Evidence map›Paper›PMID 42141128›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Effects of activity pacing-related interventions on cancer-related fatigue and classification of behavior change techniques: A systematic review and meta-analysis.

Yoichi Shimizu, Katsunori Tsuji, Akiko Hanai, Mai Hosokawa

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yoichi ShimizuSchool of Nursing, National College of Nursing Japan, Kiyose, Japan. yo-shimiz@umin.ac.jp.ORCID http://orcid.org/0000-0002-5154-090X
Katsunori TsujiDivision of Cancer Policy and Evaluation, National Cancer Center Japan Institute for Cancer Control, Tokyo, Japan.ORCID http://orcid.org/0000-0003-0508-6774
Akiko HanaiGraduate School of Informatics, Chiba University, Chiba, Japan.ORCID http://orcid.org/0000-0003-4468-1488
Mai HosokawaGraduate School of Nursing, Iwate Prefectural University, Takizawa, Japan.ORCID http://orcid.org/0000-0002-9052-9922

Funding

Japan Society for the Promotion of Science JP24K22219
6 · The paper itself

Abstract

purposeAlthough physical activity is recommended for managing cancer-related fatigue (CRF), activity pacing (AP) and energy conservation are also implemented to balance activity and rest. This systematic review assessed the effectiveness of AP-related interventions and behavior change techniques (BCTs) employed in AP-related interventions for CRF management.

methodsWe searched PubMed, CINAHL, CENTRAL, and Ichu-shi databases for articles published up to February 28, 2026. After assessing the risk of bias, we performed meta-analyses for quantitative synthesis. We also identified and classified BCTs using data from the Behavior Change Technique Taxonomy version 1.

resultsAmong the 1257 identified studies, 10 (7 randomized controlled trials [RCTs] and 3 non-RCTs) met the inclusion criteria. The effect size was small but not significant (standardized mean differences [SMD] = - 0.36; 95% confidence intervals [CI]: - 0.73 to 0.00; 5 studies; 617 participants), with substantial heterogeneity (I

conclusionAP-related interventions may provide some benefit in improving CRF, particularly during chemotherapy. However, the certainty of the current evidence is extremely low. Although these interventions represent useful approaches, further RCTs are needed, and digitization of AP-related intervention programs incorporating effective BCTs may be beneficial.

Indexed as

Behavior TherapyExerciseFatigueNeoplasmsHumansRandomized Controlled Trials as TopicActivity pacingCancerCancer-related fatigueNeoplasmsSupportive care

Identifiers

PMID42141128
PMCPMC13179210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.