An integrated experiential training programme with coaching to promote physical activity, and reduce fatigue among children with cancer: A randomised controlled trial

Katherine K.W. Lam, William H.C. Li, O. K. Chung, K. Y. Ho, S. Y. Chiu, H. S. Lam, Godfrey C.F. Chan

Research output: Journal article publicationJournal articleAcademic researchpeer-review

19 Citations (Scopus)


Objective: This study examined the effectiveness of an integrated programme in promoting physical activity, reducing fatigue, enhancing physical activity self-efficacy, muscle strength and quality of life among Chinese children with cancer. Methods: A randomised controlled trial was conducted in a Hong Kong public hospital. Seventy eligible children were randomly assigned to an experimental group (n = 37) or a control group (n = 33). The experimental group received an integrated programme with 28 home visits from coaches over a 6-month period. The control group received a placebo intervention. The primary outcome was fatigue at 9 months (3 months after intervention completion). Secondary outcomes were physical activity levels, physical activity self-efficacy, muscle strength and quality of life at 9 months, assessed at baseline, and 6 and 9 months after starting the intervention. Results: The experimental group reported significantly lower levels of cancer-related fatigue, higher levels of physical activity and physical activity self-efficacy, greater right- and left-hand grip strength and better quality of life than the control group at 9 months. Conclusion: The programme is effective and feasible to implement among children with cancer and offers an alternative means of ameliorating the healthcare burden. Practice implications: Healthcare professionals should build multidisciplinary partnerships to sustain such programmes.

Original languageEnglish
Pages (from-to)1947-1956
Number of pages10
JournalPatient Education and Counseling
Issue number11
Publication statusPublished - 1 Nov 2018
Externally publishedYes


  • Fatigue
  • Health promotion
  • Muscle strength
  • Paediatric patients with cancer
  • Physical activity
  • Physical activity self-efficacy
  • Quality of life

ASJC Scopus subject areas

  • Medicine(all)

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