BackgroundThe primary purpose of this study was to examine the feasibility and acceptability of participation in a randomized waitlist‐controlled intervention of mindfulness‐based stress reduction (MBSR) in a young adult cancer sample. A secondary aim was to examine patterns of change in patient reported outcomes (PROs) of physical, social, and emotional functioning.MethodsParticipants were enrolled at a large Midwestern comprehensive cancer center and randomized to MBSR or a waitlist control. Feasibility and acceptability were examined through enrollment metrics and a survey. PROs were gathered at baseline, 8‐weeks, and 16‐weeks. Descriptive statistics and mixed models were used in analyses.ResultsOf 597 eligible participants, 151 (26.5%) consented from which 126 (83.4%) completed baseline measures. Sixty‐seven participants were randomized to MBSR, and 59 to the waitlist. Immediately following MBSR, the majority of respondents (72%‐78%) reported their experience with mindfulness was very logical and useful to increasing their wellbeing. Compared to waitlist members, MBSR participant's scores on PROs improved in expected directions.ConclusionsOur findings suggest that recruitment for an intensive, in‐person, multi‐week supportive intervention can be challenging with young adults with cancer, similar to other cancer survivor populations; however once enrolled, feasibility and acceptability of MBSR was supported. Further, initial evidence on the role of MBSR on short‐term changes in select PROs with this population was also demonstrated.
OBJECTIVE To highlight the development, implementation, and initial findings of a brief healthcare professional support program called “GRACE.” BACKGROUND Healthcare professionals face significant work-related stressors that when left unmanaged can negatively affect their overall well-being and contribute to burnout. METHODS Over a 2-year period, the GRACE program was delivered to 8 clinical units at a midsized southwestern hospital. Questionnaires were administered at baseline and 1 month. RESULTS Program participants were 36 years old on average, female (81%), and White (68%) and mostly employed as nurses (66%). Attendees reported increased knowledge, understanding, and confidence and found the program to be acceptable. One month after training, participants demonstrated significant improvements in self-compassion. Medical units that received GRACE training saw significantly greater increases in patient satisfaction scores compared with units that did not receive training. CONCLUSIONS The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported.
49ORIGINAL RESEARCH significantly impact a person's health-related quality of life, including physical, emotional, cognitive, social, functional, and spiritual well-being. 5,6 Cancer and its treatment has been called a "double whammy" for PWD and can lead to the development of secondary medical conditions as well as the exacerbation of the disabling condition itself. [7][8][9] Notwithstanding, PWD are an "unrecognized health disparity population" 10 and are largely absent from the cancer disparities agenda. F ifty-seven million Americans (or 22% of adults over the age of 18 years) live with disabilities, making PWD one of the largest minority groups in the country. 1 Compared with their nondisabled peers, PWD live with a thinner margin of health. 2 Despite myths that "lightening won't strike twice," 3 cancer is the second leading cause of death among PWD. 4 Cancer and its treatment can trigger an array of negative psychosocial responses such as social withdrawal and isolation, depression, and anxiety and canAbstractBackground: Cancer care for people with disabilities (PWD) is rife with uncertainty and obstacles. Not only do PWD have to contend with cancer and treatment-related sequelae, but also its impact on disabling conditions and functional capacity, as well as a health care system lacking accessibility and disability competence. Peer support can address important needs for emotional and informational support. mHealth tools for smart phones, tablets, or laptops hold promise to deliver such support in an accessible and scalable manner. This concept is unexplored for use among PWD with cancer.Objectives: To describe a community-based participatory study that 1) identifies consumer-reported support needs and priorities among PWD and cancer and 2) integrates consumer perspectives into the design of an mHealth cancer support tool to address these needs and priorities.Methods: Part 1 is a thematic analysis of semistructured, qualitative interviews with a purposive sample of experts in health and cancer care for PWD (n = 7) and a convenience sample of cancer survivors with preexisting disabilities (n = 9). In part 2, results were integrated to develop an mHealth peer support tool to addresses identified needs.Results: Themes included 1) barriers across the cancer care continuum, 2) strengths within the disability community, and 3) recommendations for mHealth and peer support. Based on the qualitative findings, we designed a mHealth tool for peer support and information sharing among PWD with cancer. Conclusion:Consumer-informed mHealth tools hold great potential to leverage strengths in the disability community to address emotional and informational needs created by a lack of disability competence across the cancer care continuum.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.