Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research

Matis, Juraj; Světlák, Miroslav; Slezáčková, Alena; Svoboda, Marek; Šumec, Rastislav

doi:10.2196/20709

Cited by 59 publications

(60 citation statements)

References 123 publications

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“…The results of this study suggest that the See Me Serene app is feasible to deliver and test. Our results appear to be similar to other studies that have found mHealth apps feasible to deliver and easy to disseminate [52][53][54][55]. We met or surpassed all of our feasibility benchmarks, including the recruitment and retention of participants and the collection of both self-report data and biochemical samples.…”

Section: Feasibilitysupporting

confidence: 86%

“…Although this study was not designed to test efficacy, we found significant reductions in all outcome variables with small to medium effect sizes. The evidence regarding effectiveness of mHealth apps is limited and mixed [53,54,[56][57][58][59][60][61][62][63][64]. While several randomized controlled trials have shown these apps to be effective at reducing stress, anxiety, depression, or PTSD symptoms [53,54,57,59], some have not reported positive results [60,61,64].…”

Section: Potential Impactmentioning

confidence: 99%

“…The evidence regarding effectiveness of mHealth apps is limited and mixed [53,54,[56][57][58][59][60][61][62][63][64]. While several randomized controlled trials have shown these apps to be effective at reducing stress, anxiety, depression, or PTSD symptoms [53,54,57,59], some have not reported positive results [60,61,64]. In addition, many studies report only significant pre-post results [56,58,62,63], thus limiting generalizability of the findings.…”

Section: Potential Impactmentioning

confidence: 99%

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Use of a Guided Imagery Mobile App (See Me Serene) to Reduce COVID-19–Related Stress: Pilot Feasibility Study

Gordon¹,

Sbarra²,

Armin³

et al. 2021

JMIR Form Res

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Background The SARS-CoV-2 pandemic has led to concerns about mental health resulting from regional and national lockdowns, social isolation, job loss, and concern about disease exposure. Objective We describe results of the pilot feasibility study of the See Me Serene mHealth app. The app provides users with immersive, vivid, nature experiences to reduce stress and anxiety related to COVID-19 and other isolation. The goals of the study were to develop the See Me Serene app and test the feasibility and acceptability of study procedures, and explore the potential impact of the app on stress and anxiety. Methods We developed and tested the See Me Serene app and our study procedures for feasibility, and gathered preliminary data with a goal of 100 participants. The research was conducted in 2 phases: (1) development and internal testing of the app; and (2) feasibility and pilot testing with participants recruited online through earned media (eg, news stories), presentations at a university campus, and social media (eg, online sharing of earned media and presentations). The feasibility study employed a mixed methods, within-subjects, pre-/posttest design. At baseline and 30-day follow-up, we assessed stress-related variables via validated self-report measures and saliva samples for determination of cortisol concentrations. Results We met or surpassed all our feasibility benchmarks for recruitment (101 participants recruited), retention (91% [90/99] of 30-day assessment completed), and data collection (99 participants completed all baseline data; 85% [84/99] of salivary cortisol samples returned). Participants adhered to the intervention. On average, participants listened to 48.2 audio files over 30 days or approximately 1.6 audio files per day. Participants were satisfied with the app, with 87% (78/90) rating the app as helpful in dealing with stress and anxiety. The app showed the potential to reduce stress, anxiety, loneliness, and worry. We did not find significant differences (P=.41) in cortisol levels over time. Our findings suggest that future research is warranted to test the efficacy of the See Me Serene app with a representative, diverse sample. Conclusions There is a need for evidence-based and easily disseminable stress-reduction interventions. See Me Serene is a feasible intervention and has the potential to reduce stress related to COVID-19 and other forms of social isolation. More research on See Me Serene is warranted.

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Section: Feasibilitysupporting

confidence: 86%

Section: Potential Impactmentioning

confidence: 99%

Section: Potential Impactmentioning

confidence: 99%

See 1 more Smart Citation

Use of a Guided Imagery Mobile App (See Me Serene) to Reduce COVID-19–Related Stress: Pilot Feasibility Study

Gordon¹,

Sbarra²,

Armin³

et al. 2021

JMIR Form Res

View full text Add to dashboard Cite

show abstract

“…As one of internet-delivered Mindfulness-Based Interventions (iMBIs), internet-based MBSR (iMBSR) has also shown to be efficacious in treating psychological distress among cancer patients ( 25 ). Therefore, in the current study, iMBSR was conducted among survivors of BC during the 2 months from February to March, 2021, during which the COVID-19 outbreak was announced and followed by nation-wide lockdown in February, 2021.…”

Section: Introductionmentioning

confidence: 99%

The Psychological Effect of Internet-Based Mindfulness-Based Stress Reduction on the Survivors of Breast Cancer During the COVID-19

et al. 2021

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Objective: To examine the efficacy and the role of engagement of an internet-based Mindfulness-based Stress Reduction (iMBSR) for survivors of breast cancer (BC) during the COVID-19 period from January to March in 2020 in China.Methods: 48 survivors of BC were divided into the absentees group and the iMBSR groups according to their attending to the standardized, group-based, 8-week iMBSR. Based on practice time, survivors of BC in the iMBSR were categorized into three subgroups: group 1 (<30 min/day), group 2 (30–60 min/day), and group 3 (>60 min/day). In addition, participants were classified as partial attendees (<4 sessions) and completers (more than 4 sessions) of the iMBSR groups. All participants were evaluated for symptoms of depression, anxiety and insomnia at baseline, mid-intervention, and post-intervention.Results: After an 8-week iMBSR practice, at mid-intervention and post-intervention, participants in iMBSR group had significant improvement in scores and reduction rates of depression, anxiety, and insomnia compared to absentees. Scores of depression and insomnia, reduction rates of depression at post-intervention, scores of anxiety, reduction rates of anxiety and insomnia at mid-intervention and post-intervention, had significant differences among subgroups of practice time. Daily practice time was positively related to reduction rates of depression, anxiety and insomnia at post-intervention in the iMBSR group.Conclusion: Internet-based MBSR showed efficacy in reducing psychological symptoms among survivors of BC. For survivors of BC, iMBSR practice has a potential dose–response efficacy, with a threshold of >30 min daily practice for most optimal symptoms reduction.Trial Registration: Registration number is [ChiCTR2100044309].

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“…Regarding psychological interventions based on mindfulness, only 1 RCT study compared MBCT and eMBCT with usual care and found that MBCT and eMBCT were equally efficacious compared with treatment as usual in reducing FCR [27,76,77]. In general, face-to-face and web-based interventions reduced FCR at posttreatment [28][29][30][31][32][33]53].…”

Section: Principal Findingsmentioning

confidence: 99%

Remote Psychological Interventions for Fear of Cancer Recurrence: Scoping Review

Cincidda¹,

Pizzoli²,

Pravettoni³

2022

JMIR Cancer

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Background Patients with cancer and survivors may experience the fear of cancer recurrence (FCR), a preoccupation with the progression or recurrence of cancer. During the spread of COVID-19 in 2019, patients and survivors experienced increased levels of FCR. Hence, there is a greater need to identify effective evidence-based treatments to help people cope with FCR. Remotely delivered interventions might provide a valuable means to address FCR in patients with cancer. Objective The aim of this study is to first discuss the available psychological interventions for FCR based on traditional cognitive behavioral therapies (CBTs) or contemporary CBTs, in particular, mindfulness and acceptance and commitment therapy, and then propose a possible approach based on the retrieved literature. Methods We searched key electronic databases to identify studies that evaluated the effect of psychological interventions such as CBT on FCR among patients with cancer and survivors. Results Current evidence suggests that face-to-face psychological interventions for FCR are feasible, acceptable, and efficacious for managing FCR. However, there are no specific data on the interventions that are most effective when delivered remotely. Conclusions CBT interventions can be efficacious in managing FCR, especially at posttreatment, regardless of whether it is delivered face to face, on the web, or using a blended approach. To date, no study has simultaneously compared the effectiveness of face-to-face, web-based, and blended interventions. On the basis of the retrieved evidence, we propose the hypothetical program of an intervention for FCR based on both traditional CBT and contemporary CBT, named Change Of Recurrence, which aims to improve the management of FCR in patients with cancer and survivors.

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Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research

Cited by 59 publications

References 123 publications

Use of a Guided Imagery Mobile App (See Me Serene) to Reduce COVID-19–Related Stress: Pilot Feasibility Study

Use of a Guided Imagery Mobile App (See Me Serene) to Reduce COVID-19–Related Stress: Pilot Feasibility Study

The Psychological Effect of Internet-Based Mindfulness-Based Stress Reduction on the Survivors of Breast Cancer During the COVID-19

Remote Psychological Interventions for Fear of Cancer Recurrence: Scoping Review

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