Huether, K., Abbott, L., Cullen, L., Cullen, L., & Gaarde, A. (2016). Energy Through Motion©: An evidence-based exercise program to reduce cancer-related fatigue and improve quality of life. Clinical Journal of Oncology Nursing, 20, E60–E70. 

DOI Link

Study Purpose

To implement and evaluate an evidence-based practice change to encourage exercise for fatigue

Intervention Characteristics/Basic Study Process

The Iowa Model of Evidence-Based Practice Change was used to guide implementation and measure impact on patient outcomes and care processes. An intervention to implement physical activity for patients to combat fatigue was selected. Activity kits for patients were developed, and included information on the benefits of physical activity, activity logs, instructions for workouts, as well as strategies to improve sleep, and nutrition. A pedometer and resistance bands were also provided. A nurse made regular connections with patients to encourage physical activity. Fatigue assessment was done at clinic visits at baseline and three months later. Results from the physical activity group were compared to those of patients receiving usual care.

Sample Characteristics

  • N = 45  
  • AGE: Not provided
  • MALES (%): Not provided, FEMALES (%): Not provided

Setting

  • SITE: Single site   
  • SETTING TYPE: Outpatient    
  • LOCATION: Iowa

Phase of Care and Clinical Applications

PHASE OF CARE: Multiple phases of care

Study Design

Prospective cohort comparison

Measurement Instruments/Methods

Brief Fatigue Inventory (BFI)

Results

Patients who received the activity intervention experienced a significant reduction in fatigue (p = 0.0006) and increase in general activity (p = 0.0066).

Conclusions

The intervention to improve physical activity was effective to improve fatigue.

Limitations

  • Small sample (< 100)
  • Risk of bias (no blinding)
  • Risk of bias (no random assignment) 
  • Risk of bias (no appropriate attentional control condition)
  • A single DNP was involved in encouraging patients to continue physical activity, so if this type of practice change would be effective without the consistent follow-up of an individual is unclear.

Nursing Implications

The findings showed that the use of the activity kit and follow-up in this study was effective in increasing physical activity and reducing fatigue in patients with cancer.