title: Energy Through Motion©: An Evidence-Based Exercise Program to Reduce Cancer-Related Fatigue and Improve Quality of Life.
abstract: BACKGROUND
  Evidence supports addressing cancer-related fatigue (CRF) with activity. Activity promotion is feasible during and following cancer treatment and improves patient outcomes.
  
  
  OBJECTIVE
  This project provided an evidence-based activity program for adult cancer survivors after treatment to reduce CRF and improve quality of life.
  
  
  METHODS
  The Iowa Model of Evidence-Based Practice to Promote Quality Care guided development of the activity promotion evidence-based practice project. This included evidence review, creation of an evidence-based activity intervention, and evaluation of the practice change. Two groups participated in the project; one group, the usual care group, provided baseline data and received "usual" instructions for activity, fatigue, and sleep, whereas the Energy Through Motion© (ETM) activity group received a three-month activity intervention with prepackaged ETM kits and follow-up phone calls.
  
  
  RESULTS
  Patients in the ETM activity group had increased activity levels, whereas those in the usual care group had decreased activity levels. Fatigue levels in the ETM activity group decreased, and quality of life improved. This project supports nurse-led activity promotion as useful in addressing CRF and feasible for use in a busy clinical setting.
authors.affiliation: University of Iowa.
authors.forename: Katie
authors.initials: K
authors.lastname: Huether
authors.affiliation: University of Iowa Hospitals and Clinics.
authors.forename: Linda
authors.initials: L
authors.lastname: Abbott
authors.affiliation: University of Iowa Hospitals and Clinics.
authors.forename: Laura
authors.initials: L
authors.lastname: Cullen
authors.affiliation: University of Iowa Hospitals and Clinics.
authors.forename: Liz
authors.initials: L
authors.lastname: Cullen
authors.affiliation: University of Iowa Hospitals and Clinics.
authors.forename: Ami
authors.initials: A
authors.lastname: Gaarde
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055318:Evidence-Based Nursing / Q000592:standards*; D005081:Exercise Therapy; D005221:Fatigue / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D009859:Oncology Nursing / Q000592:standards*; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D014481:United States
keywords: activity; cancer fatigue; evidence-based practice; exercise