{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:05:05Z","timestamp":1789571105492,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010treatment colorectal cancer patients commonly experience cancer\u2010related fatigue (CRF), yet few interventions address this concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the feasibility, acceptability, and preliminary effects of a psycho\u2010behavioural intervention on CRF and other health outcomes in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010blinded, parallel\u2010group RCT was conducted with a pilot sample of 50 participants randomized to a 6\u2010week psycho\u2010behavioural intervention or usual care. Feasibility was assessed through recruitment, completion, attendance, attrition, and retention rates; acceptability via satisfaction surveys and semi\u2010structured interviews. Outcomes included CRF, physical activity, dietary behaviours, sleep disturbance, anxiety and depressive symptoms, assessed at baseline and within 1\u2010week post\u2010intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Feasibility benchmarks were met: recruitment 52.6%, completion 72.0%, attendance 74.7%, attrition 6.0%, and retention 94.0%. High satisfaction and positive qualitative feedback indicated good acceptability. Repeated Measures ANOVA revealed significant group\u2010by\u2010time interaction effects favouring the intervention for reducing CRF (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a06.49,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.014; Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a0\u22120.71), enhancing physical activity (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a019.76,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001; Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a01.24), improving dietary behaviours (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a04.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.034; Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a00.61), and alleviating sleep disturbance (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a09.64,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003; Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a0\u22120.86), but not for anxiety (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a03.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.089; Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a0\u22120.48) or depressive symptoms (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a03.77,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.058; Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a0\u22120.54).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The psycho\u2010behavioural intervention demonstrated feasibility, acceptability, and preliminary efficacy in reducing CRF, enhancing physical activity, improving dietary behaviours, and alleviating sleep disturbance in this population. A definitive RCT is warranted to evaluate longer\u2010term effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70570","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T05:50:42Z","timestamp":1786168242000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a Psycho\u2010Behavioural Intervention on Cancer\u2010Related Fatigue Among Patients With Colorectal Cancer: A Pilot Randomised Controlled Trial"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0788-1643","authenticated-orcid":false,"given":"Jinling","family":"Lu","sequence":"first","affiliation":[{"name":"Faculty of Medicine The Nethersole School of Nursing The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5664-2051","authenticated-orcid":false,"given":"Yuen Yu","family":"Chong","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The Nethersole School of Nursing The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jncc.2024.01.006"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/pharmaceutics15112620"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2023.1033154"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.06.003"},{"key":"e_1_2_11_7_1","unstructured":"NCCN Guidelines for Patients: Cancer\u2010Related Fatigue https:\/\/www.nccn.org\/guidelines\/guidelines\u2010detail?category=3&id=1424."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-907673-76-4_1"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010020\u201000785\u2010z"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010018\u20104598\u2010y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41687\u2010020\u201000195\u20109"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16746"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.2166"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432\u2010022\u201004334\u20101"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2020.02.016"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1725"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.7314\/apjcp.2014.15.18.7539"},{"issue":"6","key":"e_1_2_11_18_1","article-title":"Psychosocial Interventions for Informal Caregivers of People Living With Cancer","author":"Treanor C. 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