Development of a dyadic mindfulness self-compassion intervention for patients with lung cancer and their family caregivers: A multi-method study.
Juan Li, Tianji Zhou, Chan Li, Jie Zou, Jie Zhang, Bo Yuan, Jingping Zhang
Asia-Pacific journal of oncology nursing November 15, 2024 DOI: 10.1016/j.apjon.2024.100622 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Intervention development study (multi-method, following Medical Research Council framework) Qualitative Peer reviewed |
|---|---|
| Population | Patients with lung cancer and their family caregivers (intervention target population) |
| Intervention | Dyadic Mindfulness Self-Compassion intervention |
| Duration | Six weekly sessions |
| Topics | Meditation |
| Keywords | Lung cancer Psychological stress Self-compassion Complex intervention Dyadic intervention |
| Registration | NCT04795700 |
| Key points | The authors developed a six-week dyadic Mindfulness Self-Compassion intervention with components targeting illness perception, mindfulness, self-compassion, communication, coping, and adaptation. They describe it as evidence-based, theory-driven, and culturally appropriate, and propose that future studies should assess its usability, feasibility, acceptability, satisfaction, and effectiveness. |
Abstract
Objective: Lung cancer and its prolonged treatment are profoundly unsettling for patients and their family caregivers, and developing dyadic measures to alleviate their negative affectivity is pivotal. This study aimed to develop a complex intervention to alleviate dyadic psychological stress among patients with lung cancer and their family caregivers.
Methods: A stepwise multi-method study was conducted following the Medical Research Council framework. Three phases were adopted, namely: (1) a preparation phase, a systematic review was conducted to identify the evidence base, (2) a development phase, empirical data from a quantitative study and a qualitative study were integrated to identify effective components, and (3) a modification phase, an online Delphi survey was carried out to refine the intervention.
Results: The dyadic Mindfulness Self-Compassion intervention developed in this study consists of six weekly sessions. The key components of the intervention include: (1) getting along with cancer (introductory session targets illness perception), (2) practising mindful awareness (core session for mindfulness), (3) defining dyadic relationships and introducing self-compassion (core session for self-compassion), (4) promoting dyadic communication (maintenance session targets communication skills), (5) promoting dyadic coping (maintenance session targets coping skills), and (6) a summary session reviewing the rewards and challenges of dyadic adaptation named embracing the future.
Conclusions: An evidence-based, theory-driven, and culturally appropriate dyadic Mindfulness Self-Compassion intervention was developed for patients with lung cancer and their family caregivers. Future studies are warranted to pilot and evaluate the usability, feasibility, acceptability, satisfaction, and effectiveness of this complex intervention.
Trial Registration: ClinicalTrial.gov NCT04795700.
Citations in the library
Cites 9
- A Randomized, Wait-List Controlled Clinical Trial: The Effect of a Mindfulness Meditation-Based Stress Reduction Program on Mood and Symptoms of Stress in Cancer Outpatients Psychosomatic Medicine September 1, 2000
- How Does Mindfulness Training Affect Health? A Mindfulness Stress Buffering Account Current Directions in Psychological Science December 1, 2014
- Mindfulness-Based Interventions for Survivors of Lung Cancer and Their Partners: A Systematic Review. International Journal of Behavioral Medicine October 2023
- Effectiveness of mindfulness-based interventions on anxiety, depression, and fatigue in people with lung cancer: A systematic review and meta-analysis. International Journal of Nursing Studies 2023
- Mindfulness-based stress reduction added to care as usual for lung cancer patients and/or their partners: A multicentre randomized controlled trial. Psycho-Oncology December 2017
and 4 more in the library