Sense of coherence and its relationship to participation, cancer-related fatigue, symptom burden, and quality of life in women with breast cancer participating in the OptiTrain exercise trial
Hiensch, Anouk E; Bolam, Kate A; Mijwel, Sara; May, Anne M; Wengström, Yvonne
(2020) Supportive Care in Cancer, volume 28, pp. 5371 - 5379
(Article)
Abstract
PURPOSE: This study examined the Sense of Coherence (SOC) of patients participating in the randomized controlled 'Optimal Training for Women with Breast Cancer' (OptiTrain) study and assessed how patient characteristics were associated with SOC. Secondary aims were to assess the association between SOC and patients' participation in this study and
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to determine whether SOC moderates the effect of the 16-week exercise intervention on fatigue, quality of life (QoL), and symptom burden in women with breast cancer undergoing chemotherapy. METHODS: Modified Poisson regression analyses were conducted to determine the relative risk of weak-normal SOC versus strong SOC in terms of exercise session attendance, study and intervention dropout, and long absence rates. Analyses of covariance were performed to assess whether SOC moderated the effect of the exercise intervention (pinteraction ≤ 0.10). RESULTS: Two hundred and forty women with early breast cancer (mean age 53 ± 10) participated in the OptiTrain study. Women with strong SOC reported less fatigue, lower symptom burden, and higher QoL. Women with weak-normal SOC were significantly more likely to drop out from the OptiTrain study and tended to have slightly poorer exercise session attendance. Women with breast cancer and weaker SOC benefitted as much from the exercise intervention, in terms of fatigue and QoL, as those with stronger SOC (pinteraction > 0.10). CONCLUSIONS: Strong SOC appears to be associated with a more positive subjective state of health. Women with weak-normal SOC may need additional support to encourage participation and adherence in exercise trials. Assessing SOC may assist clinicians to identify and provide extra support for participants with weak SOC, who may be less inclined to participate in exercise programs.
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Keywords: Adherence, Breast cancer, Cancer-related fatigue, Chemotherapy, Physical exercise, Quality of life, Sense of coherence, Patient Participation/psychology, Fatigue/epidemiology, Humans, Middle Aged, Antineoplastic Agents/therapeutic use, Cost of Illness, Sense of Coherence/physiology, Exercise/physiology, Combined Modality Therapy, Sweden, Breast Neoplasms/complications, Quality of Life, Adult, Female, Exercise Therapy/psychology, Oncology, Journal Article, Randomized Controlled Trial
ISSN: 0941-4355
Publisher: Springer Verlag
Note: Funding Information: The authors would like to thank the women who participated in this clinical intervention trial, the oncological rehabilitation unit at the university hospital in Stockholm (Sweden) for providing the exercise facilities, and Daniele Cardinale at the Swedish Sports Confederation (Liding?, Sweden) for technical support. Funding Information: This work was supported by The Swedish Cancer Society (130452 to Y.W.), The Cancer Society of Stockholm (131242 to Y.W.), The Swedish Cancer and Traffic Accident Foundation (F-C-001225 to Y.W.), and The Swedish Society for Medical Research (SLS 50514 to H.R.). Acknowledgements Publisher Copyright: © 2020, The Author(s).
(Peer reviewed)