Moderators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer: Individual patient data meta-analyses

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Fältnamn	Indikatorer	Metadata
000		05560naa a2200781 4500
001		oai:DiVA.org:uu-431966
003		SwePub
008		210115s2020 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:144540374
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4319662 URI
024	7	a https://doi.org/10.1002/pon.55222 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1445403742 URI
040		a (SwePub)uud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a for2 swepub-publicationtype
100	1	a Abrahams, Harriët J. G.4 aut
245	1 0	a Moderators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer :b Individual patient data meta-analyses
264		c 2020-09-03
264	1	b Wiley,c 2020
338		a print2 rdacarrier
520		a ObjectivePsychosocial interventions can reduce cancer‐related fatigue effectively. However, it is still unclear if intervention effects differ across subgroups of patients. These meta‐analyses aimed at evaluating moderator effects of (a) sociodemographic characteristics, (b) clinical characteristics, (c) baseline levels of fatigue and other symptoms, and (d) intervention‐related characteristics on the effect of psychosocial interventions on cancer‐related fatigue in patients with non‐metastatic breast and prostate cancer.MethodsData were retrieved from the Predicting OptimaL cAncer RehabIlitation and Supportive care (POLARIS) consortium. Potential moderators were studied with meta‐analyses of pooled individual patient data from 14 randomized controlled trials through linear mixed‐effects models with interaction tests. The analyses were conducted separately in patients with breast (n = 1091) and prostate cancer (n = 1008).ResultsStatistically significant, small overall effects of psychosocial interventions on fatigue were found (breast cancer: β = −0.19 [95% confidence interval (95%CI) = −0.30; −0.08]; prostate cancer: β = −0.11 [95%CI = −0.21; −0.00]). In both patient groups, intervention effects did not differ significantly by sociodemographic or clinical characteristics, nor by baseline levels of fatigue or pain. For intervention‐related moderators (only tested among women with breast cancer), statistically significant larger effects were found for cognitive behavioral therapy as intervention strategy (β = −0.27 [95%CI = −0.40; −0.15]), fatigue‐specific interventions (β = −0.48 [95%CI = −0.79; −0.18]), and interventions that only targeted patients with clinically relevant fatigue (β = −0.85 [95%CI = −1.40; −0.30]).ConclusionsOur findings did not provide evidence that any selected demographic or clinical characteristic, or baseline levels of fatigue or pain, moderated effects of psychosocial interventions on fatigue. A specific focus on decreasing fatigue seems beneficial for patients with breast cancer with clinically relevant fatigue.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
650	7	a SAMHÄLLSVETENSKAPx Psykologi0 (SwePub)5012 hsv//swe
650	7	a SOCIAL SCIENCESx Psychology0 (SwePub)5012 hsv//eng
653		a breast cancer
653		a cancer
653		a fatigue
653		a individual patient data meta-analysis
653		a moderators
653		a oncology
653		a prostate cancer
653		a psycho-oncology
653		a psychosocial interventions
700	1	a Knoop, Hans4 aut
700	1	a Schreurs, Maartje4 aut
700	1	a Aaronson, Neil K.4 aut
700	1	a Jacobsen, Paul B.4 aut
700	1	a Newton, Robert U.4 aut
700	1	a Courneya, Kerry S.4 aut
700	1	a Aitken, Joanne F.4 aut
700	1	a Arving, Ceciliau Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom4 aut0 (Swepub:uu)ceciarvi
700	1	a Brandberg, Yvonneu Karolinska Institutet4 aut
700	1	a Chambers, Suzanne K.4 aut
700	1	a Gielissen, Marieke F. M.4 aut
700	1	a Glimelius, Bengtu Uppsala universitet,Experimentell och klinisk onkologi4 aut0 (Swepub:uu)bengglim
700	1	a Goedendorp, Martine M.4 aut
700	1	a Graves, Kristi D.4 aut
700	1	a Heiney, Sue P.4 aut
700	1	a Horne, Rob4 aut
700	1	a Hunter, Myra S.4 aut
700	1	a Johansson, Birgitta,d 1959-u Uppsala universitet,Experimentell och klinisk onkologi4 aut0 (Swepub:uu)birgjhs
700	1	a Northouse, Laurel L.4 aut
700	1	a Oldenburg, Hester S. A.4 aut
700	1	a Prins, Judith B.4 aut
700	1	a Savard, Josée4 aut
700	1	a van Beurden, Marc4 aut
700	1	a van den Berg, Sanne W.4 aut
700	1	a Verdonck-de Leeuw, Irma M.4 aut
700	1	a Buffart, Laurien M.4 aut
710	2	a Uppsala universitetb Livsstil och rehabilitering vid långvarig sjukdom4 org
773	0	t Psycho-Oncologyd : Wileyg 29:11, s. 1772-1785q 29:11<1772-1785x 1057-9249x 1099-1611
856	4	u https://pure.rug.nl/ws/files/133866046/Moderators_of_the_effect_of_psychosocial_interventions_on_fatigue_in_women_with_breast_cancer_and_men_with_prostate_cancer.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-431966
856	4 8	u https://doi.org/10.1002/pon.5522
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:144540374

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

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