Using Perceived Self-efficacy to Improve Fatigue and Fatigability In Postsurgical Lung Cancer Patients: A Pilot Randomized Controlled Trial.

It was a pilot study, and efficacy outcomes were described as preliminary and secondary, so it cannot confirm that the program works. Research staff and participants were not blinded to group assignment. The intervention group started with worse 6-minute walk distance and lower fatigue self-management confidence than the control group. Four participants had estimated post-study 6-minute walk results. Both groups received pedometers and phone contact, so usual care and contact effects cannot be separated from the nurse-led exercise package. Participants had to own a television and weigh 330 pounds or less, so results may not apply to patients without those resources. Most participants were White, and recruitment came from three Michigan university teaching hospitals.

The authors reported no conflicts of interest.

Do not conclude that Wii exercise alone reduced fatigue. The intervention group also received nurse visits, pedometer instructions, fatigue self-management education, a daily diary and safety monitoring, and research staff were not blinded. This was a pilot study with preliminary efficacy outcomes, so it does not prove the program works for all post-surgical lung cancer patients.