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Related Experiment Videos

Facilitating exercise adherence for patients with multiple myeloma.

Elizabeth Ann Coleman1, Julie Hall-Barrow, Sharon Coon

  • 1eacoleman@uams.edu

Clinical Journal of Oncology Nursing
|November 8, 2003
PubMed
Summary

This study shows that home-based exercise programs can improve outcomes for multiple myeloma patients undergoing treatment. Adherence was 75%, with exercise group improvements contrasting with declines in the usual-care group.

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Area of Science:

  • Oncology
  • Exercise Science
  • Patient Rehabilitation

Background:

  • Cancer patients often experience fatigue and reduced physical function.
  • Existing research on exercise interventions for cancer survivors primarily focuses on breast cancer patients.
  • Patients with multiple myeloma (MM) and bone lesions are often excluded from exercise studies, despite potential benefits.

Purpose of the Study:

  • To assess the feasibility and adherence of a home-based exercise program for patients with multiple myeloma undergoing treatment.
  • To evaluate the impact of exercise on physical performance and psychological well-being in this patient population.
  • To identify key components for successful exercise adherence in cancer patients with bone involvement.

Main Methods:

  • A pilot study involving patients with multiple myeloma receiving high-dose chemotherapy and stem cell transplantation.

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  • A home-based exercise program incorporating aerobic and strength-building components, performed without direct supervision.
  • Feasibility and adherence were monitored over a six-month period, with pre- and post-intervention testing.

    • Main Results:

    • Patients in the exercise group demonstrated improvements in various testing areas, while the usual-care group showed declines.
    • The average adherence rate to the six-month exercise prescription was 75%.
    • The study highlights the potential for exercise to mitigate treatment-related declines in physical function.

    Conclusions:

    • Home-based exercise programs are feasible and can lead to positive outcomes for multiple myeloma patients during treatment.
    • Flexibility, simplicity, and consistent support are crucial for enhancing exercise adherence in this population.
    • Further research is warranted to optimize exercise interventions for cancer patients with bone metastases.