Clinical Rehabilitation最新文献

{"title":"Validation of the work functioning assessment for epilepsy - An ICF-based instrument for measuring work functioning of individuals with epilepsy.","authors":"Patricia Dos Santos Fernandes, Renato Nickel, Gabriella Bueno Ferreira, Eduarda Barboza, Carla Sabariego, Cesar Augusto Taconeli, Carlos Silvado","doi":"10.1177/02692155251340681","DOIUrl":"10.1177/02692155251340681","url":null,"abstract":"<p><p>ObjectiveTo validate the Work Functioning Assessment for Epilepsy.DesignMethodological and cross-sectional research in which the Work Functioning Assessment for Epilepsy was applied to a sample of individuals with epilepsy.SettingThe field test was conducted through in-person and online interviews with individuals treated in public and private services in two epilepsy outpatient clinics.Participants120 individuals with epilepsy.Main measuresExploratory Factor Analysis, Confirmatory Factor Analysis, Cronbach's alpha coefficient analysis, and Pearson's linear correlation coefficient were used to measure the validity and reliability of the instrument.ResultsThe Work Functioning Assessment for Epilepsy final version contains 30 items divided into two dimensions. The Exploratory Factor Analysis and Confirmatory Factor Analysis confirmed the plausibility of the factor structure established. The Cronbach's alpha (95% IC) coefficient was 0.94 and there was a significative linear correlation (p-value: <0.001) between the Work Functioning Assessment for Epilepsy, WHO Disability Assessment Schedule -12 items, and Seizure Severity Questionnaire scores.ConclusionsThe Work Functioning Assessment for Epilepsy is a brief, valid and reliable tool for measuring the work functioning of individuals with epilepsy and has the potential to be a basis for a unified system of work functioning assessment to be used throughout Brazil and translated and adapted for other countries and cultures.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"902-913"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with functional recovery after intensive care unit discharge in patients with mechanical ventilation: A multi-centre prospective observational study.","authors":"Kota Yamauchi, Shinichi Watanabe, Yuji Naito, Kei Goto, Shota Tanaka, Tokuaki Shinya, Yoshihisa Fujino, Kazuki Ogawa, Tomohiro Yoshikawa, Yoshie Hirota","doi":"10.1177/02692155251341555","DOIUrl":"10.1177/02692155251341555","url":null,"abstract":"<p><p>ObjectiveThe rehabilitation of patients with disabilities post-intensive care unit (ICU) discharge is gaining importance and we aimed to identify factors associated with recovery in this study.DesignThis study was a secondary analysis of a multi-centre cohort study.SettingNine centres in Japan.ParticipantsA total of 121 patients admitted to the ICU who used an invasive ventilator for >48 h were the participants of this study.Main measuresThe relative functional gain and rehabilitation efficiency index, based on the Barthel Index, were calculated from the time of ICU discharge to hospital discharge. Factors related to the relative functional gain and rehabilitation efficiency index were analysed using multiple regression analysis.ResultsThe median relative functional gain value was 85% and the median rehabilitation efficiency index value was 1.61 points/day. Multiple regression analysis showed that relative functional gain was significantly associated with ventilator duration (β = -1.420, <i>p</i> < 0.001), the Medical Research Council score at ICU discharge (β = 1.557, <i>p</i> < 0.001), the Barthel Index at ICU discharge (β = 0.501, p < 0.001) and rehabilitation hours in general wards (β = 0.591, <i>p</i> = 0.008). The rehabilitation efficiency index was significantly associated with ventilator duration (β = -0.089, <i>p</i> = 0.022) and Medical Research Council score at ICU discharge (β = 0.098, <i>p</i> < 0.001).ConclusionsOur findings highlight the importance of post-ICU rehabilitation, particularly in patients with prolonged ventilation or reduced muscle strength, and support the clinical utility of rehabilitation impact indices in monitoring recovery trajectories.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"945-954"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue and recovery assessed by repetitive handgrip strength measurement as predictors of fall risk in older adults: A cross-sectional study.","authors":"Ali Kapan, Milos Ristic, Richard Felsinger, Thomas Waldhoer","doi":"10.1177/02692155251355881","DOIUrl":"https://doi.org/10.1177/02692155251355881","url":null,"abstract":"<p><p>DesignA cross-sectional study assessing the utility of repetitive handgrip strength measurements for predicting fall risk in older adults.SettingConducted in two residential care homes in Vienna, Austria.Participants217 older adults (mean age: 80.2 years, 65.9% female) participated. Those with significant cognitive impairments Mini-Mental State Examination ≤17, severe neuromuscular disorders, or recent hand injuries were excluded.InterventionParticipants underwent a repetitive handgrip strength protocol, comprising 10 maximal grips (3-second contractions, 5-second rest intervals) performed twice, with a one-hour interval. Fatigability and recovery ratios were calculated. Functional assessments included the Short Physical Performance Battery, the Physical Activity Scale for the Elderly, the Falls Efficacy Scale-International, and the Multidimensional Fatigue Inventory. Retrospective and prospective fall data were also collected.Main MeasuresHandgrip strength parameters (maximum, fatigue ratio, recovery ratio) and fall events (retrospective and prospective) were analysed alongside physical and functional assessments.ResultsFallers (39.6%) had higher fatigue ratios (median: 1.4 vs. 1.2) and lower recovery ratios (median: 0.9 vs. 1.0) compared to non-fallers (<i>P</i> < .001). Fatigue ratio was a strong predictor of prospective falls (incidence rate ratio: 1.14, 95% confidence interval: 1.09-1.41). Recovery ratio showed marginal significance. Functional measures were also strongly associated with fall risk.ConclusionsRepetitive maximum handgrip strength measurements dynamically assess neuromuscular performance and offer superior predictive power for fall risk compared to standard single maximum handgrip strength. Fatigue and recovery ratios should be incorporated into fall risk assessment to improve prevention strategies in older adults.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251355881"},"PeriodicalIF":2.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient experiences of shared decision-making following a displaced collarbone injury: A qualitative interview study.","authors":"Natasha Maher, Maria Clare Moffatt, Felicity Astin, Chris Littlewood","doi":"10.1177/02692155251355440","DOIUrl":"https://doi.org/10.1177/02692155251355440","url":null,"abstract":"<p><p>ObjectiveTo explore the patient experience of shared decision-making following a displaced collarbone injury, focusing on how patients understand their injury and how this influences decisions.DesignDescriptive qualitative study design using individual semi-structured interviews.SettingParticipants recruited from three United Kingdom National Health Service hospitals.ParticipantsPatients with a displaced collarbone injury were interviewed about their experiences of shared decision-making.Main measuresInterviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis.ResultsThree themes emerged: (1) Understanding of the injury, (2) Factors influencing treatment decision and (3) Experience of shared decision-making. Patients' interpretation of their injury, including the language used by clinicians, shaped their understanding and decisions. Factors such as previous injuries, employment, clinician advice and expectations also influenced treatment choices. Some patients described uncertainty during decision-making conversations and felt unsupported in choosing the option that best suited them. Others felt steered towards specific treatments without fully grasping their implications.ConclusionThis is the first qualitative interview study exploring patients' perspectives of shared decision-making following a displaced collarbone injury. While patients considered several factors when deciding between treatment options, many described limited involvement in decision-making and felt directed towards clinician-preferred treatments without fully understanding the implications. This highlights inconsistency in the implementation of shared decision-making in practice. Despite the United Kingdom National Health Service emphasis on shared decision-making, further efforts are needed to ensure that patients are actively supported in making informed, preference-sensitive decisions, in line with the goals of personalised care.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251355440"},"PeriodicalIF":2.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensity of task-specific training for functional ability post-stroke: Systematic review and meta-analysis.","authors":"Rabi'u Ibrahim, Auwal Abdullahi, Abubakar Tijjani Salihu, Isa Usman Lawal","doi":"10.1177/02692155251351906","DOIUrl":"https://doi.org/10.1177/02692155251351906","url":null,"abstract":"<p><p>ObjectivesTo evaluate the effectiveness of intensities of task-specific training on upper and lower limbs functions, balance, and quality of life post-stroke.Data sourcesSix electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, and Clinical trials.gov registries) were searched up to 19 April 2025.Review methodsWe selected randomized controlled trials with at least one group involving an active repetitive motor sequence. Using an online systematic review application (Covidence), two reviewers screened the studies and extracted the data. Risk of bias was appraised using the standard Cochrane tool. Review Manager 5.4 was used for analysis.ResultsTwenty-six randomized controlled trials involving 1431 stroke survivors were included, with moderate to high risk of bias. Subgroup analyses across most outcomes (arm/hand function, lower limb function, balance, quality of life) showed no significant effects of task-specific training based on dosage variables (frequency, sessions, duration, and repetitions). Although some trends favored higher-dose task-specific training or control, only hand function improved significantly in studies with >20 sessions (SMD = 0.57, p = 0.02; I² = 69). A significant effect on arm function was seen with >50 repetitions (p = 0.001), but evidence quality was very low.ConclusionsThere is insufficient evidence to determine whether higher-intensity task-specific training leads to improved functional outcomes in stroke rehabilitation. Future well-designed trials are needed to explore optimal training intensities and their impact on recovery.International prospective register of systematic reviews ID CRD42020130991.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251351906"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, cross-cultural adaptation and validation of the Pain Attitudes Questionnaire - revised into Brazilian Portuguese in patients with chronic cancer pain.","authors":"César Leonardo Ribeiro Guedes, Leticia Padilha Mendes, Sabrina Marinho Coutinho, Daniel Nunes Morais, Jocassia Silva Pinheiro, Juliana Bittencourt de Souza Guedes, Julyanne Cruz Sousa, Joserly Sousa Santos, Plinio da Cunha Leal, Almir Vieira Dibai-Filho","doi":"10.1177/02692155251355409","DOIUrl":"https://doi.org/10.1177/02692155251355409","url":null,"abstract":"<p><p>ObjectiveTo translate, culturally adapt, and validate the Pain Attitudes Questionnaire - Revised (PAQ-R) into Brazilian Portuguese for patients with chronic cancer pain.DesignQuestionnaire validation study.SettingMaranhão Oncology Hospital and Aldenora Bello Hospital (São Luís, Maranhão, Northeast Brazil).Participants165 patients with chronic cancer pain, of both sexes, aged 18 years or older.Main MeasuresThe Barthel Index, Hospital Anxiety and Depression Scale (HADS), and Pain Catastrophizing Scale (PCS) were used for clinimetric evaluation. The Edmonton Symptom Assessment System (ESAS) was used to characterize the sample. The measurement properties evaluated in this study included cross-cultural validity, structural validity, construct validity, reliability, and internal consistency.ResultsThe study included 165 cancer patients. The internal structure of the PAQ-R, consisting of five domains and 23 items, was adequate (comparative fit index = 0.95, Tucker-Lewis index = 0.94, root mean square error of approximation = 0.08, chi-square/degrees of freedom = 2.04). Test-retest reliability was satisfactory (ICC = 0.82 to 0.89), as was internal consistency (Cronbach's alpha = 0.70 to 0.94). Expected correlation magnitudes (rho ≤ 0.384, p < 0.05) were observed between all PAQ-R domains and functional independence, between the stoic-fortitude domain and depression, and between catastrophizing and the stoic-fortitude, stoic-superiority, and cautious-self-doubt domains of the PAQ-R.ConclusionThe Brazilian Portuguese version of the PAQ-R, with five domains and 23 items, demonstrated adequate construct validity, reliability, and internal consistency for use in patients with chronic cancer pain.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251355409"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of screening for symptoms of anxiety and depression among patients with fibromyalgia in physiotherapy.","authors":"Davy Vancampfort, Eling D de Bruin, Koen Bernar, Laura Hemmings, Tine Van Damme","doi":"10.1177/02692155251351899","DOIUrl":"https://doi.org/10.1177/02692155251351899","url":null,"abstract":"<p><p>ObjectivesThis study compares the accuracy of physiotherapists' screening for anxiety and depression in fibromyalgia patients using observer-report versions of the Patient Health Questionnaire-2 for depression and the Generalized Anxiety Disorder-2 for anxiety versus the 0-10 numeric rating scale.DesignObservational cross-sectional study.SettingPrivate physiotherapy practices in Flanders, Belgium.ParticipantsFifty-three physiotherapists (37.6 (10.3) years; 24 male; 12.9 (11.0) years of experience) assessed 169 newly referred fibromyalgia patients (mean age = 49.6 (13.6); 33 male; illness duration = 96.3 (91.6) months) after two weeks of treatment.Main outcome measuresPhysiotherapists screened for anxiety and depression using observer-report versions of the Generalized Anxiety Disorder-2 and Patient Health Questionnaire-2 and 0-10 numeric rating scales. Patients reported anxiety and depression levels using the Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-9, respectively. The area under the curve values, calculated with DeLong's method, were used to compare the accuracy of the screening tools.ResultsThe prevalence of at least mild, moderate, and severe anxiety was 79.3%, 40.2%, and 3.0%, respectively; for depression, this was 75.1%, 50.9%, and 9.5%, respectively. The brief screening tools showed higher accuracy than the numeric rating scales in all cases except for severe depression.ConclusionsPhysiotherapists can effectively use the Generalized Anxiety Disorder-2 and Patient Health Questionnaire-2 in routine assessments for fibromyalgia patients, facilitating timely interventions and improving physiotherapy adherence.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251351899"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the effect of education on fatigue in adults with neurological conditions? A systematic review and meta-analysis.","authors":"Alex Delbridge, Owen Howlett, Coralie English, Dawn B Simpson","doi":"10.1177/02692155251351510","DOIUrl":"10.1177/02692155251351510","url":null,"abstract":"<p><p>ObjectiveTo determine the effect of education programs on fatigue outcomes in people with neurological conditions.Data sourcesMEDLINE, CINAHL, EMBASE, PEDRO until May 2025, according to PRISMA guidelines.Review methodsSystematic review with meta-analysis of randomised controlled trials comparing education versus no education/other intervention on the outcome of fatigue for people with neurological conditions. Methodological quality and risk of bias were assessed using the Cochrane Risk of Bias Tool. Pooled effects were calculated using standard mean difference (SMD).ResultsWe included 19 clinical trials of education for fatigue (<i>n</i> = 1970 participants) in five different neurological conditions. Education duration ranged from 4 to 12 weeks, 79% (<i>n</i> = 15) of trials included people with multiple sclerosis and 18% (<i>n</i> = 3) included people with stroke. Most education (11 trials, 58%) was delivered in a group setting. Education reduced fatigue compared with usual care by a SMD -0.28, 95% CI [-0.45 to -0.11]. Greater benefits for fatigue were observed when education was delivered one-to-one (SMD -0.44, 95% CI [-0.77 to -0.12]) than in group sessions (SMD -0.17, 95% CI [-0.36 to 0.01]). Mode of delivery (in-person versus telehealth) did not appear to influence the effect of education for fatigue.ConclusionsFatigue education programs may improve fatigue for people with neurological conditions. One-to-one delivered sessions may have greater benefits than group programs and remote delivery could improve accessibility for people living in regional and rural locations.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251351510"},"PeriodicalIF":2.6,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do patients with musculoskeletal pain define success with physical therapy? A mixed-methods study.","authors":"Matthew Morretta, Jennifer C Junkin, Casey Rentmeester, Jodi L Young, Daniel I Rhon","doi":"10.1177/02692155251350545","DOIUrl":"10.1177/02692155251350545","url":null,"abstract":"<p><p>ObjectiveTo identify how individuals seeking care for a musculoskeletal condition define success, understand the patients' perspectives regarding why they define success as they do, and identify if there were health history factors associated with patients' definitions of success.DesignA mixed-methods convergent parallel cohort design.SettingOutpatient physical therapy clinics.ParticipantsIndividuals aged 18-89 years seeking musculoskeletal physical therapy.Main MeasuresOnline surveys and one-on-one virtual interviews. Ordinal logistic regression was used to model the relationship between demographic and health history variables on survey scores. Thematic coding of qualitative data identified common themes. Integration of quantitative and qualitative data was performed to infer the influence of factors on definitions of success.ResultsA total of 463 surveys and 20 interviews were completed. A shorter symptom duration and previous positive experience with physical therapy are associated with how participants defined success. The most common success theme was a desire to return to the previous level of function or accomplish a specific functional goal. Symptom improvement and greater mobility were identified as the primary criteria for success. Integration of results indicates that the survey item with the highest mean score, the need to have a thorough understanding of the condition, is independent of any of the main interview themes. However, it also can be inferred that the most common theme was influenced by the survey items with the third and fourth highest mean scores: the need to improve the current quality of life and the need to return to all previous activities.ConclusionReturning to a previous level of function or achieving a specific functional goal was the most common pretreatment determinant of patient-defined success. Shorter symptom duration and a previous positive experience with physical therapy are the only covariates that have a statistically significant association with specific criteria for success.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251350545"},"PeriodicalIF":2.6,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-designing and testing a management programme with peer support for post-stroke fatigue: Nottingham fatigue after stroke study (NotFAST3).","authors":"Joanne Ablewhite, Shirley Thomas, Roshan das Nair, Fiona Jones, Nikola Sprigg, Heather Wharrad, Avril Drummond","doi":"10.1177/02692155251350084","DOIUrl":"10.1177/02692155251350084","url":null,"abstract":"<p><p>ObjectiveTo develop and test a novel programme to support post-stroke fatigue management for testing in a future clinical trial.DesignStaged approach to development and preliminary testing. Phases 1 and 2: co-design groups held to agree programme content and resources. Phase 3: training for facilitators developed and delivered. Phase 4: feasibility of programme delivery tested with questionnaires completed at beginning and end, and feedback interviews conducted.SettingCommunity, online.ParticipantsStroke survivors with post-stroke fatigue, carers and healthcare professionals.InterventionPost-stroke fatigue management programme supported by 'buddies' with lived or professional experience of managing fatigue.Main measuresIn phase 4, we examined feasibility of programme delivery (recruitment, retention, engagement and acceptability) and preliminary signals of efficacy.ResultsIn phases 1 and 2 we recruited 23 participants (16 stroke survivors, 2 carers and 5 healthcare professionals) and designed resources. In phase 3, 10 people supported training development: 7 received training to be buddies. In phase 4 we recruited 15 people with fatigue; 13 completed the programme. Of these, 13 completed baseline and 12 follow-up questionnaires. All buddies (7/7) and 12/13 participants were interviewed. Mean number of sessions delivered was 9 (SD 3.24; range 3-13) and ranged from 10 to 60 minutes (mean 28 minutes; SD 10.04). Overall, mean fatigue severity reduced, activity increased, and mood measures improved. Participants and buddies were positive about the programme and believed it was worthwhile.ConclusionsThe programme was acceptable and feasible, with preliminary evidence of efficacy, but some issues need to be addressed in future trial design.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251350084"},"PeriodicalIF":2.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}