A virtual resiliency program for lymphoma survivors: helping survivors cope with post-treatment challenges

Perez, Giselle K.; Walsh, Emily A.; Quain, Katharine; Abramson, Jeremy S.; Park, Elyse R.

doi:10.1080/08870446.2020.1849699

Cited by 13 publications

(12 citation statements)

References 36 publications

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“…Participants were asked to provide hair samples to measure potential changes in cortisol (ie, a stress hormone). We found that hair cortisol sampling was feasible in a similar behavioral trial conducted with posttreatment lymphoma survivors [46].…”

Section: Hair Cortisol Measurementmentioning

confidence: 89%

“…The Bounce Back program was adapted from an existing evidence-based mind-body program, the SMART-3RP [27]. The SMART-3RP has been proven to decrease stress and improve psychological and physical health symptoms among several different patient populations [46,[50][51][52][53]. Offering a tailored mind-body program centered on the RR to AYAs may help mitigate the negative psychological and physiological effects of stress in the early posttreatment period.…”

Section: Discussionmentioning

confidence: 99%

“…With a sample size of 60 participants, we would have 80% power to demonstrate a difference of 15% from our preset criterion with a one-sided significance level of .05. Therefore, we believe our sample size of 72, accounting for 10%-15% attrition based on prior trials [46], will be sufficient to answer our questions about feasibility and acceptability.…”

Section: Sample Size and Power Calculationsmentioning

confidence: 99%

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Randomized Waitlist-Control Trial of a Web-Based Stress-Management and Resiliency Program for Adolescent and Young Adult Cancer Survivors: Protocol for the Bounce Back Study

Mizrach¹,

Goshe²,

Park³

et al. 2022

JMIR Res Protoc

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Background The emotional health of adolescent and young adult (AYA) cancer survivors is compromised both during and after cancer treatment. Targeted programs designed to support AYAs’ ability to cope with stress in the years following treatment completion are lacking. Mind-body programs may ameliorate the negative psychological and emotional effects of stress and assist AYAs with managing the psychosocial challenges of early survivorship. Objective Our randomized waitlist-control trial aims to assess the feasibility, acceptability, and preliminary efficacy of a virtual group program (Bounce Back) to promote stress management and resiliency among posttreatment AYAs. Methods Bounce Back is a stress management and resiliency program delivered via videoconference by a trained mental health clinician. Sessions were adapted from an evidence-based mind-body program (Stress Management and Resiliency Training - Relaxation Response Resiliency Program [SMART-3RP]) grounded in relaxation response elicitation, mindfulness, cognitive behavioral therapy, and positive psychology. Seventy-two AYAs (diagnosed with cancer between ages 14 years and 29 years and had completed cancer treatment within the last 5 years) were randomly assigned to the Bounce Back program or waitlist-control group and completed assessments at baseline, 3 months postbaseline, and 6 months postbaseline. The primary aim of the study is to determine the feasibility and acceptability of the Bounce Back program. Descriptive statistics, including means, frequencies, and ranges supplemented by qualitative exit interview feedback will be used to characterize the sample and to summarize feasibility and acceptability. The exploratory aims are to evaluate the preliminary effects of the program on stress coping and psychosocial outcome measures (ie, anxiety, depression) collected across the 3 time points. Results This study was funded by the National Cancer Institute in July 2017. Study procedures were approved by the Dana-Farber Harvard Cancer Center Institutional Review Board in October 2018 (Protocol 18-428). The randomized trial was conducted from July 2019 to March 2021. Quantitative data collection is complete, and qualitative exit interview data collection is ongoing. Results are expected to be published in peer-reviewed journals and presented at local, national, or international meetings in the coming years. Conclusions Few evidence-based programs exist that tackle the key transitional issues faced by AYA cancer survivors. Future analyses will help us determine the feasibility and acceptability of the Bounce Back program and its impact on AYA stress coping and psychological well-being. Trial Registration ClinicalTrials.gov NCT03768336; https://clinicaltrials.gov/ct2/show/NCT03768336 International Registered Report Identifier (IRRID) DERR1-10.2196/34033

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Section: Hair Cortisol Measurementmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Sample Size and Power Calculationsmentioning

confidence: 99%

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Randomized Waitlist-Control Trial of a Web-Based Stress-Management and Resiliency Program for Adolescent and Young Adult Cancer Survivors: Protocol for the Bounce Back Study

Mizrach¹,

Goshe²,

Park³

et al. 2022

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

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“…Research by our group and others has demonstrated the promise of resiliency interventions that integrate these practices into a cohesive intervention for addressing other survivorship populations. 38 , 43 , 52 Randomized trials are needed to confirm whether cancer survivors with elevated FOR find this integrated approach to be appealing and associated with clinically-meaningful benefits. Optimization designs such as multiphase optimization strategy 53 are complementary with the ORBIT framework and could be used to explicate the efficacy of various combinations of mind-body skills, as has been done with cognitive-behavioral techniques for managing FOR.…”

Section: Discussionmentioning

confidence: 99%

A Multi-step Approach to Adapting a Mind-Body Resiliency Intervention for Fear of Cancer Recurrence and Uncertainty in Survivorship (IN FOCUS)

Hall

Yeh

O’Cleirigh

et al. 2022

Glob Adv Health Med

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Background: For cancer survivors, there is a paucity of fear of recurrence (FOR) interventions that integrate empirically supported mind-body and psychological skills for managing FOR and are delivered in scalable formats. Objective: To adapt an evidence-based resiliency intervention to address FOR among cancer survivors. Methods: A multidisciplinary team of researchers, clinicians, and patient stakeholders followed an iterative intervention adaptation process (ORBIT). In Step 1, we sought to define key FOR management skills through a literature review and feedback from stakeholders. In Step 2, we integrated findings into a treatment manual and refined procedures for in-person delivery to groups of cancer survivors. In Step 3, we conducted a single arm trial to assess initial acceptability and change in FOR severity with 23 cancer survivors (N=4 intervention groups). In Step 4, we conducted additional qualitative interviews with 28 cancer survivors (N=6 focus groups stratified by FOR severity, N=15 individual interviews) to define adaptive and maladaptive strategies for coping with FOR and to identify preferences for delivery. In Step 5, we refined the treatment manual and procedures for testing in a future pilot randomized feasibility trial. Results: We identified critical feedback using a combination of qualitative and quantitative methods. The single arm trial suggested preliminary feasibility and sustained reductions in FOR severity, yet need for refinement (i.e., eligibility, delivery modality), prompting additional qualitative interviews for further targeting. The resulting intervention (IN FOCUS) is comprised of virtual, synchronous, group-delivered sessions that offer an integrated approach to FOR management by teaching cognitive-behavioral techniques, meditation, relaxation training, adaptive health behaviors, and positive psychology skills. Sessions are targeted by applying skills to FOR and associated healthcare engagement. Conclusions: IN FOCUS is a targeted intervention for teaching mind-body resiliency skills to groups of cancer survivors with elevated FOR. Next steps are testing feasibility in a pilot randomized trial.

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“…Publications on psychological response to malignant disease such as lymphoma emphasize the role of coping skills training to promote optimal coping styles and alter non-constructive thought patterns, which may adversely affect adherence to treatment and quality of life of patients with a malignant disease [34]. An exploratory mixed methods study by Perez [35] assessed the e cacy of stress adaptation and resilience promoting program for a sample of 26 adult lymphoma survivors who completed treatment in the previous two years. The procedure consisted of two phases.…”

Section: Promoting Resilience In Lymphoma Survivorsmentioning

confidence: 99%

Psychological care over patients with lymphoma and lymphoma survivors.

Warchoł-Biedermann

Mojs

Samborski

et al. 2022

Preprint

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Purpose Lymphomas are characterized by a relatively favorable prognosis and a good five-year survival rate but they are associated with increased psychosocial distress. There is a gap in the knowledge on the effectiveness of psychological interventions for lymphoma patients. This review aimed to present the research findings on currently used psychological interventions for (non-) Hodgkin lymphoma patients and survivors. Methods A literature search on English language peer-reviewed original publications on psychological interventions for lymphoma patients published prior to December 2021 was performed in PubMed, Medline, Web of Science, Scopus and ResearchGate. Titles and abstracts were screened for the relevant terms including psychological intervention and psychological management along with (non-) Hodgkin lymphoma. The retrieved articles were evaluated by independent reviewers, the lists of eligible publications were compared and disagreements were resolved by discussion. Results Of the 50 publications sought for retrieval, 8 articles were shortlisted based on their content. The papers were classified according to their content and the methodology employed. Research themes including "promoting resilience in lymphoma survivors", "web-based self-management interventions for patients with lymphoma", "addressing unmet needs whilst undergoing chemotherapy", and "mind-body interactive exercise" were identified and presented in this review. Conclusions As the number of lymphoma survivors is increasing, future research on evidence-based interventions addressing patients' and survivors' unmet psychological needs is warranted.

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A virtual resiliency program for lymphoma survivors: helping survivors cope with post-treatment challenges

Cited by 13 publications

References 36 publications

Randomized Waitlist-Control Trial of a Web-Based Stress-Management and Resiliency Program for Adolescent and Young Adult Cancer Survivors: Protocol for the Bounce Back Study

Randomized Waitlist-Control Trial of a Web-Based Stress-Management and Resiliency Program for Adolescent and Young Adult Cancer Survivors: Protocol for the Bounce Back Study

A Multi-step Approach to Adapting a Mind-Body Resiliency Intervention for Fear of Cancer Recurrence and Uncertainty in Survivorship (IN FOCUS)

Psychological care over patients with lymphoma and lymphoma survivors.

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