Using SMART Design to Improve Symptom Management Strategies Among Cancer Patients
The sequential multiple assignment randomized trial (SMART) will be used to provide a rigorous evidence base for multi-staged interventions, where each stage could be either reflexology delivered by a friend or family caregiver or meditative practices. Intervention sequences consisting of these two therapies will be compared on the outcomes of severity of fatigue and other symptoms using a sample of patients with solid tumors undergoing chemotherapy.