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Making the most out of life: Exploring the contribution of attention restorative theory in developing a non-pharmacological intervention for fatigue

Kirshbaum, Marilynne and Donbavand, Joanne (2014). Making the most out of life: Exploring the contribution of attention restorative theory in developing a non-pharmacological intervention for fatigue. Palliative & Supportive Care,12(6):473-480.

Document type: Journal Article
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IRMA ID 84377429xPUB59
Title Making the most out of life: Exploring the contribution of attention restorative theory in developing a non-pharmacological intervention for fatigue
Author Kirshbaum, Marilynne
Donbavand, Joanne
Journal Name Palliative & Supportive Care
Publication Date 2014
Volume Number 12
Issue Number 6
ISSN 1478-9515   (check CDU catalogue open catalogue search in new window)
eISSN 1478-9523
Start Page 473
End Page 480
Total Pages 8
Place of Publication United Kingdom
Publisher Cambridge University Press
Field of Research MEDICAL AND HEALTH SCIENCES
1110 - Nursing
HERDC Category C1 - Journal Article (DIISR)
Abstract Objectives: This study investigates an approach based on Kaplan's Attention Restorative Theory (ART) to develop a non-pharmacological intervention to help individuals manage the distressing effects of illness related fatigue. The study aims to: identify activities perceived as being enjoyable by individuals who have moderate to severe fatigue related to advanced illness; determine the core attributes of potentially beneficially interventions; analyse reported ‘enjoyable’ experiences within the ART framework by mapping emergent themes to attributes of attention restoration; and develop the prototype for a self-management intervention tool.

Methods:
A purposive sample of 25 individuals who experienced moderate to severe fatigue was selected from the local hospice and community. Focused semi-structured interviews probed the questions: What do you enjoying doing? What is it about the activity that you particularly enjoy? Framework analysis was used to manage responses.

Results:
Seventy-five ‘enjoyable experiences’ were identified, including artistic pursuits, voluntary work, socialising and learning. These activities were organised into four conceptual themes: Belonging, Expansive, Nurturing and Purposeful. When mapped against attributes of restorative activities specified in ART, there was some congruence and variation. It was clear that the participants expressed a great need to be safe and in a nurturing environment. Some participants placed a high value in and received great joy from contributing to the community; this was not noted in previous ART literature.

Significance of results:
This study has extended Kaplan's insightful work on restorative behaviours by revealing the value that purposeful, engaging and safe activities hold for people who live with fatigue. ART has inspired the research team to develop a self-management intervention tool to guide health care practitioners in promoting a non-pharmacological approach to manage fatigue through exploring, discovering and promoting experiences which engage, excite, nurture and challenge the person. Further research is needed to integrate this approach into clinical practice.
Keywords Fatigue
Cancer Fatique
Palliatiave Care
Hospice
Attention Restorative Theory
DOI http://dx.doi.org/10.1017/S1478951513000539   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Mon, 19 Jan 2015, 12:38:34 CST by Marion Farram