Category: Cancer Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development); Measurement
Objective : To investigate the feasibility and utility of the European Organization for Research and Treatment of Cancer patient-reported Quality of Life Questionnaire (EORTC QLQ-C30) and Brief Fatigue Inventory (BFI) in inpatient cancer rehabilitation.
Feasibility trial with pre-test, post-test design
Setting : Inpatient rehabilitation hospital in a large metropolitan area
Participants (or Animals, Specimens, Cadavers) : A convenience sample over a 4 month period of 8 inpatients (ages 42-87, 4 male) with primary or secondary cancer diagnosis.
Interventions : N/A
Main Outcome Measure(s) : Feasibility and utility of the EORTC-C30 and BFI were determined by assessing responsiveness of the measures to change, patient and therapist report of utility, time to administer, and ability to complete within care session. Changes in outcomes were assessed by administering the EORTC QLQ-C30, with its subscales, and the BFI within the first week of admission and within 3 days of discharge.
Results : Domains of the EORTC-C30 that significantly improved were overall quality of life (p=0.01), physical functioning (p=0.003), role functioning (p=0.0005), emotional functioning (p=0.03), social functioning (p=0.03), and fatigue (p=0.004). Appetite was marginally significant (p= 0.05). Overall fatigue symptoms in the BFI also improved (p= 0.01). Assessments took 15-30 minutes to complete. Approximately 25% of measures were done during clinical treatment time by physical therapists. Therapists reported that the EORTC-C30 and the BFI were helpful for reviewing goals with patients and identifying clinical needs to be addressed.
Conclusions : Both the EORTC-C30 and the BFI appear to be useful in the inpatient rehabilitation setting, but difficult for therapists to administer. Further investigation should include determining the role of other interdisciplinary team members in screening for and addressing symptomatic and psychosocial needs of people in inpatient cancer rehabilitation.
Bridget Fowler– Master Physical Therapist, Physical Therapist Clinical Research Assistant, Shirley Ryan AbilityLab, Chicago, Illinois
Jan Struhar– Physical Therapist, Shirley Ryan AbilityLab, Chicago, Illinois
Laura Stoff– Research Coordinator, Shirley Ryan AbilityLab, Chicago, Illinois
Miriam Rafferty– Research Scientist, Shirley Ryan AbilityLab, Chicago, Illinois