Inclusion criteria | Exclusion criteria |
---|---|
(1) Histologically confirmed diffuse glioma WHO grade 2, 3 or 4 | (1) Treatable somatic cause that could explain the presence of severe fatigue (other than the underlying disease and its treatment) |
(2) Age ≥ 18 years | (2) Primary sleep disorders previously diagnosed by a physician |
(3) CIS subscale fatigue severity  ≥ 35 (36) | (3) Current treatment by a psychiatrist or psychologist for a psychiatric disorder |
(4) Expected survival of at least three months, as determined by treating clinician | (4) Suspected depression by screening with BDI-PC≥4 [37] and The Mini-International Neuropsychiatric Interview depressive disorder [38] |
(5) No oncological treatment for at least two months prior to inclusion | (5) Pregnancy or given birth in the past three months |
(6) No signs of radiological or clinical tumour progression at the time of inclusion | (6) Pharmacological treatment for fatigue, started in the past three months |
(7) Able to speak, read and write Dutch | (7) Karnofsky Performance Status score <70 [39] |
(8) Access and ability to use the internet | (8) Corticosteroid use |
(9) Written informed consent | Â |