A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial
A treatment-as-usual randomized wait-list controlled trial was conducted to investigate the feasibility and impact of an online synchronous Mindfulness-Based Cancer Recovery (MBCR) group program for underserved distressed cancer survivors. Sixty-two men and women exhibiting moderate to high distress...
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| Veröffentlicht in: | Psychosomatic medicine 2014-05, Vol.76 (4), p.257-267 |
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| creator | Zernicke, Kristin A Campbell, Tavis S Speca, Michael McCabe-Ruff, Kelley Flowers, Steven Carlson, Linda E |
| description | A treatment-as-usual randomized wait-list controlled trial was conducted to investigate the feasibility and impact of an online synchronous Mindfulness-Based Cancer Recovery (MBCR) group program for underserved distressed cancer survivors.
Sixty-two men and women exhibiting moderate to high distress within 3 years of completing primary cancer treatment without access to in-person MBCR were randomized to either immediate online MBCR (n = 30) or to wait for the next available program (n = 32). Participants completed questionnaires preintervention and postintervention or wait period online. Program evaluations were completed after MBCR. Feasibility was tracked through monitoring eligibility and participation through the protocol. Intent-to-treat mixed-model analyses for repeated measures were conducted.
Feasibility targets for recruitment and retention were achieved, and participants were satisfied and would recommend online MBCR. There were significant improvements and moderate Cohen d effect sizes in the online MBCR group relative to controls after MBCR for total scores of mood disturbance (d = 0.44, p = .049), stress symptoms (d = 0.49, p = .021), spirituality (d = 0.37, p = .040), and mindfully acting with awareness (d = 0.50, p = .026). Main effects of time were observed for posttraumatic growth and remaining mindfulness facets.
Results provide evidence for the feasibility and efficacy of an online adaptation of MBCR for the reduction of mood disturbance and stress symptoms, as well as an increase in spirituality and mindfully acting with awareness compared with a treatment-as-usual wait-list. Future study using larger active control RCT designs is warranted.
ClinicalTrials.gov: NCT01476891. |
| doi_str_mv | 10.1097/PSY.0000000000000053 |
| format | Article |
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Sixty-two men and women exhibiting moderate to high distress within 3 years of completing primary cancer treatment without access to in-person MBCR were randomized to either immediate online MBCR (n = 30) or to wait for the next available program (n = 32). Participants completed questionnaires preintervention and postintervention or wait period online. Program evaluations were completed after MBCR. Feasibility was tracked through monitoring eligibility and participation through the protocol. Intent-to-treat mixed-model analyses for repeated measures were conducted.
Feasibility targets for recruitment and retention were achieved, and participants were satisfied and would recommend online MBCR. There were significant improvements and moderate Cohen d effect sizes in the online MBCR group relative to controls after MBCR for total scores of mood disturbance (d = 0.44, p = .049), stress symptoms (d = 0.49, p = .021), spirituality (d = 0.37, p = .040), and mindfully acting with awareness (d = 0.50, p = .026). Main effects of time were observed for posttraumatic growth and remaining mindfulness facets.
Results provide evidence for the feasibility and efficacy of an online adaptation of MBCR for the reduction of mood disturbance and stress symptoms, as well as an increase in spirituality and mindfully acting with awareness compared with a treatment-as-usual wait-list. Future study using larger active control RCT designs is warranted.
ClinicalTrials.gov: NCT01476891.</description><identifier>ISSN: 0033-3174</identifier><identifier>EISSN: 1534-7796</identifier><identifier>DOI: 10.1097/PSY.0000000000000053</identifier><identifier>PMID: 24804884</identifier><identifier>CODEN: PSMEAP</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins Ovid Technologies</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Awareness ; Cancer ; Clinical trials ; Comparative analysis ; Efficacy ; Feasibility ; Feasibility Studies ; Female ; Humans ; Intention to Treat Analysis ; Internet ; Linear Models ; Male ; Medical treatment ; Middle Aged ; Mindfulness - methods ; Moods ; Neoplasms - psychology ; Neoplasms - rehabilitation ; Patient Acceptance of Health Care - psychology ; Psychotherapy, Group - methods ; Spirituality ; Stress, Psychological - therapy ; Surveys and Questionnaires ; Survivors - psychology ; Telemedicine - methods ; Treatment Outcome ; Waiting Lists</subject><ispartof>Psychosomatic medicine, 2014-05, Vol.76 (4), p.257-267</ispartof><rights>Copyright Lippincott Williams & Wilkins May 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c383t-61bfceb91ae4d9e63a8c5d871ec610b075d5cae17490bd661ccdc3607376aad2</cites></display><links><openurl>$$Topenurl_article</openurl><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>780,30990,30991</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24804884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zernicke, Kristin A</creatorcontrib><creatorcontrib>Campbell, Tavis S</creatorcontrib><creatorcontrib>Speca, Michael</creatorcontrib><creatorcontrib>McCabe-Ruff, Kelley</creatorcontrib><creatorcontrib>Flowers, Steven</creatorcontrib><creatorcontrib>Carlson, Linda E</creatorcontrib><title>A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial</title><title>Psychosomatic medicine</title><addtitle>Psychosom Med</addtitle><description>A treatment-as-usual randomized wait-list controlled trial was conducted to investigate the feasibility and impact of an online synchronous Mindfulness-Based Cancer Recovery (MBCR) group program for underserved distressed cancer survivors.
Sixty-two men and women exhibiting moderate to high distress within 3 years of completing primary cancer treatment without access to in-person MBCR were randomized to either immediate online MBCR (n = 30) or to wait for the next available program (n = 32). Participants completed questionnaires preintervention and postintervention or wait period online. Program evaluations were completed after MBCR. Feasibility was tracked through monitoring eligibility and participation through the protocol. Intent-to-treat mixed-model analyses for repeated measures were conducted.
Feasibility targets for recruitment and retention were achieved, and participants were satisfied and would recommend online MBCR. There were significant improvements and moderate Cohen d effect sizes in the online MBCR group relative to controls after MBCR for total scores of mood disturbance (d = 0.44, p = .049), stress symptoms (d = 0.49, p = .021), spirituality (d = 0.37, p = .040), and mindfully acting with awareness (d = 0.50, p = .026). Main effects of time were observed for posttraumatic growth and remaining mindfulness facets.
Results provide evidence for the feasibility and efficacy of an online adaptation of MBCR for the reduction of mood disturbance and stress symptoms, as well as an increase in spirituality and mindfully acting with awareness compared with a treatment-as-usual wait-list. Future study using larger active control RCT designs is warranted.
ClinicalTrials.gov: NCT01476891.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Awareness</subject><subject>Cancer</subject><subject>Clinical trials</subject><subject>Comparative analysis</subject><subject>Efficacy</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Intention to Treat Analysis</subject><subject>Internet</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Mindfulness - methods</subject><subject>Moods</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - rehabilitation</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Psychotherapy, Group - methods</subject><subject>Spirituality</subject><subject>Stress, Psychological - therapy</subject><subject>Surveys and Questionnaires</subject><subject>Survivors - psychology</subject><subject>Telemedicine - methods</subject><subject>Treatment Outcome</subject><subject>Waiting Lists</subject><issn>0033-3174</issn><issn>1534-7796</issn><fulltext>false</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkk1rFTEYhYMo9lr9ByIBN26mJpPMR9yV4hcUFLwbV8M7yTttSiYZk5nK-KP8jWa4rWhXN5tA8rwnJ4dDyEvOzjhTzduv376fsf9WJR6RHa-ELJpG1Y_JjjEhCsEbeUKepXSTEalE-ZSclLJlsm3ljvw-pxG8CaP9hYb-BDsXzqaZ6uDnGJzLh3O04GgY6ICQbG-dnVeaZygOg9Wg1-0OPA3eWY90tN4Mi_OYUtFDygIavMZII-pwi3GlUwxXEcZ3dL5GivtrjDCtdAjxnoRpcqv1V_9qHWw8J08GcAlf3O2nZP_h_f7iU3H55ePni_PLQotWzEXN-0FjrzigNAprAa2uTNtw1DVnPWsqU2nAnIxivalrrrXRomaNaGoAU56SNwfZbPXHgmnuRps0Ogcew5I6XlWtUo2U_AhUypx7qdgRqJCtrDlXR6ClFFm02lRfP0BvwhJ9Tmej8rP5k5tNeaB0DClFHLop2hHi2nHWbX3qcp-6h33KY6_uxJd-RPN36L5A5R-PbMg6</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Zernicke, Kristin A</creator><creator>Campbell, Tavis S</creator><creator>Speca, Michael</creator><creator>McCabe-Ruff, Kelley</creator><creator>Flowers, Steven</creator><creator>Carlson, Linda E</creator><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20140501</creationdate><title>A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial</title><author>Zernicke, Kristin A ; Campbell, Tavis S ; Speca, Michael ; McCabe-Ruff, Kelley ; Flowers, Steven ; Carlson, Linda E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-61bfceb91ae4d9e63a8c5d871ec610b075d5cae17490bd661ccdc3607376aad2</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Awareness</topic><topic>Cancer</topic><topic>Clinical trials</topic><topic>Comparative analysis</topic><topic>Efficacy</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Intention to Treat Analysis</topic><topic>Internet</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Mindfulness - methods</topic><topic>Moods</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - rehabilitation</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Psychotherapy, Group - methods</topic><topic>Spirituality</topic><topic>Stress, Psychological - therapy</topic><topic>Surveys and Questionnaires</topic><topic>Survivors - psychology</topic><topic>Telemedicine - methods</topic><topic>Treatment Outcome</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><creatorcontrib>Zernicke, Kristin A</creatorcontrib><creatorcontrib>Campbell, Tavis S</creatorcontrib><creatorcontrib>Speca, Michael</creatorcontrib><creatorcontrib>McCabe-Ruff, Kelley</creatorcontrib><creatorcontrib>Flowers, Steven</creatorcontrib><creatorcontrib>Carlson, Linda E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Psychosomatic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>no_fulltext</fulltext></delivery><addata><au>Zernicke, Kristin A</au><au>Campbell, Tavis S</au><au>Speca, Michael</au><au>McCabe-Ruff, Kelley</au><au>Flowers, Steven</au><au>Carlson, Linda E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial</atitle><jtitle>Psychosomatic medicine</jtitle><addtitle>Psychosom Med</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>76</volume><issue>4</issue><spage>257</spage><epage>267</epage><pages>257-267</pages><issn>0033-3174</issn><eissn>1534-7796</eissn><coden>PSMEAP</coden><abstract>A treatment-as-usual randomized wait-list controlled trial was conducted to investigate the feasibility and impact of an online synchronous Mindfulness-Based Cancer Recovery (MBCR) group program for underserved distressed cancer survivors.
Sixty-two men and women exhibiting moderate to high distress within 3 years of completing primary cancer treatment without access to in-person MBCR were randomized to either immediate online MBCR (n = 30) or to wait for the next available program (n = 32). Participants completed questionnaires preintervention and postintervention or wait period online. Program evaluations were completed after MBCR. Feasibility was tracked through monitoring eligibility and participation through the protocol. Intent-to-treat mixed-model analyses for repeated measures were conducted.
Feasibility targets for recruitment and retention were achieved, and participants were satisfied and would recommend online MBCR. There were significant improvements and moderate Cohen d effect sizes in the online MBCR group relative to controls after MBCR for total scores of mood disturbance (d = 0.44, p = .049), stress symptoms (d = 0.49, p = .021), spirituality (d = 0.37, p = .040), and mindfully acting with awareness (d = 0.50, p = .026). Main effects of time were observed for posttraumatic growth and remaining mindfulness facets.
Results provide evidence for the feasibility and efficacy of an online adaptation of MBCR for the reduction of mood disturbance and stress symptoms, as well as an increase in spirituality and mindfully acting with awareness compared with a treatment-as-usual wait-list. Future study using larger active control RCT designs is warranted.
ClinicalTrials.gov: NCT01476891.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins Ovid Technologies</pub><pmid>24804884</pmid><doi>10.1097/PSY.0000000000000053</doi><tpages>11</tpages></addata></record> |
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| ispartof | Psychosomatic medicine, 2014-05, Vol.76 (4), p.257-267 |
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| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adaptation, Psychological Adult Aged Awareness Cancer Clinical trials Comparative analysis Efficacy Feasibility Feasibility Studies Female Humans Intention to Treat Analysis Internet Linear Models Male Medical treatment Middle Aged Mindfulness - methods Moods Neoplasms - psychology Neoplasms - rehabilitation Patient Acceptance of Health Care - psychology Psychotherapy, Group - methods Spirituality Stress, Psychological - therapy Surveys and Questionnaires Survivors - psychology Telemedicine - methods Treatment Outcome Waiting Lists |
| title | A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial |
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