TABLE 7.
Author/year | Name | Type of intervention | Duration | Intensity | Intensity of usage | HCP contact | (A)synchronous | Type of study | #participants [started (finished)] | Relation to treatment | Primary/secondary outcome | Questionnaire | Study results |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Range of patient preference sensitive items | 8 weeks—6 months | Daily use–usage at own pace–once/twice per week | 5/8 with HCP contact | About evenly divided between both options | 2× during–5× after–2× both | All significant improvement | |||||||
(Bruggeman‐Everts et al., 2015, 2017; Wolvers, 2017; Wolvers et al., 2015) | More fit after cancer [fitter na Kanker] – eMBCT | MBCT | 9 weeks | 30 min/day, 6 days/week, at most 4 h/week | 38% were non‐adherent (adherence defined as following >70% of intervention) | Weekly feedback from therapist | Asynchronous | Pilot study | 257 (159) | After treatment, min. 6 months | Primary | CIS | t(18) −13.27 (p < 0.001), ES = 1.45 (*) |
Three‐armed RCT | 167 (139) | After treatment, min. 3 months | Chi^2(2) = 10.89 (p = 0.004), ES = 0.94 (*) | ||||||||||
(Nápoles et al., 2019) | New Dawn [Nuevo Amanecer] | SCP programme with activity tracker, phone calls based on social cognitive theory | 2 months | Daily step goal, within 2 months, 5 times a weekly phone call | Calls lasted 15 ± 3.4 min, 19/23 completed all calls, app is synchronised 4.4–5.7 times per week and checked 4.2–5.9 times per week | 5 weekly phone calls by health coach | Synchronous | Single‐arm feasibility/mixed methods | 23 (21) | After treatment, max. 1 year | Primary | PROMIS – Cancer – Fatigue scale with adjustments | ES = 0.4, B = −0.26 (p = 0.02) (*) |
(Holtdirk et al., 2021, 2020) | Optimune | CBT extended with mindfulness‐based techniques and dietary and physical activity advice | 3 months | 30–45 min/module, 16 modules | Intervention was used for 25.7 ± 33.9 days | No | — | RCT | 363 (306) | After treatment, min. 1 month, max 5 years | Secondary | BFI | ES = 0.23 CI = 0.02 to 0.44 (*) |
(Smith et al., 2019) | Reimagine | Coping skills training, mind–body therapy, and CBT | 18 weeks | At own pace, access any time | — | Online introductory meeting is guided | Synchronous | RCT | 122 (86) | Both during and after treatment | — | FACIT‐F | ES = 0.46, t‐test = 2.2 (p = 0.034) (*) |
(Grossert et al., 2016; Urech et al., 2018) | STREAM | CBT and MBSR | 8 weeks | Daily use of exercises, one module per week | Median duration: 11.7 (IQR 9.1–18.6) weeks. 80% used at least 6/8 modules, 75% worked with all modules | Weekly feedback given via email | Asynchronous | RCT | 129 (117) | During treatment | Primary | FACIT‐F | 4.51 95% CI [1.81, 7.22] (p = 0.002) (*) |
(Spahrkäs et al., 2020a, 2020b) | Untire | CBT and psychoeducation, MBSR, exercise instructions and positive psychology | 12 weeks | At own pace, daily use is recommended, preferably at least once a week | Three equal groups, high users (33%): ≥ 9 days in total, medium users (33%): ≥ 3 days total, low users (33%): ≥ 1 day total | No | — | RCT | 799 (335) | Both during and after treatment | Primary | FSI | Fatigue severity: F(3,1912) = −4.55 (p < 0.01), ES = 0.40. Fatigue interference: F(3,1912) = −4.10 (p < 0.01), ES = 0.35 (*) |
(Zhou et al., 2020) | Rehabilitation on physical, psychological, and social aspects, using the HBM framework | 6 months | Daily rehabilitation information is provided | — | A group of a doctor, nurse, researchers, and postgraduate trainee provided daily information | Asynchronous | RCT | 111 (103) | During treatment | Secondary | NRS | No group effect, there is a time effect: F = 3.52 (p = 0.02) (*) | |
(Lee et al., 2014) | WSEDI | Exercise and diet intervention, based on the TTM theory | 12 weeks | Use regularly, at least twice per week | 89% of the participants consistently participated in the programme | No | — | Pilot RCT | 59 (57) | After treatment, max. 12 months | Secondary | BFI | p = 0.032 (*) |
Abbreviations: BFI, Brief Fatgue Inventory; CI, confidence interval; CBT, cognitive behavioural therapy; CIS, Checklist for Individual Strength; FACIT‐F, Functional Assessment of Chronic Illness Therapy—Fatigue; FSI: Fatigue Symptom Inventory; HBM, health belief model; HCP contact, contact with healthcare professional; MBCT, Mindfulness‐based Cognitive Therapy MBSR, Mindfulness‐based Stress Reduction; NRS, Numeric Rating Scale; PROMIS, Patient‐Reported Outcomes Measurement Information System; RCT, randomised controlled trial; SCP, survivorship care plan; TTM, transtheoretical model.
Significant improvement.