: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers

Purpose A metastatic cancer diagnosis is associated with high levels of distress in patients and caregivers, which may be alleviated by mindfulness interventions. Research on scalable, tailored, online mindfulness training programs is needed. We sought to test the feasibility and acceptability of a...

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Autores principales:	Hannah M. Dragomanovich, Anand Dhruva, Eve Ekman, Kelly L. Schoenbeck, Ai Kubo, Erin L. Van Blarigan, Hala T. Borno, Mikaela Esquivel, Bryant Chee, Matthew Campanella, Errol J. Philip, John P. Rettger, Blake Rosenthal, Katherine Van Loon, Alan P. Venook, Christy Boscardin, Patricia Moran, Frederick M. Hecht, Chloe E. Atreya
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c7915925f8f748679a077124e599447e
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spelling	oai:doaj.org-article:c7915925f8f748679a077124e599447e2021-11-03T21:35:13Z: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers2164-956110.1177/21649561211044693https://doaj.org/article/c7915925f8f748679a077124e599447e2021-11-01T00:00:00Zhttps://doi.org/10.1177/21649561211044693https://doaj.org/toc/2164-9561Purpose A metastatic cancer diagnosis is associated with high levels of distress in patients and caregivers, which may be alleviated by mindfulness interventions. Research on scalable, tailored, online mindfulness training programs is needed. We sought to test the feasibility and acceptability of a remotely delivered 8-week mindfulness-based intervention, Being Present 2.0 (BP2.0). Methods We performed a single-arm feasibility study of BP2.0 among patients with any metastatic gastrointestinal cancer receiving chemotherapy, with or without an informal caregiver. Participants were instructed to practice mindfulness using pre-recorded guided meditations 5 times per week using a study-specific website and to attend a weekly live, interactive virtual meeting facilitated by a trained instructor. The web-based platform enabled direct measurement of adherence. Results The study enrolled 46 of 74 (62%) patients contacted, together with 23 caregivers (69 participants total), from May to October 2018. Median patient age was 52 (range 20-70 years), 39% were male, 67% non-Hispanic white, 65% had colorectal cancer, and 78% lived outside of San Francisco. The top reasons cited for participation were to reduce stress/anxiety and learn how to meditate. Mean baseline National Comprehensive Cancer Network Distress Thermometer (NCCN DT) scores were 4.7 (patients) and 5.8 (caregivers). The study discontinuation rate was 20% (eight patients and six caregivers). Among the remaining 55 participants, 43 (78%) listened to at least one audio recording and/or attended at least one virtual meeting, although adherence data was incomplete. The retention rate was 71%, with 39 participants completing at least one follow-up assessment. In post-intervention qualitative interviews, 88% of respondents reported a positive experience. Compared to baseline, participants reported significantly reduced post-intervention NCCN DT scores (mean 3.1; P = .012). Conclusion The BP2.0 online mindfulness-based program is feasible and acceptable for patients with metastatic gastrointestinal cancer and caregivers. These results will guide plans for a follow-up efficacy study. ClinicalTrials.gov Identifier: NCT03528863.Hannah M. DragomanovichAnand DhruvaEve EkmanKelly L. SchoenbeckAi KuboErin L. Van BlariganHala T. BornoMikaela EsquivelBryant CheeMatthew CampanellaErrol J. PhilipJohn P. RettgerBlake RosenthalKatherine Van LoonAlan P. VenookChristy BoscardinPatricia MoranFrederick M. HechtChloe E. AtreyaSAGE PublishingarticleMedicine (General)R5-920Public aspects of medicineRA1-1270ENGlobal Advances in Health and Medicine, Vol 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	Medicine (General) R5-920 Public aspects of medicine RA1-1270 Hannah M. Dragomanovich Anand Dhruva Eve Ekman Kelly L. Schoenbeck Ai Kubo Erin L. Van Blarigan Hala T. Borno Mikaela Esquivel Bryant Chee Matthew Campanella Errol J. Philip John P. Rettger Blake Rosenthal Katherine Van Loon Alan P. Venook Christy Boscardin Patricia Moran Frederick M. Hecht Chloe E. Atreya : Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers
description	Purpose A metastatic cancer diagnosis is associated with high levels of distress in patients and caregivers, which may be alleviated by mindfulness interventions. Research on scalable, tailored, online mindfulness training programs is needed. We sought to test the feasibility and acceptability of a remotely delivered 8-week mindfulness-based intervention, Being Present 2.0 (BP2.0). Methods We performed a single-arm feasibility study of BP2.0 among patients with any metastatic gastrointestinal cancer receiving chemotherapy, with or without an informal caregiver. Participants were instructed to practice mindfulness using pre-recorded guided meditations 5 times per week using a study-specific website and to attend a weekly live, interactive virtual meeting facilitated by a trained instructor. The web-based platform enabled direct measurement of adherence. Results The study enrolled 46 of 74 (62%) patients contacted, together with 23 caregivers (69 participants total), from May to October 2018. Median patient age was 52 (range 20-70 years), 39% were male, 67% non-Hispanic white, 65% had colorectal cancer, and 78% lived outside of San Francisco. The top reasons cited for participation were to reduce stress/anxiety and learn how to meditate. Mean baseline National Comprehensive Cancer Network Distress Thermometer (NCCN DT) scores were 4.7 (patients) and 5.8 (caregivers). The study discontinuation rate was 20% (eight patients and six caregivers). Among the remaining 55 participants, 43 (78%) listened to at least one audio recording and/or attended at least one virtual meeting, although adherence data was incomplete. The retention rate was 71%, with 39 participants completing at least one follow-up assessment. In post-intervention qualitative interviews, 88% of respondents reported a positive experience. Compared to baseline, participants reported significantly reduced post-intervention NCCN DT scores (mean 3.1; P = .012). Conclusion The BP2.0 online mindfulness-based program is feasible and acceptable for patients with metastatic gastrointestinal cancer and caregivers. These results will guide plans for a follow-up efficacy study. ClinicalTrials.gov Identifier: NCT03528863.
format	article
author	Hannah M. Dragomanovich Anand Dhruva Eve Ekman Kelly L. Schoenbeck Ai Kubo Erin L. Van Blarigan Hala T. Borno Mikaela Esquivel Bryant Chee Matthew Campanella Errol J. Philip John P. Rettger Blake Rosenthal Katherine Van Loon Alan P. Venook Christy Boscardin Patricia Moran Frederick M. Hecht Chloe E. Atreya
author_facet	Hannah M. Dragomanovich Anand Dhruva Eve Ekman Kelly L. Schoenbeck Ai Kubo Erin L. Van Blarigan Hala T. Borno Mikaela Esquivel Bryant Chee Matthew Campanella Errol J. Philip John P. Rettger Blake Rosenthal Katherine Van Loon Alan P. Venook Christy Boscardin Patricia Moran Frederick M. Hecht Chloe E. Atreya
author_sort	Hannah M. Dragomanovich
title	: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers
title_short	: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers
title_full	: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers
title_fullStr	: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers
title_full_unstemmed	: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers
title_sort	: online mindfulness-based program for metastatic gastrointestinal cancer patients and caregivers
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/c7915925f8f748679a077124e599447e
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: Online Mindfulness-Based Program for Metastatic Gastrointestinal Cancer Patients and Caregivers

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