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| Name | Class |
|---|---|
| University of Southern Denmark | OTHER |
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Background: Advanced cancer may cause functional limitations, subsequently leading to decreased ability to perform and engage in everyday activities, such as self-care, household, leisure and civic life. In addition, people with advanced cancer need alleviation from the pain and sorrow following limited life expectancy wherefore they prefer to focus on everyday life function and activities, lightness and enjoyment. The overall aim of the Balance, Activity and quality of Life (BAL) project is to develop, test and evaluate effectiveness and process of a resource-oriented intervention which coordinates rehabilitation and palliative care to enhance quality of life (QoL), balance and enjoyment in everyday activities and functioning. The development of the intervention is guided by the British Medical Research Council's guidance (MRC).
The present study consists of a resource-oriented intervention, which will be feasibility tested in the research clinic of REHPA, the Danish Knowledge Centre for Rehabilitation and Palliative Care. The study will inform the development of a resource-oriented program for people with advanced cancer.
Material and Methods: A feasibility study designed as a one-armed, pre-post study with follow-up after five days and again after 6 and 12 weeks. The study will recruit 20-25 home-living adults (⩾18 years) with chronic or advanced cancer reporting needs in everyday life.
Outcomes are quality of life, physical function and fatigue assessed using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 (EORTC QLQ C-30). Furthermore, balance in everyday activities will be assessed using the Occupational Balance Questionnaire 11 (OBQ-11).
Besides outcomes, process data will also be collected regarding: 1) fidelity, 2) adherence, 3) dose and 4) reach and mechanisms of impact with attention to participant's experiences of and interactions with the intervention. These data will be collected using registration forms, questionnaires, participant-observations and focus-group interviews.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BAL | Experimental | A resource-orientered, individual and group-based intervention addressing balance in everyday life, activities and QoL among people with chronic or advanced cancer. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A resource-oriented intervention | Other | The intervention is delivered by an interdisciplinary team of occupational therapist, physiotherapist, nurse, psychologist, physician and social worker. It consists of a five-day residential stay at REHPA and a two-day follow-up stay after seven weeks at home. The residential stays include both workshops and engagement in physical and creative activities. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in global health status/ quality of life using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating better outcome | 6 week |
| Measure | Description | Time Frame |
|---|---|---|
| Change in global health status/ quality of life using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating better outcome | 5 day |
| Change in balance in everyday life using the Occupational Balance Questionnaire 11 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Sampedro Pilegaard, PhD | REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care | Principal Investigator |
| Karen la Cour, PhD | University of Southern Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| REHPA, the Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital | Nyborg | 5800 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39917823 | Derived | Brunsgaard Laursen M, Sampedro Pilegaard M, la Cour K. Promising results of a resource- and activity-oriented intervention integrating rehabilitation into palliative care in people with advanced cancer: A feasibility study testing outcome measures. Palliat Support Care. 2025 Feb 7;23:e55. doi: 10.1017/S1478951524001652. | |
| 35443699 |
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|
Scores between 11-44, with higher scores indicating better outcome |
| 5 day |
| Change in physical function using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating better outcome | 5 day |
| Change in fatigue using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating worse outcome | 5 day |
| Change in balance in everyday life using the Occupational Balance Questionnaire 11 | Scores between 11-44, with higher scores indicating better outcome | 6 week |
| Change in physical function using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating better outcome | 6 week |
| Change in fatigue using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating worse outcome | 6 week |
| Change in global health status/ quality of life using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating better outcome | 12 week |
| Change in balance in everyday life using the Occupational Balance Questionnaire 11 | Scores between 11-44, with higher scores indicating better outcome | 12 week |
| Change in physical function using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating better outcome | 12 week |
| Change in fatigue using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 | Scores between 0-100, with higher scores indicating worse outcome | 12 week |
| Pilegaard MS, Timm H, Birkemose HK, Dupont SB, Joergensen DS, la Cour K. A resource-oriented intervention addressing balance in everyday activities and quality of life in people with advanced cancer: protocol for a feasibility study. Pilot Feasibility Stud. 2022 Apr 20;8(1):86. doi: 10.1186/s40814-022-01038-8. |