Meta-Analysis of Randomized Controlled Trials on Yoga, Psychosocial, and Mindfulness-Based Interventions for Cancer-Related Fatigue: What Intervention Characteristics Are Related to Higher Efficacy?

Alexander Haussmann; Martina E Schmidt; Mona L Illmann; Marleen Schröter; Thomas Hielscher; Holger Cramer; Imad Maatouk; Markus Horneber; Karen Steindorf

doi:10.3390/cancers14082016

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Meta-Analysis of Randomized Controlled Trials on Yoga, Psychosocial, and Mindfulness-Based Interventions for Cancer-Related Fatigue: What Intervention Characteristics Are Related to Higher Efficacy?

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Meta-Analysis of Randomized Controlled Trials on Yoga, Psychosocial, and Mindfulness-Based Interventions for Cancer-Related Fatigue: What Intervention Characteristics Are Related to Higher Efficacy?

Alexander Haussmann, Martina E Schmidt, Mona L Illmann, Marleen Schröter, Thomas Hielscher, Holger Cramer, Imad Maatouk, Markus Horneber and Karen Steindorf

Cancers, Vol.14(8), pp.1-23

15/04/2022

DOI: https://doi.org/10.3390/cancers14082016

PMID: 35454922

Appears in Recent National Centre for Naturopathic Medicine Publications

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Abstract

patient-reported outcomes

fatigue

mindfulness

yoga

psychosocial

cancer

quality of life

Cancer-related fatigue (CRF) is a burdensome sequela of cancer treatments. Besides exercise, recommended therapies for CRF include yoga, psychosocial, and mindfulness-based interventions. However, interventions conducted vary widely, and not all show a significant effect. This meta-analysis aimed to explore intervention characteristics related to greater reductions in CRF. We included randomized controlled trials published before October 2021. Standardized mean differences were used to assess intervention efficacy for CRF and multimodel inference to explore intervention characteristics associated with higher efficacy. For the meta-analysis, we included 70 interventions (24 yoga interventions, 31 psychosocial interventions, and 15 mindfulness-based interventions) with 6387 participants. The results showed a significant effect of yoga, psychosocial, and mindfulness-based interventions on CRF but with high heterogeneity between studies. For yoga and mindfulness-based interventions, no particular intervention characteristic was identified to be advantageous for reducing CRF. Regarding psychosocial interventions, a group setting and work on cognition were related to higher intervention effects on CRF. The results of this meta-analysis suggest options to maximize the intervention effects of psychosocial interventions for CRF. The effects of yoga and mindfulness-based interventions for CRF appear to be independent of their design, although the limited number of studies points to the need for further research.

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Title: Meta-Analysis of Randomized Controlled Trials on Yoga, Psychosocial, and Mindfulness-Based Interventions for Cancer-Related Fatigue: What Intervention Characteristics Are Related to Higher Efficacy?
Creators: Alexander Haussmann - German Cancer Research Center
Martina E Schmidt - German Cancer Research Center
Mona L Illmann - German Cancer Research Center
Marleen Schröter - Kliniken Essen-Mitte
Thomas Hielscher - German Cancer Research Center
Holger Cramer - Kliniken Essen-Mitte
Imad Maatouk - Universitätsklinikum Würzburg
Markus Horneber - Paracelsus Medizinische Privatuniversität
Karen Steindorf - German Cancer Research Center
Publication Details: Cancers, Vol.14(8), pp.1-23
Publisher: MDPI AG
Grant note: 01KD1912 / Federal Ministry of Education and Research
Identifiers: 991013035748102368
Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/4.0/).
Academic Unit: National Centre for Naturopathic Medicine
Language: English
Resource Type: Journal article

Meta-Analysis of Randomized Controlled Trials on Yoga, Psychosocial, and Mindfulness-Based Interventions for Cancer-Related Fatigue: What Intervention Characteristics Are Related to Higher Efficacy?

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UN Sustainable Development Goals (SDGs)

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