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Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy

OBJECTIVE: To examine the efficacy of reminder e-mails to continue yoga therapy on practice frequency and fatigue in cancer patients and long-term effects of yoga on fatigue, depression, and quality of life. METHODOLOGY: One hundred two cancer patients who completed an 8-week yoga therapy were rando...

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Autores principales: Zetzl, Teresa, Pittig, Andre, Renner, Agnes, van Oorschot, Birgitt, Jentschke, Elisabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550207/
https://www.ncbi.nlm.nih.gov/pubmed/34155534
http://dx.doi.org/10.1007/s00520-021-06345-z
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author Zetzl, Teresa
Pittig, Andre
Renner, Agnes
van Oorschot, Birgitt
Jentschke, Elisabeth
author_facet Zetzl, Teresa
Pittig, Andre
Renner, Agnes
van Oorschot, Birgitt
Jentschke, Elisabeth
author_sort Zetzl, Teresa
collection PubMed
description OBJECTIVE: To examine the efficacy of reminder e-mails to continue yoga therapy on practice frequency and fatigue in cancer patients and long-term effects of yoga on fatigue, depression, and quality of life. METHODOLOGY: One hundred two cancer patients who completed an 8-week yoga therapy were randomly allocated to two groups: reminder (N = 51) vs. no-reminder group (N = 51). After completing yoga therapy, the reminder group received weekly e-mails for 24 weeks, which reminded them of practicing yoga, whereas the no-reminder group did not. Primary outcomes were fatigue and practice frequency, and long-term outcomes were fatigue, depression, and quality of life. Data were assessed using questionnaires after yoga therapy (T1) and 6 months after completing yoga therapy (T2). RESULT: A significantly stronger reduction of general (p = 0.038, d = 0.42) and emotional fatigue (p = 0.004, d = 0.59) and a higher increase of practice frequency (p = 0.015, d = 0.52) between T1 and T2 were found for the reminder group compared to the no-reminder group. In the mediation model, practice frequency as a mediator partially explained the changes in emotional fatigue (indirect effect B =  − 0.10). Long-term effects of yoga therapy regarding fatigue, depression, and quality of life were found (F > 7.46, p < 0.001, d > 0.54). CONCLUSION: Weekly reminder e-mails after yoga therapy can positively affect general and emotional fatigue and help cancer patients with fatigue establish a regular yoga practice at home. However, higher practice frequency did not lead to higher physical or cognitive fatigue improvement, suggesting other factors that mediate efficacy on physical or cognitive fatigue, such as mindfulness or side effects of therapy.
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spelling pubmed-85502072021-10-29 Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy Zetzl, Teresa Pittig, Andre Renner, Agnes van Oorschot, Birgitt Jentschke, Elisabeth Support Care Cancer Original Article OBJECTIVE: To examine the efficacy of reminder e-mails to continue yoga therapy on practice frequency and fatigue in cancer patients and long-term effects of yoga on fatigue, depression, and quality of life. METHODOLOGY: One hundred two cancer patients who completed an 8-week yoga therapy were randomly allocated to two groups: reminder (N = 51) vs. no-reminder group (N = 51). After completing yoga therapy, the reminder group received weekly e-mails for 24 weeks, which reminded them of practicing yoga, whereas the no-reminder group did not. Primary outcomes were fatigue and practice frequency, and long-term outcomes were fatigue, depression, and quality of life. Data were assessed using questionnaires after yoga therapy (T1) and 6 months after completing yoga therapy (T2). RESULT: A significantly stronger reduction of general (p = 0.038, d = 0.42) and emotional fatigue (p = 0.004, d = 0.59) and a higher increase of practice frequency (p = 0.015, d = 0.52) between T1 and T2 were found for the reminder group compared to the no-reminder group. In the mediation model, practice frequency as a mediator partially explained the changes in emotional fatigue (indirect effect B =  − 0.10). Long-term effects of yoga therapy regarding fatigue, depression, and quality of life were found (F > 7.46, p < 0.001, d > 0.54). CONCLUSION: Weekly reminder e-mails after yoga therapy can positively affect general and emotional fatigue and help cancer patients with fatigue establish a regular yoga practice at home. However, higher practice frequency did not lead to higher physical or cognitive fatigue improvement, suggesting other factors that mediate efficacy on physical or cognitive fatigue, such as mindfulness or side effects of therapy. Springer Berlin Heidelberg 2021-06-22 2021 /pmc/articles/PMC8550207/ /pubmed/34155534 http://dx.doi.org/10.1007/s00520-021-06345-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Zetzl, Teresa
Pittig, Andre
Renner, Agnes
van Oorschot, Birgitt
Jentschke, Elisabeth
Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
title Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
title_full Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
title_fullStr Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
title_full_unstemmed Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
title_short Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
title_sort yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550207/
https://www.ncbi.nlm.nih.gov/pubmed/34155534
http://dx.doi.org/10.1007/s00520-021-06345-z
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