Evidence map›Paper›PMID 20439200›Full record

ArticleOncology nursing forum2010

Feasibility of a patient-controlled cognitive-behavioral intervention for pain, fatigue, and sleep disturbance in cancer.

Kristine L Kwekkeboom, Kristen Abbott-Anderson, Britt Wanta

Open access · greenAbstract read
In one paragraph

Article in Oncology nursing forum, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
  9. Non-pharmacological interventions for sleep disturbance ("insomnia") in patients with advanced cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Article
  11. Acupuncture for the treatment of the pain-fatigue-sleep disturbance-numbness/tingling symptom cluster in breast cancer survivors: a feasibility trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  12. Article
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  15. Palliative Care and the Management of Common Distressing Symptoms in Advanced Cancer: Pain, Breathlessness, Nausea and Vomiting, and Fatigue.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Cancer Symptom Cluster Management.Seminars in oncology nursing · 2016
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Kristine L KwekkeboomSchool of Nursing, University of Wisconsin-Madison, WI, USA. Kwekkeboom@wisc.edu
Kristen Abbott-Anderson
Britt Wanta
University of Wisconsin–Madison · US

Funding

Core--Pilot /FeasibilityP20NR008987 · NINR · UNIVERSITY OF WISCONSIN-MADISON · PI KIRCHHOFF, KARIN T · 2005 to 2009
$1.3M
NINR NIH HHS P20 NR008987NINR NIH HHS P20 NR008987
6 · The paper itself

Abstract

PURPOSE/

objectivesTo evaluate the feasibility of a patient-controlled cognitive-behavioral intervention for pain, fatigue, and sleep disturbance during treatment for advanced cancer and to assess initial efficacy of the intervention.

designOne group pre- and post-test design.

settingOutpatient oncology clinics at a comprehensive cancer center in the midwestern United States. SAMPLE: 30 adults with advanced (recurrent or metastatic) colorectal, lung, prostate, or gynecologic cancer receiving chemotherapy or radiotherapy.

methodsParticipants completed baseline measures (e.g., demographics, symptom inventory) and received education and training to use an MP3 player loaded with 12 cognitive-behavioral strategies (e.g., relaxation exercises, guided imagery, nature sound recordings). Participants used the strategies as needed for symptom management for two weeks, keeping a log of symptom ratings with each use. Following the two-week intervention, participants completed a second symptom inventory and an evaluation of the intervention. MAIN RESEARCH VARIABLES: Feasibility, patient-controlled cognitive-behavioral intervention, pain, fatigue, and sleep disturbance.

findingsThirty of 43 eligible patients (73%) agreed to participate; of them, 27 (90%) completed the study. Most reported that they enjoyed the intervention, had learned useful skills, and perceived improvement in their symptoms. Symptom scores at two weeks did not differ significantly from baseline; however, significant reductions in pain, fatigue, and sleep disturbance severity were found in ratings made immediately before and after use of a cognitive-behavioral strategy.

conclusionsThe patient-controlled cognitive-behavioral intervention appears to be feasible for additional study and could reduce day-to-day severity of co-occurring pain, fatigue, and sleep disturbance. IMPLICATIONS FOR NURSING: A randomized, controlled trial is needed to test efficacy of the intervention for co-occurring pain, fatigue, and sleep disturbance. Meanwhile, based on previous efficacy studies, cognitive-behavioral strategies can be recommended for certain individual symptoms.

Indexed as

AdultAgedCognitive Behavioral TherapyFatigueFeasibility StudiesFemaleHumansImagery, PsychotherapyMaleMiddle AgedMidwestern United StatesMP3-PlayerNeoplasmsNursing Evaluation ResearchOncology NursingPain

Identifiers

PMID20439200
PMCPMC2864954
OpenAlexW2036921445

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.