention did not add to these beneficial effects of physical training neither in the short-term nor in the long-term. Physical training should be implemented within the framework of standard care for cancer survivors.

AB - BACKGROUND: We compared the effect of a 12-week group-based multidisciplinary self-management rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral therapy (once weekly) with the effect of 12-week group-based physical training (twice weekly) on cancer survivors' quality of life over a 1-year period.MATERIALS AND METHODS: One hundred forty-seven survivors [48.8 +/- 10.9 years (mean +/- SD), all cancer types, medical treatment > or = 3 months ago] were randomly assigned to either physical training (PT, n = 71) or to physical training plus cognitive-behavioral therapy (PT + CBT, n = 76). Quality of life and physical activity levels were measured before and immediately after the intervention and at 3- and 9-month post-intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 questionnaire and the Physical Activity Scale for the Elderly, respectively.RESULTS: Multilevel linear mixed-effects models revealed no differential pattern in change of quality of life and physical activity between PT and PT + CBT. In both PT and PT + CBT, quality of life and physical activity were significantly and clinically relevantly improved immediately following the intervention and also at 3- and 9-month post-intervention compared to pre-intervention (p < 0.001).CONCLUSION: Self-management physical training had substantial and durable positive effects on cancer survivors' quality of life. Participants maintained physical activity levels once the program was completed. Combining physical training with our cognitive-behavioral intervention did not add to these beneficial effects of physical training neither in the short-term nor in the long-term. Physical training should be implemented within the framework of standard care for cancer survivors.

KW - cancer

KW - cognitive therapy

KW - exercise therapy

KW - quality of life

KW - survivors

KW - comparative study

KW - kanker

KW - cognitieve therapie

KW - fysiotherapie

U2 - 10.1007/s00520-008-0519-9

DO - 10.1007/s00520-008-0519-9

M3 - Article

VL - 17

SP - 653

EP - 663

JO - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

SN - 0941-4355

IS - 6

ER -