The Effect of Home-Based Walking Program on Peripheral Neuropathy, Fatigue and Quality of Life

Study Overview
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Brief Summary
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The study aims to evaluate the effect of home-based walking program on peripheral neuropathy, fatigue and quality of life in patients receiving taxane and platinum-based chemotherapy. The study was designed as a randomized controlled trial. This study will be carried out with a total of 86 cancer patients receiving taxane and platinum-based chemotherapy, 43 of whom were in the intervention group and 43 in the control group, whose treatment was started in Akdeniz University Hospital.Home Based Walking Program will be applied to the patients in the intervention group for 8 weeks.Within the scope of the Home-Based Walking Program, face-to-face patient education, patient education booklet, sending text messages, face-to-face and telephone counseling were planned. Patient Identification Form, International Physical Activity Questionnaire (IPAQ- Short Form), National Cancer Institute (NCI) -CTCAE v5.0 Toxicity Criteria, Cancer Fatigue Scale, EORTC QLQ-CIPN20 (Quality of Life Chemotherapy-Induced Peripheral Neuropathy) and EORTC QLQ-C30 (Quality of Life Scale), Interview Form will be used to collect data.

Official Title
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The Effect of Home-Based Walking Program on Peripheral Neuropathy, Fatigue and Quality of Life in Patients Receiving Taxane and Platinum-Based Chemotherapy

Conditions
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Chemotherapeutic Toxicity

Intervention / Treatment
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* Other: Home Based Walking Program


Participation Criteria
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Eligibility Criteria
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18 Years and older (Adult, Older Adult ) Turkish speaking-understanding ability and literate. Orientation (person, place, time) Receiving taxane and platinum-based chemotherapy treatment (monotherapy or combined). Receiving chemotherapy treatment for the first time. The primary medical diagnosis is cancer (breast cancer, colorectal cancers and other cancers). Not having health problems that prevent walking. Agreeing to participate in the research. Exclusion Criteria Being bone and brain metastases Being peripheral neuropathy due to reasons other than chemotherapy (such as chronic disease, diabetes mellitus, nutritional disorders) Skin sensitivity on the hands and feet Having cardiovascular, pulmonary, musculoskeletal, or psychological disorders that limit exercise or mobility Being in another supportive program Being in the very active category according to the International Physical Activity Scale (IPAQ- Short Form) Being a severity of more than 4 points according to the Modified Borg Scale (MBS) Being a score of 2 and above according to the ECOG Performance Scale

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This is a randomized controlled trial consisting of two groups: experimental and control
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Home Based Walking Program<br>Effect of home-based walking program on peripheral neuropathy, fatigue and quality of life | Other: Home Based Walking Program<br>* The intervention group will be applied to Home Based Walking Program. It was aimed that the patients should do at least 150 minutes of moderate-intensity physical exercise per week for up to 8 weeks. The content of the program includes a walking information booklet (information notes, activity chart and obstacle avoidance form), exercise diary, face-to-face-telephone counseling, sending text messages, prepared in line with international guides. It was planned to give weekly counseling to the patients included in the intervention group for an 8-week period.<br>|
| No Intervention: Control group<br>The control group will be given the Ministry of Health Physical Activity Guidelines.Routine care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| International Physical Activity Questionnaire (IPAQ- Short Form) | It is used to evaluate physical activity. The form includes walking, moderate and vigorous activity, sitting categories. The total score includes the sum of time (minutes) and frequency (days). | Baseline and 8th week | 
| National Cancer Institute (NCI) -CTCAE v5.0 Toxicity Criteria | This scale was developed to evaluate the grading of chemotherapy-related peripheral neurotoxicity. It evaluates sensory and motor neuropathy between grades 1-5. | Baseline and 8th week | 
| Cancer Fatigue Scale | This scale was developed to evaluate the fatigue of cancer patients. It includes 15 questions and three sub-dimensions: Physical, Affective and Cognitive. The Likert type form is evaluated by giving points. Increasing scores received from the scale demonstrate a high level of fatigue. | Baseline and 8th week | 
| European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Chemotherapy-Induced Peripheral Neuropathy (EORTC QLQ-CIPN 20) | This scale was developed to evaluate the effect of peripheral neuropathy on quality of life of cancer patients. It includes 20 questions and three sub-dimensions: Sensory, Motor and Autonomic. The Likert type form is evaluated by giving points. Increasing scores received from the scale demonstrate a high level of symptoms and problems related to peripheral neuropathy. | Baseline and 8th week | 
| European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) | This Scale was developed to measure the quality of life of patients with cancer. It includes 30 questions and three sub-dimensions: Global health status, Functional, Symptom. High scores in the functional subscale indicate good/healthy functional status, high scores in the symptom subscale indicate high levels of symptoms and/or problems, and high scores in the global health status/quality of life subscale indicate good quality of life. | Baseline and 8th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Home-based walking program, Chemotherapy, Cancer, Peripheral neuropathy, Fatigue, Quality of life, Nurse