Common and Distinct Characteristics Associated With Trajectories of Morning and Evening Energy in Oncology Patients Receiving Chemotherapy  Hamza Abid, RN, BS, Kord M. Kober, PhD, Betty Smoot, PT, DPTSc, MAS, Steven M. Paul, PhD, Marilyn Hammer, RN, PhD, Jon D. Levine, MD, PhD, Kathryn Lee, RN, PhD, Fay Wright, RN, PhD, Bruce A. Cooper, PhD, Yvette P. Conley, PhD, Christine Miaskowski, RN, PhD  Journal of Pain and Symptom Management  Volume 53, Issue 5, Pages 887-900.e2 (May 2017) DOI: 10.1016/j.jpainsymman.2016.12.339 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 a) Piecewise model of mean morning energy scores for six assessment points over two cycles of CTX. b) Spaghetti plots of individual morning energy trajectories for a random sample of 50 patients over two cycles of CTX. c) Piecewise model of mean evening energy scores for six assessment points over two cycles of CTX. d) Spaghetti plots of individual evening energy trajectories for a random sample of 50 patients over two cycles of CTX. CTX = chemotherapy; LENA = Lee Fatigue Scale—Morning Energy subscale score; LENP = Lee Fatigue Scale—Evening Energy subscale score. Journal of Pain and Symptom Management 2017 53, 887-900.e2DOI: (10.1016/j.jpainsymman.2016.12.339) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 a–e) Influence of enrollment scores for a) living alone, b) childcare responsibilities, c) Karnofsky Performance Status (KPS) score, d) exercise, and e) hemoglobin level, on interindividual differences in the intercept for morning energy. Journal of Pain and Symptom Management 2017 53, 887-900.e2DOI: (10.1016/j.jpainsymman.2016.12.339) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 a–e) Influence of enrollment scores for a) trait anxiety and b) attentional function on interindividual differences in the intercept for morning energy and c) influence of morning energy and d) body mass index (BMI) on the slope parameters for morning energy and influence of enrollment scores for e) sleep disturbance on interindividual differences in the intercept and slope parameters for morning energy. Journal of Pain and Symptom Management 2017 53, 887-900.e2DOI: (10.1016/j.jpainsymman.2016.12.339) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 4 a–f) Influence of a) gender, b) ethnicity, and c) enrollment scores for Karnofsky Performance Status (KPS), d) sleep disturbance, and e) attentional function on interindividual differences in the intercept for evening energy and influence of evening energy score at f) enrollment on the slope parameters for evening energy. Journal of Pain and Symptom Management 2017 53, 887-900.e2DOI: (10.1016/j.jpainsymman.2016.12.339) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions