Implementation of a Home-Based Walking Program to Address Cancer-Related Fatigue

Abstract

Background: The non-treatment of cancer-related fatigue (CRF) in adult oncology patients on treatment is a clinical practice issue identified globally and at the local Hematology and Oncology Clinic. Despite the growing evidence supporting physical activity to address CRF, this problem remains prominent. Objective: An 8-week home-based walking program was implemented at the local clinic to address this problem. This project aimed to increase the prevalence of managing CRF and reduce the severity of CRF. Methods: With the provider's recommendation, adult oncology patients on active treatment at the Hematology and Oncology Clinic registered for the program in the 3-week recruitment period. Then, the participants followed the 8-week walking regimen. Pre- and post-intervention CRF levels were assessed using the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue. Findings: Fourteen patients participated in the walking program, and 12 patients were compliant with the regimen. There was an improvement in the prevalence of addressing CRF and CRF levels. Specifically, 71.4% of the patients were encouraged to walk before the program, and 100% were recommended after the program's implementation (p = 0.03). Of the 12 compliant participants, CRF levels significantly decreased from the pre- to post-walking program (p < 0.001). Conclusions: Based on the best available evidence, physical activity is the most effective intervention to address and reduce CRF. Walking is a cost-effective way to participate in physical activity and has proven to manage and mitigate CRF.