Rapid deployment of virtual mind-body interventions during the COVID-19 outbreak: feasibility, acceptability, and implications for future care

Trevino, Kelly M.; Raghunathan, Nirupa Jaya; Latte-Naor, Shelly; Polubriaginof, Fernanda; Jensen, Claus Antonio Juul; Atkinson, Thomas M.; Emard, Nicholas; Seluzicki, Christina; Ostroff, Jamie S.; Mao, Jun J.

doi:10.1007/s00520-020-05740-2

Cited by 51 publications

(45 citation statements)

References 12 publications

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“…prominent during the pandemic. The potential of these techniques is con rmed both in current practice within the formal health care systems [46] and ongoing research to provide support during the pandemic (e. g. [47]).…”

Section: Discussionmentioning

confidence: 99%

Consultations With Health Care Providers and Use of Self-management Strategies for Prevention and Treatment of COVID-19 Related Symptoms. A Population Based Cross-sectional Study in Norway, Sweden and the Netherlands

Kristoffersen¹,

Werf

Wider³

et al. 2021

Preprint

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BackgroundThe present study was initiated to determine consultations with health care providers and use of self-management strategies such as herbal remedies, dietary supplements and self-help techniques for prevention and treatment of COVID-19 related symptoms in countries with a full lockdown (Norway), a partial (’intelligent’) lockdown (the Netherlands) and no lockdown (Sweden) during the first three months of the COVID-19 pandemic, and if such use correlates with worries of being infected by COVID-19 disease. MethodsData were collected in collaboration with the global marketing company Ipsos A/S in April-June 2020 during the first wave of the COVID-19 pandemic. An adapted version of the I-CAM-Q was used and the categories “for prevention of COVID-19” and “to treat COVID-19-related symptoms” added to the original “reasons for use” options. Data were collected among a representative sample in Norway, Sweden and the Netherlands using data assisted telephone interviews (Norway, n=990 and Sweden, n=500), and an online survey (the Netherlands, n=1004). Total response rate was 30%. ResultsOnly a very small number of people in any of the three countries consulted a health care provider with the intention to treat or prevent COVID-19 (1.2% and 1.0% respectively) with medical doctors mostly visited (1.0% and 0.9%). Similarly, the use of self-management strategies to prevent or treat COVID-19 was low (3.4% and 0.2% respectively); most commonly used were vitamins and minerals (2.8%) for prevention of COVID-19, primarily vitamin C (1.7%), vitamin D (0.9%), and multivitamins (0.5%). Consultations with health care providers and use of self-management strategies for prevention of COVID-19 were positively associated with worries of being infected with COVID-19. No such associations were found for worries about loved ones or the perception that COVID-19 is more dangerous than ordinary influenza. ConclusionsThe COVID-19 pandemic does not seem to have evoked a large-scale difference in behaviour related to consultations with health care providers or the use of self-management strategies such as dietary supplements and self-help techniques in any of the three countries, despite different containment and mitigation measures.

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Section: Discussionmentioning

confidence: 99%

Consultations With Health Care Providers and Use of Self-management Strategies for Prevention and Treatment of COVID-19 Related Symptoms. A Population Based Cross-sectional Study in Norway, Sweden and the Netherlands

Kristoffersen¹,

Werf

Wider³

et al. 2021

Preprint

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“…In response to these concerns, we rapidly implemented a virtual mind-body program through the Integrative Medicine Service (IMS) at a tertiary National Cancer Institute-designated Comprehensive Cancer Center [28]. The program consisted of a series of virtual, synchronous classes offering a variety of rigorously tested mind-body therapies led by an IMS clinical therapist.…”

Section: Introductionmentioning

confidence: 99%

Virtual Mind-Body Programming for Patients With Cancer During the COVID-19 Pandemic: Qualitative Study

Emard¹,

Lynch²,

Liou³

et al. 2021

JMIR Cancer

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Background Patients with cancer are particularly vulnerable to stress and anxiety during the COVID-19 pandemic. Social distancing is critical for patients with cancer; however, it can also reduce their access to psychosocial coping resources. Objective The aim of this study was to explore patient experiences to generate a model of how virtual mind-body programs can support the psychosocial well-being of patients with cancer. Methods We conducted a qualitative study among patients (aged ≥18 years) who participated in a virtual mind-body program offered by a National Cancer Institute–designated Comprehensive Cancer Center during the COVID-19 pandemic. The program consisted of mind-body group therapy sessions of fitness, yoga, tai chi, dance therapy, music therapy, and meditation. Live integrative medicine clinicians held each session via Zoom videoconferencing for 30-45 minutes. In semistructured phone interviews (n=30), patients were asked about their overall impressions and perceptions of the benefits of the sessions, including impacts on stress and anxiety. Interviews were analyzed using grounded theory. Results Among the 30 participants (average age 64.5 years, SD 9.36, range 40-80, 29 female), three major themes were identified relating to experiences in the virtual mind-body program: (1) the sessions helped the patients maintain structured routines and motivated them to adhere to healthy behaviors; (2) the sessions enhanced coping with COVID-19-related-stressors, allowing patients to “refocus” and “re-energize”; and (3) the sessions allowed patients to connect, fostering social relationships during a time of isolation. These themes informed the constructs of a novel behavioral-psychological-social coping model for patients with cancer. Conclusions Virtual mind-body programming supported patients with cancer during the COVID-19 pandemic through a behavioral-psychological-social coping model by enhancing psychological coping for external stressors, supporting adherence to motivation and health behaviors, and increasing social connection and camaraderie. These programs have potential to address the behavioral, psychological, and social challenges faced by patients with cancer during and beyond the COVID-19 pandemic. The constructs of the conceptual model proposed in this study can inform future interventions to support isolated patients with cancer. Further clinical trials are needed to confirm the specific benefits of virtual mind-body programming for the psychosocial well-being and healthy behaviors of patients with cancer.

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“…12 Mind-body interventions, including yoga, have been rapidly deployed to patients during the pandemic in some centers. 13 However, to our knowledge, only a limited number of studies provide yoga-based breathing with meditation for frontline health workers. 14 Overall, most participants reported that the intervention was worthwhile, that they would participate again, and recommend this pranayama and meditation practice to others.…”

Section: Discussionmentioning

confidence: 99%

Yoga-Based Breathing Techniques for Health Care Workers During COVID-19 Pandemic: Interests, Feasibility, and Acceptance

Narayanan

Tennison

Cohen

et al. 2021

The Journal of Alternative and Complementary Medicine

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Objectives: The authors explored the feasibility of virtual yoga-based breathwork and meditation among health care workers (HCW) during the COVID-19 pandemic.Methods: Consented employees of a large cancer center accessed a video of breathwork called ''Simha Kriya'' to be practiced for 4 weeks.Results: Of 217 participants who expressed interest within 2 weeks, 90 were recruited to the study in 1 month and 100 in 2 months. Of 69 participants who provided data between weeks 1 and 4, 77% perceived the intervention as useful.Conclusions: Yoga-based breathing practices were feasible and acceptable among HCW in the setting of a pandemic.Registered with clinicaltrials.gov: NCT04482647.

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Rapid deployment of virtual mind-body interventions during the COVID-19 outbreak: feasibility, acceptability, and implications for future care

Cited by 51 publications

References 12 publications

Consultations With Health Care Providers and Use of Self-management Strategies for Prevention and Treatment of COVID-19 Related Symptoms. A Population Based Cross-sectional Study in Norway, Sweden and the Netherlands

Consultations With Health Care Providers and Use of Self-management Strategies for Prevention and Treatment of COVID-19 Related Symptoms. A Population Based Cross-sectional Study in Norway, Sweden and the Netherlands

Virtual Mind-Body Programming for Patients With Cancer During the COVID-19 Pandemic: Qualitative Study

Yoga-Based Breathing Techniques for Health Care Workers During COVID-19 Pandemic: Interests, Feasibility, and Acceptance

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