Stefano Poletti1, Giorgia Razzini2, Roberto Ferrari3, Maria Pia Ricchieri4, Giorgio Alfredo Spedicato5, Antonella Pasqualini6, Cristina Buzzega7, Fabrizio Artioli8, Kyriakoula Petropulacos9, Mario Luppi10, Elena Bandieri11. 1. INSERM U1028, CRNL-DYCOG, Lyon, France. Electronic address: stefano.poletti@phd.unipd.it. 2. Unit of Medical Oncology, Carpi Civil Hospital, Italy. Electronic address: g.razzini-ext@ausl.mo.it. 3. "Mente&Vita" Mindfulness Center, Italy. Electronic address: roberto.ferrari1@gmail.com. 4. Local Health Unit of Modena, MBSR Instructor, Italy. Electronic address: m.ricchieri@ausl.mo.it. 5. FCAS, FSA, C. Stat. Unipol Group, Bologna, Italy. Electronic address: spedygiorgio@gmail.com. 6. Unit of Medical Oncology, Carpi Civil Hospital, Italy. Electronic address: a.pasqualini@ausl.mo.it. 7. Unit of Early Palliative Care, Carpi Civil Hospital, Italy. Electronic address: c.buzzega@ausl.mo.it. 8. Unit of Medical Oncology, Carpi Civil Hospital, Italy. Electronic address: f.artioli@ausl.mo.it. 9. General Director Health Councillorship Emilia Romagna Region, Bologna, Italy. Electronic address: Kyriakoula.Petropulacos@regione.emilia-romagna.it. 10. Department of Medical and Surgical Sciences, AOU, UNIMORE, Italy. Electronic address: mario.luppi@unimore.it. 11. Unit of Early Palliative Care, Carpi Civil Hospital, Italy. Electronic address: e.bandieri@ausl.mo.it.
Abstract
OBJECTIVES: To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC). DESIGN: Mixed-method study. SETTINGS/LOCATION: EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital. SUBJECTS: Study participation was offered to 25 consecutive people referred to the EPC service. INCLUSION CRITERIA: people with metastatic cancer between 18 and 75 years old; informed consent. EXCLUSION CRITERIA: Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study. INTERVENTION: The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators. OUTCOME MEASURES: Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach. RESULTS: MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs. CONCLUSIONS: A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.
OBJECTIVES: To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC). DESIGN: Mixed-method study. SETTINGS/LOCATION: EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital. SUBJECTS: Study participation was offered to 25 consecutive people referred to the EPC service. INCLUSION CRITERIA: people with metastatic cancer between 18 and 75 years old; informed consent. EXCLUSION CRITERIA: Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study. INTERVENTION: The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators. OUTCOME MEASURES: Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach. RESULTS: MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs. CONCLUSIONS: A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancerpatients to control cancer pain together with an opportunity of emotional and spiritual relief.
Authors: Mohamad Baydoun; Chelsea Moran; Andrew McLennan; Katherine-Ann L Piedalue; Devesh Oberoi; Linda E Carlson Journal: Patient Prefer Adherence Date: 2021-06-09 Impact factor: 2.711