A Mindfulness-Based Intervention for Adolescents and Young Adults After Cancer Treatment: Effects on Quality of Life, Emotional Distress, and Cognitive Vulnerability

Gucht, Katleen Van der; Takano, Keisuke; Labarque, Veerle; Vandenabeele, Karen; Nolf, Nathalie; Kuylen, Sanne; Cosyns, Veerle; Broeck, Nady Van; Kuppens, Peter; Raes, Filip

doi:10.1089/jayao.2016.0070

Cited by 44 publications

(61 citation statements)

References 58 publications

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“…Overall, AYA used the program and responded positively to it, offering useful suggestions for improvement. This study extends the small body of research on the use of mindfulness-based programs for AYA with cancer [17], offers further support for the use of Facebook as a tool to offer social support to young people managing a health condition [36], and suggests that it may be acceptable to deliver this content through a mobile device to AYA who have experienced sarcoma.…”

Section: Discussionsupporting

confidence: 57%

“…Sleep difficulties are common among AYA with cancer [39], so it is important to get feedback on modifications to the app that might help with sleep. Given that others have reported that mindfulness may be helpful for AYA dealing with the experience of cancer [17], the main implication from our study is that it may be feasible to deliver an MBI to AYA with sarcoma using mobile technology. Mobile-based interventions can be used to complement or extend the benefits of in-person programs.…”

Section: Discussionmentioning

confidence: 97%

“…To date, very few studies have focused on the effect of MBIs in AYA with cancer. However, AYA cancer survivors who completed an 8-week MBI showed a significant reduction in emotional distress and improvement in quality of life, a significant reduction in negative attitudes toward self, and a significant improvement in mindfulness skills at a 3-month follow-up [17].…”

Section: Introductionmentioning

confidence: 99%

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A Mobile-Based Mindfulness and Social Support Program for Adolescents and Young Adults With Sarcoma: Development and Pilot Testing

Donovan¹,

Martin²,

Seidman³

et al. 2019

JMIR Mhealth Uhealth

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Background Approximately 70,000 adolescents and young adults (AYA) are diagnosed with cancer each year in the United States. Sarcomas carry a particularly high symptom burden and are some of the most common cancers among AYA. Recent work has documented significant levels of unmet needs among AYA with cancer, particularly the need for psychosocial support. Mobile technology may be a cost-effective and efficient way to deliver a psychosocial intervention to AYA with cancer and cancer survivors. Objective The two aims of this study were to (1) develop a pilot version of a mobile-based mindfulness and social support program and (2) evaluate program usage and acceptability. An exploratory aim was to examine change in psychosocial outcomes. Methods Thirty-seven AYA with sarcoma or sarcoma survivors, parents, and health care providers participated in the study. Semistructured interviews were conducted with 10 AYA, parents of five of the adolescents, and six health care providers. Themes from the interviews helped to inform the development of a mobile-based mindfulness pilot program and a companion Facebook-based social support group. Twenty AYA consented to participate in a single-arm pre-post evaluation of the program; 17 downloaded the app and joined the Facebook group. Seven of these participants had participated in the semistructured interviews. Six additional health care providers consented to participate in the evaluation stage. Results On average, participants completed 16.9 of the 28 unique sessions and used the mindfulness app for a mean 10.2 (SD 8.2) days during the 28-day evaluation period. The majority of participants (16/17) engaged in the social group and posted at least one reply to the moderator’s prompts. The mean number of responses per person to the moderator of the social group was 15.2 of 31 (49%, range 0%-97%). Both AYA and health care providers responded positively to the Mindfulness for Resilience in Illness program and offered useful recommendations for improvements. Exploratory psychosocial analyses indicated there were no significant differences from pretest to posttest on measures of perceived social support, mindfulness, body image, or psychological functioning. Conclusions This study offers preliminary support for the feasibility and acceptability of a mobile-based mindfulness and Facebook-based social support program for AYA with sarcoma. The feedback from AYA and health care providers will assist in creating a fully developed intervention. Trial Registration ClinicalTrials.gov NCT03130751; https://clinicaltrials.gov/ct2/show/NCT03130751

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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A Mobile-Based Mindfulness and Social Support Program for Adolescents and Young Adults With Sarcoma: Development and Pilot Testing

Donovan¹,

Martin²,

Seidman³

et al. 2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

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“…These benefits are congruent with other mindfulness-based intervention findings and self-compassion correlational studies in cancer populations. Mindfulness-based programs without a self-compassion focus have been shown to decrease anxiety and depressive symptoms(Zhang, 2015), increase overall wellbeing and quality of life, and have small but significant positive impact on biomarkers and physical health in adult cancer populations (Rouleau, Garland, & Carlson, 2015), with a recent single-arm mindfulness-based intervention showing similar promise for adolescent and young adult counterparts (Gucht et al, 2017). Research also supports that higher levels of self-compassion correlate with lower levels of stress and depression in adult cancer patients (Pinto-Gouveia et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Young adult cancer survivors’ experiences with a mindful self-compassion (MSC) video-chat intervention: A qualitative analysis

et al. 2018

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Young adult cancer survivors (YACS) are a vulnerable population that reports high anxiety, social isolation, and feelings of inadequacy after cancer treatment completion. Mindful self-compassion (MSC) provides strategies for coping with suffering. We explored how MSC practices addressed the psychosocial needs of a nationally recruited YACS sample (N=20, all female, age M=27.00, various cancer types) that participated in an 8-week MSC video-chat intervention. Descriptive qualitative analysis of the intervention recordings revealed three YACS’ psychosocial needs: peer isolation, body concerns, and health-related anxiety. MSC practices addressed these in a number of ways including: self-reliance for emotional support, common humanity within the YACS community, gratitude, self-kindness, and acceptance. Meanwhile, the body scan practice initially triggered distress for some; implications are discussed.

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“…A PubMed search was conducted to search for articles containing the keywords "HIV", "youth", "stress",' and "mindfulness", yielding 5 results. [1][2][3][4][5] Results regarding diagnoses other than HIV were excluded (Van der Gucht et al 1 ), leaving four primary research results which are reviewed below.…”

Section: Related Literaturementioning

confidence: 99%

Mindfulness therapy is an effective adjunctive treatment for adolescents living with HIV

Rea

2020

Clin. Res. Pract.

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A Mindfulness-Based Intervention for Adolescents and Young Adults After Cancer Treatment: Effects on Quality of Life, Emotional Distress, and Cognitive Vulnerability

Abstract: MBI is a promising approach that is used to treat emotional distress and to improve QoL in AYAC survivors. Further research using randomized controlled trials is needed to generalize these findings. Trial registration information: www.trialregister.nl ; NTR4358.

Cited by 44 publications

References 58 publications

A Mobile-Based Mindfulness and Social Support Program for Adolescents and Young Adults With Sarcoma: Development and Pilot Testing

A Mobile-Based Mindfulness and Social Support Program for Adolescents and Young Adults With Sarcoma: Development and Pilot Testing

Young adult cancer survivors’ experiences with a mindful self-compassion (MSC) video-chat intervention: A qualitative analysis

Mindfulness therapy is an effective adjunctive treatment for adolescents living with HIV

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