Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study.
Stefano Poletti, Giorgia Razzini, Roberto Ferrari, Maria Pia Ricchieri, Giorgio Alfredo Spedicato, Antonella Pasqualini, Cristina Buzzega, Fabrizio Artioli, Kyriakoula Petropulacos, Mario Luppi, Elena Bandieri
Complementary Therapies in Medicine December 1, 2019 DOI: 10.1016/j.ctim.2019.102218 (opens in new tab) via PubMed
Summary
AI-generated from the abstractA mixed-method study tested an 8-week Mindfulness-Based Stress Reduction (MBSR) program integrated into early palliative care for people with metastatic cancer. Of 20 participants, 16 completed the program, with 75% attendance and home practice adherence. The intervention helped participants develop an accepting attitude toward their disease, face anxiety and cancer pain, improve self-regulation of mood, and reconnect with their values and spiritual beliefs. MBSR integrated into early palliative care is feasible, well accepted, and may offer emotional and spiritual relief alongside pain management.
Study at a glance
| Characteristics | Mixed-method study Peer reviewed |
|---|---|
| Sample size | 20 |
| Population | People with metastatic cancer between 18 and 75 years old, Performance Status <60% according to Karnofsky scale, referred to an early palliative care service |
| Intervention | Mindfulness-Based Stress Reduction |
| Duration | 8-week intervention, with a 4.5-hour session between the 6th and 7th weeks and 0.5 hour daily home practice |
| Keywords | Early palliative care Integrative healthcare Interpretive-phenomenological analysis Metastatic cancer Mindfulness-based stress reduction |
| Key finding | MBSR integrated into early palliative care is feasible, well accepted, and helps metastatic cancer patients develop an accepting attitude, face anxiety and cancer pain, and reconnect with values and spiritual beliefs. |
Abstract
To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC). Mixed-method study. EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital. Study participation was offered to 25 consecutive people referred to the EPC service. people with metastatic cancer between 18 and 75 years old; informed consent. Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study. The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators. Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach. MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs. A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.