The intervention components included (a) to acquire a broader definition of fatigue; (b) to develop relaxation skills; (c) to gain knowledge of effective coping strategies to deal with physical factors associated with fatigue (e.g., circadian cycle and sleep hygiene); (d) to determine the links between thoughts, emotions, and fatigue; (e) to articulate ways to increase self-regulation techniques (e.g., self-recording, goal setting) and apply them to individualized walking programs; and (f) to inform on how to further decrease passive coping strategies (e.g., behavioral and social disengagement, naps).
Delivery Mode/Duration/Times: The program included four weekly group meetings (4–8 patients) of one hour, including (a) motivation of daily walking training and physical exercise, and instructions of the previous sessions; and (b) the psychoeducative, fatigue management sessions with cognitive behavioral content.
The program also included home-based assignments. Participants were invited to practice relaxation and complete self-rating records of it.
A significant difference existed between the mean scores of fatigue in group A patients (intervention) before the intervention and after one month (p < 0.05). A significant difference existed between mean scores of fatigue in group A patients and group B patients (control) after one month (p < 0.05). A significant difference existed between the mean of SF-36 (physical component score and mental component score) in group A patients before the intervention and after one month (p < 0.05). Also, a significant difference existed between mean scores of SF-36 in the patients in group A patients and group B patients after one month (p < 0.05).