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Managing fatigue transdiagnostically: a qualitative study among people with chronic conditions on optimizing daily activity

Lookup NU author(s): Dr Katie Hackett

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.Purpose: To explore fatigue and physical activity behavior experiences and management, with an emphasis on activity pacing among adults with chronic conditions. Materials and Methods: Semi-structured interviews were conducted with 15 adults with chronic conditions and the symptoms of chronic fatigue who had either received or not received fatigue management advice. Interviews were audio-recorded and transcribed verbatim, then analyzed using reflexive thematic analysis. Results: Participants reported barriers to fatigue management such as overactivity, mental health issues, and workplace challenges. Additionally, they highlighted rest, restful activities, and supportive social environment as facilitators of effective fatigue management, along with the importance of nutrition and physical activity. In some cases, there were conflicting experiences with social environment and physical activity. Activity pacing was identified as a promising solution and participants recommended several strategies for future consideration. Conclusions: Participants identified fatigue as a significant denominator in daily living and recognized the importance of activity pacing in fatigue management. Through reflective processes, they uncovered crucial factors for effective fatigue management, highlighting a multidimensional, interdisciplinary, and tailored approach to activity pacing as a promising solution. Further research should explore clinicians’ perspectives of a multidimensional fatigue management approach to further support optimal intervention design.


Publication metadata

Author(s): Barakou I, Hackett KL, Abonie US, Hettinga FJ, Finch T

Publication type: Article

Publication status: Published

Journal: Disability and Rehabilitation

Year: 2024

Pages: epub ahead of print

Online publication date: 13/08/2024

Acceptance date: 27/08/2024

Date deposited: 09/09/2024

ISSN (print): 0963-8288

ISSN (electronic): 1464-5165

Publisher: Taylor and Francis Ltd.

URL: https://doi.org/10.1080/09638288.2024.2393798

DOI: 10.1080/09638288.2024.2393798

Data Access Statement: The datasets generated during and/or analyzed during the current study are not publicly available due to the qualitative transcripts data are confidential, contain personal and sensitive information and thus are potentially person identifiable; the removal of all contextual data as necessary to protect participants’ identities makes the transcripts unintelligible. Consent has not been obtained to share this data in a public forum.


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Funding

Funder referenceFunder name
ES/P000762/1ESRC

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