Steps to Enhance Early Recovery after Hematopoietic Stem Cell Transplantation: Lessons Learned from a Physical Activity Feasibility Study

Eileen Hacker, Tara Peters, Pritesh Patel, Damiano Rondelli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aims: This pilot study tested and refined a free-living physical activity intervention. The investigators evaluated the acceptability and feasibility of the intervention after hematopoietic stem cell transplantation and determined preliminary effects on physical activity, fatigue, muscle strength, functional ability, and quality of life. Design: This pilot study used a 1-group, pretest-posttest design. Methods: The free-living physical activity intervention consisted of an education component and 6 weeks of gradually increasing physical activity after discharge from the hospital. The intervention was designed to increase steps by 10% weekly. Subjects were assessed before transplantation and during the seventh week after discharge from the hospital after completing the intervention. Pretest-posttest scores were analyzed with paired t tests. Results: Subject wore the physical activity tracker for an average of 38 of 42 days and met their physical activity goals 57% of the time. Subjects reported significantly less physical fatigue after the free-living physical activity intervention compared with baseline (P =.05). Improvements in quality of life approached significance (P =.06). Conclusion: The findings demonstrate that the free-living physical activity intervention implemented during the very early recovery period after transplantation is feasible and acceptable. The intervention potentially reduces fatigue and improves quality of life. The positive results must be interpreted cautiously given the pilot nature of the study. The evidence supports continued investigation.

Original languageEnglish (US)
Pages (from-to)152-162
Number of pages11
JournalClinical Nurse Specialist
Volume32
Issue number3
DOIs
StatePublished - May 1 2018

Fingerprint

Hematopoietic Stem Cell Transplantation
Feasibility Studies
Fatigue
Quality of Life
Transplantation
Muscle Strength
Research Personnel
Education

Keywords

  • activities of daily living
  • exercise
  • fatigue
  • stem cell transplantation

ASJC Scopus subject areas

  • Leadership and Management
  • Assessment and Diagnosis
  • Advanced and Specialized Nursing
  • LPN and LVN

Cite this

Steps to Enhance Early Recovery after Hematopoietic Stem Cell Transplantation : Lessons Learned from a Physical Activity Feasibility Study. / Hacker, Eileen; Peters, Tara; Patel, Pritesh; Rondelli, Damiano.

In: Clinical Nurse Specialist, Vol. 32, No. 3, 01.05.2018, p. 152-162.

Research output: Contribution to journalArticle

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