Feasibility and potential effects of tai chi for the fatigue-sleep disturbance-depression symptom cluster in patients with breast cancer: Protocol of a preliminary randomised controlled trial

Article


Yao, Li-Qun, Tan, Jing-Yu (Benjamin), Turner, Catherine and Wang, Tao. 2021. "Feasibility and potential effects of tai chi for the fatigue-sleep disturbance-depression symptom cluster in patients with breast cancer: Protocol of a preliminary randomised controlled trial." BMJ Open. 11 (8). https://doi.org/10.1136/bmjopen-2020-048115
Article Title

Feasibility and potential effects of tai chi for the fatigue-sleep disturbance-depression symptom cluster in patients with breast cancer: Protocol of a preliminary randomised controlled trial

ERA Journal ID200230
Article CategoryArticle
AuthorsYao, Li-Qun, Tan, Jing-Yu (Benjamin), Turner, Catherine and Wang, Tao
Journal TitleBMJ Open
Journal Citation11 (8)
Article Numbere048115
Number of Pages8
Year2021
PublisherBMJ
Place of PublicationUnited Kingdom
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2020-048115
Web Address (URL)https://bmjopen.bmj.com/content/11/8/e048115
Abstract

Introduction: The fatigue-sleep disturbance-depression symptom cluster (FSDSC) is one of the most common and debilitating side effects in patients with breast cancer (BC) throughout their treatment trajectory. Tai chi has been supported as a promising non-pharmacological intervention for the individual symptom relief of cancer-related fatigue, sleep disturbance and depression. However, relevant evidence of using tai chi for FSDSC management in patients with BC has been lacking.

Methods: This study will be a two-arm, single-blinded pilot randomised controlled trial involving an 8-week intervention and a 4-week follow-up. Seventy-two patients with BC experiencing the FSDSC will be recruited from two tertiary medical centres in China. The participants will be randomised to either a tai chi group (n=36) or a control group (n=36). The participants in the tai chi group will receive an 8-week tai chi intervention in addition to standard care, while the participants in the control group will receive standard care only consisting of a booklet on the self-management of cancer symptoms. The primary outcomes will include a series of feasibility assessments of the study protocol in relation to the study's methodological procedures, including subject recruitment and follow-up process, completion of study questionnaires and the feasibility, acceptability and safety of the intervention. The secondary outcomes will be the clinical outcomes regarding the effects of tai chi on the FSDSC and quality of life, which will be evaluated by the Brief Fatigue Inventory, the Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale and the Functional Assessment of Cancer Therapy-Breast questionnaires.

Ethics and dissemination: Ethics approval was obtained from relevant sites (H19094, KY2019133, 201932). The findings of the study will be published in peer-reviewed scientific journals and at conferences.

Trail registration number NCT04190342; Pre-results

Keywordsbreast tumours; clinical trials; complementary medicine
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
321199. Oncology and carcinogenesis not elsewhere classified
Byline AffiliationsCharles Darwin University
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Effects of motor imagery on walking function and balance in patients after stroke: A quantitative synthesis of randomized controlled trials
Li, Rong-Qing, Li, Zhuang-Miao, Tan, Jing-Yu, Chen, Gu-Lan and Lin, Wen-Ying. 2017. "Effects of motor imagery on walking function and balance in patients after stroke: A quantitative synthesis of randomized controlled trials." Complementary Therapies in Clinical Practice. 28, pp. 75-84. https://doi.org/10.1016/j.ctcp.2017.05.009
Auricular therapy for lactation: A systematic review
Chen, Melissa Li-Sha, Tan, Jing-Yu and Suen, Lorna Kwai-Ping. 2017. "Auricular therapy for lactation: A systematic review." Complementary Therapies in Clinical Practice. 29, pp. 169-184. https://doi.org/10.1016/j.ctcp.2017.09.006
Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnea-12 Questionnaire
Tan, Jing-Yu, Yorke, Janelle, Harle, Amelie, Smith, Jacky, Blackhall, Fiona, Pilling, Mark and Molassiotis, Alex. 2017. "Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnea-12 Questionnaire." Journal of Pain and Symptom Management. 53 (2), pp. 208-215. https://doi.org/10.1016/j.jpainsymman.2016.08.009
Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis
Wang, Tao, Tan, Jing-Yu, Xiao, Lily Dongxia and Deng, Renli. 2017. "Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis." Patient Education and Counseling. 100 (8), pp. 1432-1446. https://doi.org/10.1016/j.pec.2017.02.026
Acupoints Stimulation for Anxiety and Depression in Cancer Patients: A Quantitative Synthesis of Randomized Controlled Trials
Wang, Tao, Deng, Renli, Tan, Jing-Yu and Guan, Feng-Guang. 2016. "Acupoints Stimulation for Anxiety and Depression in Cancer Patients: A Quantitative Synthesis of Randomized Controlled Trials." Evidence-Based Complementary and Alternative Medicine. 2016. https://doi.org/10.1155/2016/5645632
Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials
Ma, Hai-Li, Tan, Jing-Yu, Yang, Liu, Huang, Tao and Liao, Qiao-Jing. 2016. "Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials." European Journal of Integrative Medicine. 8 (5), pp. 707-714. https://doi.org/10.1016/j.eujim.2016.05.007
Psychometric assessment of the Chinese version of the MASCC Antiemesis Tool (MAT) for measuring chemotherapy-induced nausea and vomiting
Tan, Jing-Yu, Suen, Lorna and Molassiotis, Alex. 2016. "Psychometric assessment of the Chinese version of the MASCC Antiemesis Tool (MAT) for measuring chemotherapy-induced nausea and vomiting." Supportive Care in Cancer. 24 (9), pp. 3729 - 3737. https://doi.org/10.1007/s00520-016-3181-7
Auricular therapy for chronic pain management in adults: A synthesis of evidence
Zhao, Hong-Jia, Tan, Jing-Yu, Wang, Tao and Jin, Lang. 2015. "Auricular therapy for chronic pain management in adults: A synthesis of evidence." Complementary Therapies in Clinical Practice. 21 (2), pp. 68-78. https://doi.org/10.1016/j.ctcp.2015.03.006
Interventions for cough in cancer
Molassiotis, Alex, Bailey, Chris, Caress, Ann and Tan, Jing-Yu. 2015. "Interventions for cough in cancer." Cochrane Database of Systematic Reviews. 2015 (5). https://doi.org/10.1002/14651858.CD007881.pub3
Nurse-led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review
Zhou, L., Liu, X.-L., Tan, J.-Y., Yu, H.-P., Pratt, J. and Peng, Y.-Q.. 2015. "Nurse-led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review." International Nursing Review. 62 (2), pp. 218-230. https://doi.org/10.1111/inr.12172
Sham acupressure controls used in randomized controlled trials: A systematic review and critique
Tan, Jing-Yu, Suen, Lorna K. P., Wang, Tao and Molassiotis, Alexander. 2015. "Sham acupressure controls used in randomized controlled trials: A systematic review and critique." PLoS One. 10 (7). https://doi.org/10.1371/journal.pone.0132989
Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Liu, Xian-Liang, Tan, Jing-Yu, Molassiotis, Alex, Suen, Lorna and Shi, Yan. 2015. "Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials." Evidence-Based Complementary and Alternative Medicine. 2015. https://doi.org/10.1155/2015/657809
Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials
Liu, Xian-Liang, Tan, Jing-Yu, Wang, Tao, Zhang, Qi, Zhang, Min, Yao, Li-Qun and Chen, Jin-Xiu. 2014. "Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials." Rehabilitation Nursing. 39 (1), pp. 36-59. https://doi.org/10.1002/rnj.112
Adverse events of auricular therapy: A systematic review
Tan, Jing-Yu, Molassiotis, Alexander, Wang, Tao and Suen, Lorna K. P.. 2014. "Adverse events of auricular therapy: A systematic review." Evidence-Based Complementary and Alternative Medicine. 2014 (2014). https://doi.org/10.1155/2014/506758
Current evidence on auricular therapy for chemotherapy-induced nausea and vomiting in cancer patients: A systematic review of randomized controlled trials
Tan, Jing-Yu, Molassiotis, Alexander, Wang, Tao and Suen, Lorna K. P.. 2014. "Current evidence on auricular therapy for chemotherapy-induced nausea and vomiting in cancer patients: A systematic review of randomized controlled trials." Evidence-Based Complementary and Alternative Medicine. 2014 (2014). https://doi.org/10.1155/2014/430796
Progress towards the development of animal models of chemotherapy-induced gastrointestinal mucositis
Zhang, Min, Chen, Jin-Xiu, Tan, Jing-Yu and Liu, Xian-Liang. 2012. "Progress towards the development of animal models of chemotherapy-induced gastrointestinal mucositis." World Chinese Journal of Digestology. 20 (8), pp. 649-655. https://doi.org/10.11569/wcjd.v20.i8.649