Who participates in a randomized trial of mindfulness‐based stress reduction (MBSR) after breast cancer? A study of factors associated with enrollment among Danish breast cancer patients

Würtzen, Hanne; Dalton, Susanne Oksbjerg; Andersen, Klaus Kaae; Elsass, Peter; Flyger, Henrik; Sumbundu, Antonia; Johansen, Christoffer

doi:10.1002/pon.3094

Cited by 26 publications

(17 citation statements)

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“…Non-participants were shown to be older [23][24][25][26][27][28], have lower education [24,26,27,29], lower income [28][29][30], belong to an ethnic minority [26], or have comorbidity [24,28]. These findings are in line with what was found in our couple-based study.…”

Section: Discussionsupporting

confidence: 95%

Participation in questionnaire studies among couples affected by breast cancer

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Rottmann

Larsen

et al. 2014

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Section: Discussionsupporting

confidence: 95%

Participation in questionnaire studies among couples affected by breast cancer

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Rottmann

Larsen

et al. 2014

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“…Patients who chose to participate in the trial were higher educated and more often employed than non-participants. This is a common finding in trials of psychosocial and behavioral interventions among cancer patients and other patient populations [5][6][7]23,25]. In general, higher education is associated positively with health literacy.…”

Section: Discussionmentioning

confidence: 75%

Why do patients choose (not) to participate in an exercise trial during adjuvant chemotherapy for breast cancer?

et al. 2015

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Objective Only between 25% and 50% of patients invited to participate in clinical trial‐based physical exercise programs during cancer treatment agree to do so. The purpose of this study was to identify factors associated significantly with the decision (not) to participate in a randomized controlled trial of physical exercise during adjuvant chemotherapy for breast cancer. Methods Based on questionnaire data, we compared trial participants and non‐participants on a range of sociodemographic, clinical health‐related, practical, behavioral, and attitudinal variables. Results Two hundred thirty of 524 patients agreed to participate in the trial (44%). The 294 (56%) non‐participants indicated that they wanted to exercise on their own or that they did not wish to exercise in the context of a trial. Those who preferred to exercise on their own were relatively similar to trial participants but were more likely to be in the maintenance exercise stage. Those non‐participants who did not wish to exercise had a significantly lower level of education, were less likely to be working, reported more fatigue and lower health‐related quality of life, had lower sense of self‐efficacy, more negative attitudes towards exercise, less social support, and perceived fewer benefits and more barriers to exercising during treatment than trial participants. Conclusion Minimizing practical barriers to participation, providing educational materials on the potential benefits of exercise, and giving adequate professional and social network encouragement may increase the number of patients willing to exercise during treatment and to participate in such studies. Copyright © 2015 John Wiley & Sons, Ltd.

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“…Thus, health care professionals may need to rely on the patients' self-appraisal of their need for help. 35 Moreover, CER seems to play an important role in cancer patients' coping. It may influence their emotional responses by redirecting attention within a given situation and may change one or more of the appraisals that give rise to less distressing emotions.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Group Intervention on Enhancing Cognitive Emotion Regulation Strategies in Breast Cancer Patients

et al. 2015

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Purpose. To evaluate the long-term effect of group intervention on enhancing cognitive emotion regulation (CER) strategies in female patients with early-stage breast cancer. Methods. The sample included 174 patients who were diagnosed with early-to-mid stage breast cancer, completed adjuvant therapy, and agreed to fill out demographic and cognitive emotion regulation questionnaires (CERQ). About half of the patients (86, 49.4%) chose to participate in an 8-session group intervention (intervention group) while the others (88, 50.6%) did not (comparison group). The structured intervention for enhancing coping strategies with special emphasis on emotion regulation was conducted at the oncology unit at Rabin Medical Center by 2 experienced therapists. Preliminary effects on CER evaluated 6, 12, and 24 months postintervention were compared to the CER of a group of patients that opted not to participate in the group intervention. Results. In the intervention group, the long-term effect (from baseline to 24 months) was assessed using the mix models module. Significant interaction effects were found for both the Negative CER scales (F (3, 268 ,404) = 3.66, P = .01) and for the Positive CER scales (F (3, 271 ,660) = 5.12, P = .002). No statistically significant differences in socio-demographic characteristics and medical variables were observed between the intervention and comparison groups. Conclusion. Our findings indicate that a group intervention aimed at empowerment of coping strategies had positive long-term outcomes that reinforce adaptive coping strategies and improve less effective strategies of cognitive emotion regulation.

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Who participates in a randomized trial of mindfulness‐based stress reduction (MBSR) after breast cancer? A study of factors associated with enrollment among Danish breast cancer patients

Abstract: Our findings indicate that participants are younger, have a less recent diagnosis and have a higher level of education than those who refuse. This should be taken into account in designing and evaluating trials of psychosocial interventions and in planning mindfulness-based interventions.

Cited by 26 publications

References 21 publications

Participation in questionnaire studies among couples affected by breast cancer

Participation in questionnaire studies among couples affected by breast cancer

Why do patients choose (not) to participate in an exercise trial during adjuvant chemotherapy for breast cancer?

The Effectiveness of Group Intervention on Enhancing Cognitive Emotion Regulation Strategies in Breast Cancer Patients

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