{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:07:54Z","timestamp":1791806874991,"version":"4.3.4"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T00:00:00Z","timestamp":1364774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["NIH 1 R01 NRO 4991"],"award-info":[{"award-number":["NIH 1 R01 NRO 4991"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"publisher","award":["UL1 RR 025005"],"award-info":[{"award-number":["UL1 RR 025005"]}],"id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health Roadmap for Medical Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Johns Hopkins University School of Nursing Center for Collaborative Intervention Research"},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["P30 NRO 8995"],"award-info":[{"award-number":["P30 NRO 8995"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Learning Objectives<\/jats:title>\n                  <jats:p>Describe the benefits and limited risks of a low-cost, home-based exercise program. Impart to patients information on an easily implemented, sustainable, at-home exercise intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Purpose.<\/jats:title>\n                  <jats:p>Exercise use among patients with cancer has been shown to have many benefits and few notable risks. The purpose of this study was to evaluate the impact of a home-based walking intervention during cancer treatment on sleep quality, emotional distress, and fatigue.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods.<\/jats:title>\n                  <jats:p>A total of 138 patients with prostate (55.6%), breast (32.5%), and other solid tumors (11.9%) were randomized to a home-based walking intervention or usual care. Exercise dose was assessed using a five-item subscale of the Cooper Aerobics Center Longitudinal Study Physical Activity Questionnaire. Primary outcomes of sleep quality, distress, and fatigue were compared between the two study arms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results.<\/jats:title>\n                  <jats:p>The exercise group (n = 68) reported more vigor (p = .03) than control group participants (n = 58). In dose response models, greater participation in aerobic exercise was associated with 11% less fatigue (p &amp;lt; .001), 7.5% more vigor (p = .001), and 3% less emotional distress (p = .03), after controlling for intervention group assignment, age, and baseline exercise and fatigue levels.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion.<\/jats:title>\n                  <jats:p>Patients who exercised during cancer treatment experienced less emotional distress than those who were less active. Increasing exercise was also associated with less fatigue and more vigor. Home-based walking is a simple, sustainable strategy that may be helpful in improving a number of symptoms encountered by patients undergoing active treatment for cancer.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1634\/theoncologist.2012-0278","type":"journal-article","created":{"date-parts":[[2013,4,9]],"date-time":"2013-04-09T02:11:16Z","timestamp":1365473476000},"page":"476-484","source":"Crossref","is-referenced-by-count":56,"title":["Impact of a Home-Based Walking Intervention on Outcomes of Sleep Quality, Emotional Distress, and Fatigue in Patients Undergoing Treatment for Solid Tumors"],"prefix":"10.1093","volume":"18","author":[{"given":"Jennifer A.","family":"Wenzel","sequence":"first","affiliation":[{"name":"a School of Nursing, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"},{"name":"e Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen A.","family":"Griffith","sequence":"additional","affiliation":[{"name":"f University of Maryland School of Nursing, Baltimore, Maryland, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JingJing","family":"Shang","sequence":"additional","affiliation":[{"name":"g Columbia University School of Nursing, New York, New York, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol B.","family":"Thompson","sequence":"additional","affiliation":[{"name":"b School of Public Health, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley","family":"Hedlin","sequence":"additional","affiliation":[{"name":"h University of Massachusetts Amherst, Amherst, Massachusetts, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry J.","family":"Stewart","sequence":"additional","affiliation":[{"name":"d Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"DeWeese","sequence":"additional","affiliation":[{"name":"c Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Mock","sequence":"additional","affiliation":[{"name":"\u2020Deceased"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2013,4,8]]},"reference":[{"key":"2021122308353810900_B1","first-page":"151","article-title":"NCCN Practice Guidelines for Cancer-Related Fatigue","volume":"14","author":"Mock","year":"2000","journal-title":"Oncology"},{"key":"2021122308353810900_B2","first-page":"81","article-title":"Correlates of fatigue in people with breast or lung cancer","volume":"18","author":"Blesch","year":"1991","journal-title":"Oncol Nurs Forum"},{"key":"2021122308353810900_B3","first-page":"164","article-title":"Fatigue in patients with cancer receiving interferon alpha","volume":"3","author":"Dean","year":"1995","journal-title":"Cancer Pract"},{"key":"2021122308353810900_B4","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/00002820-199410000-00001","article-title":"The prevalence and correlates of fatigue in patients receiving treatment with chemotherapy and radiotherapy. 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