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A mindful self-compassion videoconference intervention for nationally recruited posttreatment young adult cancer survivors: feasibility, acceptability, and psychosocial outcomes.

Rebecca A Campo, Karen Bluth, Sheila J Santacroce, Sarah Knapik, Julia Tan, Stuart Gold, Kamaira Philips, Susan A Gaylord, Gary N Asher

Supportive Care in Cancer January 19, 2017 DOI: 10.1007/s00520-017-3586-y (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Single-arm feasibility study Randomized Peer reviewed
Sample size 34
Population Young adult cancer survivors ages 18-29, recruited nationally
Intervention Mindful Self-Compassion (MSC) intervention
Duration 8-week intervention with weekly 90-minute sessions
Measures intervention satisfaction scale
Topics Meditation
Keywords Humans Neoplasms Feasibility studies Empathy Telemedicine Quality of life Videoconferencing Adolescent Survivors Female Young adult Psychiatric rehabilitation Intervention Videoconference Feasibility study Self-compassion
Key points The authors report that an 8-week videoconference Mindful Self-Compassion intervention was feasible and acceptable for young adult cancer survivors: 84% attended at least six of eight sessions and satisfaction averaged 4.36 out of 5. All assessed psychosocial outcomes except resilience showed significant change from baseline to post-intervention, with medium to large effect sizes. They propose these findings can guide a future efficacy randomized controlled trial.

Abstract

Purpose: Young adult (YA) cancer survivors report substantial distress, social isolation, and body image concerns that can impede successful reintegration into life years after treatment completion. Mindful Self-Compassion (MSC) interventions focus on developing mindfulness and self-compassion for managing distress, hardships, and perceived personal inadequacies. An MSC intervention would be beneficial in supporting YA survivors' management of psychosocial challenges that arise in survivorship; however, a telehealth intervention modality is essential for reaching this geographically dispersed population. We conducted a single-arm feasibility study of an MSC 8-week videoconference intervention for nationally recruited YA survivors (ages 18-29).

Methods: The MSC intervention was group-based, 90-minute videoconference sessions, held weekly over 8 weeks, with audio-supplemented home practice. Feasibility and acceptability were assessed via attendance rate and an intervention satisfaction scale. Baseline to post-intervention changes in psychosocial outcomes (body image, anxiety, depression, social isolation, posttraumatic growth, resilience, self-compassion, mindfulness) were assessed using paired t tests and Cohen's d effect sizes.

Results: Thirty-four participants were consented and 25 attended a videoconference group. Feasibility was established with 84% attending at least six of the eight sessions, and intervention acceptability was high (M = 4.36, SD = 0.40, score range = 1-5). All psychosocial outcomes, except for resilience, demonstrated significant changes (p < 0.002), with medium to large effect sizes (Cohen's d > 0.5).

Conclusion: YA survivors are interested in receiving an MSC videoconference intervention. Feasibility, acceptance, and potential psychosocial benefits of the intervention were demonstrated. Findings can be applied toward the design of an efficacy randomized controlled trial to improve quality of life for YA survivors in transition after cancer treatment.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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