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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Fatigue self-management education in persons with disease-related fatigue : a comprehensive review of the effectiveness on fatigue and quality of life
Authors: Hersche, Ruth
Roser, Katharina
Weise, Andrea
Michel, Gisela
Barbero, Marco
et. al: No
DOI: 10.1016/j.pec.2021.09.016
Published in: Patient Education and Counseling
Volume(Issue): 105
Issue: 6
Page(s): 1362
Pages to: 1378
Issue Date: Sep-2021
Publisher / Ed. Institution: Elsevier
ISSN: 0738-3991
Language: English
Subjects: Self-management; Patient education; Fatigue; Review
Subject (DDC): 616: Internal medicine and diseases
Abstract: Objectives: To systematically synthesize the effectiveness of fatigue self-management education (SME) on fatigue and quality of life (QoL) in persons with disease-related fatigue, and to describe the intervention characteristics. Methods: We systematically reviewed the literature on SMEs in people with disease-related fatigue. We included randomized controlled trials (RCT), which aimed to improve self-management skills for fatigue in daily life. We synthesized the effectiveness and mapped the intervention characteristics. Results: We included 26 RCTs studying samples from eight disease groups. At follow-up, 46% studies reported statistically significant improvements on fatigue and 46% on QoL. For persons with cancer 6/8 and multiple sclerosis 8/10 RCTs showed positive evidence in favor of SME. The range of effect sizes was wide (d: 0.0 - > 0.8). Delivery modalities (inpatient, outpatient, home), interactions (individual, group, remote), and duration [range (h): 1 - 17.5] varied. Conclusions: The overall evidence on the effectiveness of SMEs on fatigue and QoL is limited and inconsistent. For persons with cancer and multiple sclerosis, the evidence provides a positive effect. The RCTs with medium to large effect on QoL indicate the potential benefit of SMEs.
Fulltext version: Published version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Occupational Therapy (IER)
Appears in collections:Publikationen Gesundheit

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