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Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial

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Resumo:Background: This study aimed at assessing the effects of a self-regulation-based brief physical activity program for patients suffering from unexplained chronic fatigue, the “4- STEPS to control your fatigue program”. Method: A 12-week randomized controlled trial was conducted. Adult patients meeting the CDC criteria for idiopathic chronic fatigue were randomized to either the control condition (standard care) or the intervention condition (4-STEPS). The 4-STEPS was based on self-regulation principles and consisted of motivational interviewing and self-regulation skills training. All patients were assessed at baseline and post-treatment (12 weeks) for fatigue severity (primary outcome) and impact, physical activity (leisure time physical activity, number of daily steps and personal activity goal progress), health-related quality of life, somatic distress and psychological distress (depression and anxiety). Results Ninety-one patients (45 intervention and 46 control patients) received the allocated intervention. At post-treatment, statistical analysis revealed a significant difference for subjective experience of fatigue (4.73 points; g=0.51) in favour of the intervention group. Mixed design ANCOVAs showed a significant effect of the 4-STEPS on fatigue severity, leisure time physical activity, personal activity goal progress and healthrelated quality of life. No significant effects were found for number of daily steps and somatic and psychological distress. Conclusion: The 4-STEPS program has significant beneficial effects at post-treatment. This brief self-regulation-based intervention looks promising for the management of unexplained chronic fatigue.
Autores principais:Marques, Marta Moreira
Outros Autores:De Gucht, Véronique; Leal, Isabel Pereira; Maes, Stan
Assunto:Chronic fatigue Randomized controlled trial Physical activity Self-regulation
Ano:2015
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Ispa-Instituto Universitário
Idioma:inglês
Origem:Repositório do Ispa - Instituto Universitário
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author Marques, Marta Moreira
author2 De Gucht, Véronique
Leal, Isabel Pereira
Maes, Stan
author2_role author
author
author
author_facet Marques, Marta Moreira
De Gucht, Véronique
Leal, Isabel Pereira
Maes, Stan
author_role author
contributor_name_str_mv Repositório do ISPA
country_str PT
creators_json_txt [{\"Person.name\":\"Marques, Marta Moreira\"},{\"Person.name\":\"De Gucht, Véronique\"},{\"Person.name\":\"Leal, Isabel Pereira\"},{\"Person.name\":\"Maes, Stan\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório do ISPA
datacite.creators.creator.creatorName.fl_str_mv Marques, Marta Moreira
De Gucht, Véronique
Leal, Isabel Pereira
Maes, Stan
datacite.date.Accepted.fl_str_mv 2015-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2015-04-16T17:55:13Z
datacite.date.embargoed.fl_str_mv 2015-04-16T17:55:13Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv Chronic fatigue
Randomized controlled trial
Physical activity
Self-regulation
datacite.titles.title.fl_str_mv Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
dc.contributor.none.fl_str_mv Repositório do ISPA
dc.creator.none.fl_str_mv Marques, Marta Moreira
De Gucht, Véronique
Leal, Isabel Pereira
Maes, Stan
dc.date.Accepted.fl_str_mv 2015-01-01T00:00:00Z
dc.date.available.fl_str_mv 2015-04-16T17:55:13Z
dc.date.embargoed.fl_str_mv 2015-04-16T17:55:13Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.12/3565
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Springer
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv Chronic fatigue
Randomized controlled trial
Physical activity
Self-regulation
dc.title.fl_str_mv Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Background: This study aimed at assessing the effects of a self-regulation-based brief physical activity program for patients suffering from unexplained chronic fatigue, the “4- STEPS to control your fatigue program”. Method: A 12-week randomized controlled trial was conducted. Adult patients meeting the CDC criteria for idiopathic chronic fatigue were randomized to either the control condition (standard care) or the intervention condition (4-STEPS). The 4-STEPS was based on self-regulation principles and consisted of motivational interviewing and self-regulation skills training. All patients were assessed at baseline and post-treatment (12 weeks) for fatigue severity (primary outcome) and impact, physical activity (leisure time physical activity, number of daily steps and personal activity goal progress), health-related quality of life, somatic distress and psychological distress (depression and anxiety). Results Ninety-one patients (45 intervention and 46 control patients) received the allocated intervention. At post-treatment, statistical analysis revealed a significant difference for subjective experience of fatigue (4.73 points; g=0.51) in favour of the intervention group. Mixed design ANCOVAs showed a significant effect of the 4-STEPS on fatigue severity, leisure time physical activity, personal activity goal progress and healthrelated quality of life. No significant effects were found for number of daily steps and somatic and psychological distress. Conclusion: The 4-STEPS program has significant beneficial effects at post-treatment. This brief self-regulation-based intervention looks promising for the management of unexplained chronic fatigue.
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funding.funder.alternateName_str_mv FCT
funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
funding.identifier_str_mv SFRH/BD/47579/2008
funding.name_str_mv PIDDAC
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info:eu-repo/grantAgreement/FCT/PIDDAC/SFRH%2FBD%2F47579%2F2008/PT
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identifier.url.fl_str_mv http://hdl.handle.net/10400.12/3565
instacron_str ispa
institution Ispa-Instituto Universitário
instname_str Ispa-Instituto Universitário
language eng
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network_name_str Repositório do Ispa - Instituto Universitário
oai_identifier_str oai:repositorio.ispa.pt:10400.12/3565
organization_str_mv urn:organizationAcronym:ispa
person_str_mv Marques, Marta Moreira
De Gucht, Véronique
Leal, Isabel Pereira
Maes, Stan
publishDate 2015
publisher.none.fl_str_mv Springer
reponame_str Repositório do Ispa - Instituto Universitário
repository_id_str urn:repositoryAcronym:ispa
service_str_mv urn:repositoryAcronym:ispa
spelling engSpringerporBackground: This study aimed at assessing the effects of a self-regulation-based brief physical activity program for patients suffering from unexplained chronic fatigue, the “4- STEPS to control your fatigue program”. Method: A 12-week randomized controlled trial was conducted. Adult patients meeting the CDC criteria for idiopathic chronic fatigue were randomized to either the control condition (standard care) or the intervention condition (4-STEPS). The 4-STEPS was based on self-regulation principles and consisted of motivational interviewing and self-regulation skills training. All patients were assessed at baseline and post-treatment (12 weeks) for fatigue severity (primary outcome) and impact, physical activity (leisure time physical activity, number of daily steps and personal activity goal progress), health-related quality of life, somatic distress and psychological distress (depression and anxiety). Results Ninety-one patients (45 intervention and 46 control patients) received the allocated intervention. At post-treatment, statistical analysis revealed a significant difference for subjective experience of fatigue (4.73 points; g=0.51) in favour of the intervention group. Mixed design ANCOVAs showed a significant effect of the 4-STEPS on fatigue severity, leisure time physical activity, personal activity goal progress and healthrelated quality of life. No significant effects were found for number of daily steps and somatic and psychological distress. Conclusion: The 4-STEPS program has significant beneficial effects at post-treatment. This brief self-regulation-based intervention looks promising for the management of unexplained chronic fatigue.application/pdfporEffects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trialMarques, Marta MoreiraDe Gucht, VéroniqueLeal, Isabel PereiraMaes, StanHostingInstitutionOrganizationalRepositório do ISPAe-mailmailto:repositorio@ispa.ptrepositorio@ispa.ptISSNIsPartOf1070-5503DOIIsPartOf10.1007/s12529-014-9432-42015-04-16T17:55:13Z20152015-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.12/3565http://purl.org/coar/access_right/c_16ecrestricted accessChronic fatigueRandomized controlled trialPhysical activitySelf-regulation301726 bytesFundação para a Ciência e a TecnologiaPSYCHOLOGICAL PREDICTORS OF PHYSICAL EXERCISE IN HEALTHY AND CHRONIC FATIGUE POPULATION: A SELF - REGULATION PERSPECTIVEinfo:eu-repo/grantAgreement/FCT/PIDDAC/SFRH%2FBD%2F47579%2F2008/PTSFRH/BD/47579/2008PIDDACCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ispa.pt/bitstreams/c9adb647-b3e8-45a4-8b7a-5e980e3acde0/downloadInternational Journal of Behavioral Medicine22187196New York
spellingShingle Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
Marques, Marta Moreira
Chronic fatigue
Randomized controlled trial
Physical activity
Self-regulation
status SINGLETON
subject.fl_str_mv Chronic fatigue
Randomized controlled trial
Physical activity
Self-regulation
title Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
title_full Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
title_fullStr Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
title_full_unstemmed Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
title_short Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
title_sort Effects of a self-regulation based physical activity program (the “4-STEPS”) for unexplained chronic fatigue : A randomized gontrolled trial
topic Chronic fatigue
Randomized controlled trial
Physical activity
Self-regulation
topic_facet Chronic fatigue
Randomized controlled trial
Physical activity
Self-regulation
url http://hdl.handle.net/10400.12/3565
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