Beating cancer‐related fatigue with the Untire mobile app: Results from a waiting‐list randomized controlled trial.

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Title: Beating cancer‐related fatigue with the Untire mobile app: Results from a waiting‐list randomized controlled trial.
Authors: Spahrkäs, Simon Sebastian (AUTHOR), Looijmans, Anne (AUTHOR), Sanderman, Robbert (AUTHOR), Hagedoorn, Mariët (AUTHOR)
Source: Psycho-Oncology. Nov2020, Vol. 29 Issue 11, p1823-1834. 12p. 1 Diagram, 3 Charts, 1 Graph.
Subjects: Cancer fatigue, Physical fitness mobile apps, Randomized controlled trials, Mobile apps, Cancer survivors, Fatigue life
Abstract: Objective: This waiting‐list randomized controlled trial examined the effectiveness of a self‐management mHealth app in improving fatigue and quality of life (QoL) in cancer patients and survivors. Methods: Persons with cancer‐related fatigue (CRF) were recruited across four English speaking countries, via social media, and randomized into intervention (n = 519) and control (n = 280) groups. Whereas the intervention group received immediate access to the Untire app, the control group received access only after 12‐weeks. Primary outcomes fatigue severity and interference, and secondary outcome QoL were assessed at baseline, 4, 8, and 12‐weeks. We ran generalized linear mixed models for all outcomes to determine the effects of app access (yes/no), over 12‐weeks, following the intention‐to‐treat principle. Results: Compared with the control group, the intervention group showed significantly larger improvements in fatigue severity (d = 0.40), fatigue interference (d = 0.35), and overall QoL on average (d = 0.32) (P's <.01), but not for overall QoL in the past week (P =.07). Sensitivity analyses indicated that participants with medium or high app use benefited most when compared with nonusers and control participants (P's ≤.02). The intervention effect on fatigue interference was slightly stronger in younger participants (≤56 vs. >56). Effects did not depend on education and cancer status. Reliable change analyses indicated that significantly more people showed full recovery for fatigue in the intervention vs the control group (P's =.02). Conclusions: The Untire app can be an effective mHealth solution for cancer patients and survivors with moderate to severe CRF. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Beating cancer‐related fatigue with the Untire mobile app: Results from a waiting‐list randomized controlled trial.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Spahrk&#228;s%2C+Simon+Sebastian%22&quot;&gt;Spahrk&#228;s, Simon Sebastian&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Looijmans%2C+Anne%22&quot;&gt;Looijmans, Anne&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sanderman%2C+Robbert%22&quot;&gt;Sanderman, Robbert&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hagedoorn%2C+Mari&#235;t%22&quot;&gt;Hagedoorn, Mari&#235;t&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Nov2020, Vol. 29 Issue 11, p1823-1834. 12p. 1 Diagram, 3 Charts, 1 Graph.
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  Label: Subjects
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+fatigue%22&quot;&gt;Cancer fatigue&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Physical+fitness+mobile+apps%22&quot;&gt;Physical fitness mobile apps&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Randomized+controlled+trials%22&quot;&gt;Randomized controlled trials&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mobile+apps%22&quot;&gt;Mobile apps&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+survivors%22&quot;&gt;Cancer survivors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Fatigue+life%22&quot;&gt;Fatigue life&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This waiting‐list randomized controlled trial examined the effectiveness of a self‐management mHealth app in improving fatigue and quality of life (QoL) in cancer patients and survivors. Methods: Persons with cancer‐related fatigue (CRF) were recruited across four English speaking countries, via social media, and randomized into intervention (n = 519) and control (n = 280) groups. Whereas the intervention group received immediate access to the Untire app, the control group received access only after 12‐weeks. Primary outcomes fatigue severity and interference, and secondary outcome QoL were assessed at baseline, 4, 8, and 12‐weeks. We ran generalized linear mixed models for all outcomes to determine the effects of app access (yes/no), over 12‐weeks, following the intention‐to‐treat principle. Results: Compared with the control group, the intervention group showed significantly larger improvements in fatigue severity (d = 0.40), fatigue interference (d = 0.35), and overall QoL on average (d = 0.32) (P&#39;s &lt;.01), but not for overall QoL in the past week (P =.07). Sensitivity analyses indicated that participants with medium or high app use benefited most when compared with nonusers and control participants (P&#39;s ≤.02). The intervention effect on fatigue interference was slightly stronger in younger participants (≤56 vs. &gt;56). Effects did not depend on education and cancer status. Reliable change analyses indicated that significantly more people showed full recovery for fatigue in the intervention vs the control group (P&#39;s =.02). Conclusions: The Untire app can be an effective mHealth solution for cancer patients and survivors with moderate to severe CRF. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1002/pon.5492
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 1823
    Subjects:
      – SubjectFull: Cancer fatigue
        Type: general
      – SubjectFull: Physical fitness mobile apps
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Mobile apps
        Type: general
      – SubjectFull: Cancer survivors
        Type: general
      – SubjectFull: Fatigue life
        Type: general
    Titles:
      – TitleFull: Beating cancer‐related fatigue with the Untire mobile app: Results from a waiting‐list randomized controlled trial.
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            NameFull: Spahrkäs, Simon Sebastian
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            NameFull: Looijmans, Anne
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            NameFull: Sanderman, Robbert
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            NameFull: Hagedoorn, Mariët
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            – D: 01
              M: 11
              Text: Nov2020
              Type: published
              Y: 2020
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              Value: 29
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              Value: 11
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            – TitleFull: Psycho-Oncology
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