Interactive Robot-Guided Exercise Program for Cancer-Related Fatigue

The goal of this study is to learn whether an exercise program guided by an interactive robot can help reduce tiredness in people with cancer. This kind of tiredness, called cancer-related fatigue, is common during cancer treatment and can make everyday activities harder. People who take part in the exercise program will do sessions guided by the robot. Before and after each session, the study team checks things like heart rate, breathing rate, and blood pressure, and asks about tiredness and other symptoms. Family members and nurses who help patients use the robot are also asked to share their views on how well the robot's teaching materials hold their attention and help them feel confident and satisfied. Everyone who joins the exercise part of the study receives the same robot-guided program. There is no separate group that skips the robot program.

Inclusion Criteria: * Age 20 years or older * Confirmed diagnosis of cancer, currently receiving anticancer treatment at Taipei Municipal Wanfang Hospital * Presence of cancer-related fatigue (self-reported or clinically assessed) * Sufficient cognitive and physical function to participate in a robot-guided, low-to-moderate intensity exercise program * Willing and able to provide informed consent Exclusion Criteria: * Severe cognitive impairment or communication barriers preventing comprehension of study instructions * Unstable cardiopulmonary or hemodynamic status contraindicating exercise * Bedridden or physical performance status precluding participation in basic exercise movements