Positive and cost-effectiveness effect of spa therapy on the resumption of occupational and non-occupational activities in women in breast cancer remission: a French multicentre randomised controlled trial

Autor: Charline Mourgues, Anne Leger-Enreille, Marie Blanquet, Laurent Gerbaud, Candy Auclair, Stéphanie Léger, Fabrice Kwiatkowski, Yves-Jean Bignon, Fleur Peyrol
Přispěvatelé: Institut Pascal (IP), SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2014
Předmět:
MESH: Remission Induction
MESH: Massage
Cost effectiveness
Spa therapy
Cost-Benefit Analysis
Non occupational
Relaxation Therapy
law.invention
Breast cancer
Randomized controlled trial
Occupational Therapy
law
Activities of Daily Living
Survivors
health care economics and organizations
2. Zero hunger
Massage
Randomised controlled trial
MESH: Survivors
MESH: Aged
Work resumption
MESH: Middle Aged
Oncology (nursing)
Remission Induction
General Medicine
Middle Aged
University hospital
3. Good health
Oncology
MESH: Diet Therapy
Female
France
Adult
medicine.medical_specialty
Breast Neoplasms
[SDV.CAN]Life Sciences [q-bio]/Cancer
Steam Bath
Intervention (counseling)
medicine
Humans
Contraindication
Aged
MESH: Occupational Therapy
MESH: Humans
business.industry
MESH: Activities of Daily Living
MESH: Steam Bath
MESH: Adult
medicine.disease
MESH: France
Physical therapy
MESH: Relaxation Therapy
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Body mass index
MESH: Female
MESH: Breast Neoplasms
Diet Therapy
MESH: Cost-Benefit Analysis
Zdroj: European journal of oncology nursing : the official journal of European Oncology Nursing Society
European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2014, 18 (5), pp.505-11. ⟨10.1016/j.ejon.2014.04.008⟩
Popis: Purpose of the research The main aim was to assess the effects of a spa treatment on the resumption of occupational and non-occupational activities and the abilities of women in breast cancer remission. A cost-effectiveness analysis (CEA) was also performed. Methods and sample A multicentre randomised controlled trial was carried out between 2008 and 2010 in the University Hospital of Auvergne and two private hospitals in Clermont-Ferrand, France. Eligible patients were women in complete breast cancer remission without contraindication for physical activities or cognitive disorders and a body mass index between 18.5 and 40 kg/m 2 . The intervention group underwent spa treatment combined with consultation with dietician whereas the control underwent consultations with the dietician only. Of the 181 patients randomised, 92 and 89 were included in the intervention and the control groups, respectively. The CEA involved 90 patients, 42 from the intervention group and 48 from the control group. Key results The main results showed a higher rate of resumption of occupational activities in the intervention group ( p = 0.0025) and a positive effect of the intervention on the women's ability to perform occupational activities 12 months after the beginning of the study ( p = 0.0014), and on their ability to perform family activities ( p = 0.033). The stay in a thermal centre was cost-effective at 12 months. Conclusions Spa treatment is a cost-effective strategy to improve resumption of occupational and non-occupational activities and the abilities of women in breast cancer remission.
Databáze: OpenAIRE
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