Qualitative results from a randomized pilot study of eHealth Mindful Movement and Breathing to improve gynecologic cancer surgery outcomes

Sohl, Stephanie J.; Strahley, Ashley E.; Tooze, Janet A.; Levine, Beverly; Kelly, Michael G.; Wheeler, Amy; Evans, S. A.; Danhauer, Suzanne C.

doi:10.1080/07347332.2023.2236083

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…In their observational study, Sacks et al, (2019) measured dispositional mindfulness before surgery and reported higher dispositional mindfulness levels were associated with lower average VNRS-11 scores on postoperative day 8 (p < 0.05). Yi et al, (2019) A sub-sample of 23 patients from the RCT by Sohl mentioned above, completed semistructured interviews 4 weeks after surgery and found that patients reported that the MBI did ease their anxiety, helped them relax and helped them have less pain and more mental clarity (Sohl et al, 2023a). They reported that participants found the breathing and relaxation exercises particularly effective.…”

Section: Eight To 30 Says After Surgerymentioning

confidence: 99%

Dispositional mindfulness and its relationship to preoperative anxiety and postoperative pain in adults undergoing hysterectomy

Miller

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The purpose of this dissertation was to examine how mindfulness practices might be able to benefit surgical patients. Manuscript 1 was a critical review of psychometric questionnaires used to measure mindfulness. It updated prior critiques of mindfulness questionnaires by including newer tools and was the first updated review of this topic in about a decade. Manuscript 2 was an integrative review of where mindfulness was studied with surgical patients, specifically around the experiences of preoperative anxiety and postoperative pain during the perioperative timeframe. It is likely the most comprehensive review of perioperative mindfulness studies to date. Manuscript 3 was an examination of dispositional mindfulness and preoperative anxiety and postoperative pain in adults having gynecological surgery. It went beyond many prior studies in that it included preoperative anxiety, postoperative pain, postoperative opioid consumption, and length of stay. Collectively, this dissertation work suggests that adding a preoperative mindfulness-based intervention into surgical pathways could have some benefit for patients by reducing anxiety, pain and opioid consumption. More research needs to be done to determine the specific benefits of mindfulness-based interventions in surgical patients, including which populations might benefit most, and the most effective intervention modality, timing, and delivery methods. journey, starting in Charlottesville, advancing in Boston, and then circling back again to Charlottesville. I would like to express my deep gratitude to my dissertation committee: Maria van Pelt, Ph.D., CRNA, Lichuan Ye, Ph.D., RN, and Kara Pavone, Ph.D., RN. They offered me mentorship, guidance, kindness and patience during every small and large step along the way. I want to acknowledge the Nurse Anesthesia program at Northeastern University for helping me to grow into a nursing specialty that I am extremely passionate about. I want to thank the CRNAs, anesthesiologists and other professionals that I have worked alongside during my time at BWH and UVA. I also want to thank Dr. Leigh Cantrell, Anita McCray and the rest of UVA GYN/ONC team for allowing me to work with their patients. I want to thank the UVA anesthesiology department and their research team, including Dr. Bhiken Naik, for their support during this process and specifically Dr. Siny Tsang for her support with data analysis.

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Section: Eight To 30 Says After Surgerymentioning

confidence: 99%

Dispositional mindfulness and its relationship to preoperative anxiety and postoperative pain in adults undergoing hysterectomy

Miller

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Online eurythmy therapy for cancer-related fatigue: a prospective repeated-measures observational study exploring fatigue, stress, and mindfulness

Timm,

Ko,

Hundhammer

et al. 2024

Front. Integr. Neurosci.

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IntroductionCancer is a debilitating disease with an often chronic course. One of the most taxing and prevalent sequelae in this context is cancer-related fatigue (CRF) resulting from the disease and/or associated treatments. Over the last years mindfulness-based interventions such as eurythmy therapy (ERYT), a mindful-movement therapy from anthroposophic medicine, have emerged as promising adjunct therapies in oncology. This prospective study investigated an online implementation of ERYT for CRF using a single arm repeated-measures design based on two consecutive studies.MethodStudy 1 consisted of an initial assessment before, during, after, and at follow up of a 6-week online ERYT-based program in a mixed sample of N = 165 adults with or without cancer diagnosis. Study 2 involved a similar design with an adapted 8-week online ERYT-based program in a sample of N = 125 adults who had been diagnosed with cancer. Outcomes were assessed using the Functional Assessment of Chronic Illness Therapy–Fatigue, Perceived Stress Scale, Mindful Attention Awareness Scale, and Insomnia Severity Index (for Study 1 all, for Study 2 only the former three). We additionally performed an exploratory analysis regarding practice frequency and duration. Data were analyzed using Linear Mixed-Effect Models per outcome; ANOVA was used for practice times.ResultsFor Study 1, mixed-effects model estimates showed no significant effect on fatigue, but pointed to significantly improved emotional and physical well-being, reduced stress, as well as increased mindfulness (mixed subjects). Functional and social well-being or sleep quality did not change significantly. Study 2 model estimates on the other hand showed significantly improved CRF in conjunction with the ERYT-based online intervention, as well as improved stress and mindfulness scores (cancer-diagnosed subjects).ConclusionTaken together, while our results should be interpreted with caution given the single-arm design and relatively high dropout, they suggest online ERYT may be associated with a reduction in fatigue for individuals diagnosed with cancer, an increase in mindfulness, and benefits for stress and certain well-being indicators. The online group format is advantageous in view of affordability and accessibility, the latter being particularly relevant for individuals who due to high symptom severity cannot leave their homes. Randomized-controlled studies will be needed to confirm these findings.

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Qualitative results from a randomized pilot study of eHealth Mindful Movement and Breathing to improve gynecologic cancer surgery outcomes

Cited by 2 publications

References 39 publications

Dispositional mindfulness and its relationship to preoperative anxiety and postoperative pain in adults undergoing hysterectomy

Dispositional mindfulness and its relationship to preoperative anxiety and postoperative pain in adults undergoing hysterectomy

Online eurythmy therapy for cancer-related fatigue: a prospective repeated-measures observational study exploring fatigue, stress, and mindfulness

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