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A Mindfulness Breast Care App to reduce body image distress and stigma for breast cancer survivors: Development and preliminary quality assessment.

Shuang Zheng, Wenhe Huang, Xueqin Zhang, Ying Hua, Sally Chan, Shengjie Liu, Yujing Zhong, Xiaoying Jiang, Jiemin Zhu

International Journal of Nursing Sciences May 1, 2025 DOI: 10.1016/j.ijnss.2025.04.007 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-methods study Peer reviewed
Sample size 10
Population Breast cancer survivors in China
Intervention Mindfulness Breast Care App
Duration Three months
Topics Meditation
Keywords Body image distress Breast cancer Mobile health Quality assessment Stigma Addressing these challenges Innovative application Valuable tool Guided mindfulness sessions Mindfulness interventions High user satisfaction Functionality Information Reliable support
Citations 6
Key points The MBC App received high ratings for functionality, aesthetics, information quality, and perceived impact, with moderate ratings for engagement and subjective quality, indicating it may be a promising tool for delivering mindfulness interventions to breast cancer survivors.

Abstract

This study aimed to develop and preliminarily assess the quality of a Mindfulness Breast Care (MBC) App to reduce body image distress and stigma among breast cancer survivors (BCSs). The development process of the MBC App involved: 1) establishing a research group; 2) determining of the content of the MBC App based on Mindfulness-Based Cognitive Therapy and 3) technical exploitation and maintenance. A mixed-methods study was conducted. We selected ten BCSs by a convenience sampling method. After using the APP for three months, five assessed the quality using the Mobile App Rating Scale: User Version (uMARS) and another five were interviewed for process evaluation. The MBC App was developed with three modules: 1) Library to provide health education information on body image, stigma, mindfulness, recovery and etc; 2) Mindfulness Yoga to offer 12 Hatha yoga videos for daily practice; and 3) Mindfulness Practices to have 12 sessions of mindfulness videoconferences. Based on the uMARS data, the MBC App received high ratings for functionality (4.10 ± 0.34), aesthetics (3.93 ± 0.55), information quality (4.10 ± 0.72), and perceived impact (4.03 ± 0.96), as well as moderate ratings for engagement (3.72 ± 0.94) and subjective quality (3.87 ± 0.77). Participants indicated that the MBC App provided reliable knowledge, information, and emotional support. Recommendations from participants included categorizing knowledge in the Library Module, recording videoconferences of mindfulness practice, and adding discussion sessions in the videoconference. Afterward, we optimized the MBC App to enhance the user experience accordingly. The MBC App offers online mindfulness interventions specifically for BCSs in China. The preliminary quality assessment indicates that the MBC App may be a promising tool for delivering mindfulness interventions to BCSs.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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