A multidimensional cancer rehabilitation program for cancer survivors - Effectiveness on health-related quality of life

University of Groningen, Groningen, Groningen, Netherlands
Journal of Psychosomatic Research (Impact Factor: 2.74). 07/2005; 58(6):485-96. DOI: 10.1016/j.jpsychores.2005.02.008
Source: PubMed


A multidimensional rehabilitation program for cancer survivors was developed to overcome cancer-related problems and to improve quality of life. The two purposes of the study were to describe the effectiveness of the program and to obtain information about patient preferences for multi or mono dimensional rehabilitation programs.
Subjects: cancer survivors with different diagnoses, and cancer-related physical and psychosocial problems. Intervention: a 15-week rehabilitation program including individual exercise, sports, psycho-education, and information. Group-wise randomization was implemented by assigning one half of the patients to the complete program while the other half were allowed to choose which program components they considered relevant. Measures: Health-Related Quality of Life [RAND-36 and Rotterdam Symptom Check List (RSCL)], exercise capacity (symptom limited bicycle ergometry), muscle force (hand-held dynamometry), and patient preferences. Measurements were performed before (T0) and after the rehabilitation program (T1), and at a 3-month follow-up (T2).
After the rehabilitation program, cancer survivors (n=63) displayed statistically significant improvements on health-related quality of life with effect sizes (ES) varying from 0.38 to 0.99 (RAND-36) and from -0.34 to -0.57 (RSCL), most persistent at 3-month follow-up. Furthermore, statistically significant improvements in exercise capacity and muscle force of upper and lower extremities were displayed after rehabilitation. If offered a choice, 80% of the patients prior to start and 58% of the patients after completion of the program indicated that they preferred the entire multidimensional program.
A multidimensional rehabilitation program has statistically and clinically relevant beneficial effects on health-related quality of life, exercise capacity, and muscle force in cancer patients with different diagnoses. Furthermore, if offered the choice, the majority of cancer survivors seem to prefer multidimensional programs to programs with only one component.

Download full-text


Available from: Hans Arendzen,
64 Reads
    • "Previous research indicated that combining individual counseling with personalized exercise for breast cancer survivors improved QOL more than using either exercise or counseling alone (Naumann et al., 2012). Other studies that examined multimodal interventions in cancer survivors have predominantly focused on female survivors; specifically breast cancer survivors(Berglund, Bolund, Gustavsson, & Sjoden, 1993; Block et al., 2009; Cho, Yoo, & Kim, 2006; Courneya et al., 2003; Culos-Reed, Robinson, Lau, O'Connor, & Keats 2007; Rabin, Pinto, Dunsiger, Nash, & Trask, 2009; Van Weert et al., 2005). This pilot study extended from the prior work, which was done in breast cancer survivors only (Naumann et al., 2012), to include prostate cancer survivors. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study qualitatively examined an 8 week group exercise and counseling intervention for breast and prostate cancer survivors. Groups exercised 3 days per week, 50 minutes per session, performing moderate intensity aerobic and resistance training. Groups also underwent 90 minute supportive group psychotherapy sessions once per week. Survivors discussed their experiences in focus groups post intervention. Transcripts were analyzed using interpretative phenomenological analysis. Survivors described how exercise facilitated counseling by creating mutual aid and trust, and counseling helped participants with self-identity, sexuality, and returning to normalcy. When possible, counselors and fitness professionals should create partnerships to optimally support cancer survivors.
    Journal of Psychosocial Oncology 08/2015; DOI:10.1080/07347332.2015.1082166 · 1.04 Impact Factor
  • Source
    • "A number of studies describe different multidimensional supportive and rehabilitation programmes led by multi-disciplinary teams, targeting unspecific diagnosis of cancer e.g. [5, 12, 13] and cancer survivors [14-16] or specific diagnosis of cancer, including prostate [17], breast [18, 19] and gynecological cancer [20]. Frequently reported specific therapies included in supportive and rehabilitation programmes are cycling, walking or strength training [5, 16]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Cancer support and rehabilitation are suggested to be an integral part of cancer care strategies. This study focuses on comparativeness of cancer support and rehabilitation programmes. The aim of this study was to analyse available cancer support and rehabilitation programmes in Sweden presented as complementary to cancer rehabilitation at cancer clinics. A multiple case study design was chosen in order to inquire the small number of existing supportive and rehabilitative cancer programmes. Based on the structures, processes and outcomes of the nine included programmes, three types of cancer support and rehabilitation programmes were identified: multimodal rehabilitation, comprehensive cancer support and art therapy. Cancer support and rehabilitation programmes offer a variety of activities and therapies which are highly valuable and relevant for people with cancer. The typology of cancer support and rehabilitation programmes and comparability between programmes need further inquiry.
    The Open Nursing Journal 01/2014; 8(1):1-7. DOI:10.2174/1874434601408010001
  • Source
    • "It is well known and documented that patients with cancer go through great physical and psychosocial stress since diagnosis, causing a variety of signs and symptoms that may last for some time after treatment(3,7,44-47) even when results of treatment are positive(3,28). Patients submitted to HSCT have an extra dose of factors that contribute even more to disability, such as conditioning regiments, restrictions before, during and after treatment and complications inherent to the procedure (including acute and chronic GVHD) that can occur in the early and late periods after the procedure. "
    [Show abstract] [Hide abstract]
    ABSTRACT: To perform a function evaluation of patients before and after hematopoietic stem cell transplantation. From November 2008 to November 2010, 29 female (58%) and 21 male patients (42%) with median age of 48 years (range: 24-67) were enrolled in this study. Data collection was performed before and after autologous or allogeneic hematopoietic stem cell transplantation. Evaluation instruments included the 2-minute walking test to evaluate gait performance with assessment of the oxygen saturation, heart rate and Borg Scale before and after the test; grip strength for strength evaluation, Schober Test for spine mobility testing and maximum and adapted activity scores of the Human Activity Profile questionnaire to test functionality in daily activities. Fifty patients were evaluated at baseline; six did not undergo hematopoietic stem cell transplantation (three died, one refused and two were excluded). Thus 44/50 (88% - 21 allogeneic and 23 autologous) transplantations were performed. Only 33 of the 44 patients (75%) performed evaluations after transplantation (nine died and two were excluded). Of the patients who performed both evaluations, significantly lower values were found in the evaluation after transplantation for the 2-minute walking test (p-value = 0.004), grip strength of both right and left hands (p-value = 0.004 and p-value < 0.0001, respectively), the Schober Test, and maximum and adapted activity scores (p-value < 0.0001). The heart rate was higher (p-value = 0.01) before the 2-minute walking test and oxygen saturation was higher (p-value = 0.02) after. Statistical differences indicate functional impairment after transplantation showing physical losses in this population.
    03/2012; 34(5):345-51. DOI:10.5581/1516-8484.20120090
Show more