Article

OBJECTIVE: To assess the effectiveness of a multidisciplinary ambulatory
rehabilitation programme for women following definitive breast cancer treatment
in an Australian community cohort. METHODS: Eighty-five women in the community
randomized to a treatment group (n = 43) for individualized high-intensity
programme, or a control group (n = 42) comprising usual activity. The primary
outcome Depression Anxiety Stress Scale (DASS) scale measured restriction in
participation. Secondary measures included Perceived Impact Problem Profile
(PIPP) and Cancer Rehabilitation Evaluation System Short-Form (CARES-SF); and
Functional Independence Measure (FIM) motor subscale for activity limitation.
Assessments were at baseline and 4 months. RESULTS: Intention-to-treat analysis
of data showed a significant difference between both groups in DASS Depression
scores (p = 0.006) (moderate effect size, r > 0.3), PIPP Mobility (p = 0.05) and
Participation (p = 0.04) scales, and CARES-SF Global score
(p = 0.02) (small
effect size, r < 0.3). The treatment group, compared with control group, showed
significant improvement in the DASS Depression scores: 22/42 (52.4%) vs 12/37
(32.4%) (p = 0.02). No difference between groups was noted in the FIM scale.
CONCLUSION: Rehabilitation can benefit participation in breast cancer survivors.
Evidence for specific rehabilitation interventions is needed. Integrated cancer
programmes allow opportunities to evaluate patients in various settings, but
require outcome research to develop service models for survivorship issues.

Langue : ANGLAIS