Online Couple-Based Meditation Intervention for Patients With Primary or Metastatic Brain Tumors and Their Partners: Results of a Pilot Randomized Controlled Trial

Milbury, Kathrin; Weathers, Shiao-Pei; Durrani, Sania; Li, Yisheng; Whisenant, Meagan; Li, Jing; Weinberg, Jeffrey S.; Kesler, Shelli R.; Cohen, Lorenzo; Bruera, Éduardo

doi:10.1016/j.jpainsymman.2020.02.004

Cited by 38 publications

(132 citation statements)

References 36 publications

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“…Five studies included high‐grade glioma (HGG) patients, two included patients with low‐grade glioma (LGG) or benign tumour, whereas seven included mixed gliomas or tumour subtypes, including one study involving adolescent and young adult survivors of paediatric brain tumours ( M age: 18 years). One study included individuals with primary (63%) and metastatic brain tumours 41 and another did not specify tumour type 42 . At time of recruitment, participants in 50% of the studies were receiving initial treatment or post‐treatment follow‐up (≤3 months), whereas remaining studies involved participants at varying disease stages and time since diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…A RCT by Milbury et al 41 evaluated the feasibility, acceptability and preliminary efficacy of a couple‐based meditation (CBM) program for individuals with primary (63%) or metastatic brain tumours and their partners. Thirty‐seven dyads (62% accrual) were randomly allocated to CBM or usual care.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, rates of accrual (percentage enrolled) across the 16 studies ranged from 25% 49 to 100% 42 ( M = 68%), whereas adherence or completion rates varied from 29% 45 to 100% 42 ( M = 74%). Derived from satisfaction data (i.e., ratings of satisfaction, benefits and usability), intervention acceptability ranged from 71% 38 to 100% 41 ( M = 81%) for participants completing the intervention. For studies examining levels of adherence and efficacy outcomes, there was an overall pattern of higher adherence and/or more evidence of clinical gains for interventions involving synchronous communication 41–43,48,53 as opposed to asynchronous or self‐guided interventions 45,47,49,50,52 …”

Section: Resultsmentioning

confidence: 99%

“…For example, 80%–100% of patients remained engaged in telephone‐based support over several months in four studies 42,43,48,53 . Similarly, adherence or program completion was moderate to high (63%–95%) in videoconferencing interventions 38,41,54 …”

Section: Discussionmentioning

confidence: 99%

“…In the studies evaluating efficacy, there was mixed evidence from RCTs with non‐significant findings reported by Boele and colleagues 52 ; yet, significant functional gains were associated with telehealth interventions in two RCTs 41,49 . The evidence of efficacy was also mixed in non‐randomised group, 42,47 single‐arm 39,48 and case series designs 51,53 .…”

Section: Discussionmentioning

confidence: 99%

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Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

et al. 2020

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Objective Telehealth platforms have potential utility for providing remote access to supportive care to people with brain tumour. This systematic review aimed to evaluate the feasibility, acceptability and efficacy of delivering supportive care via telehealth platforms to adults with primary brain tumour and family caregivers. Methods A systematic search of PsycINFO, MEDLINE, CINAHL, Embase, Scopus and Cochrane Library was conducted from 1980 to 1st June 2020 to identify eligible studies. Methodological quality was assessed by two independent reviewers. Results Seventeen articles, reporting on 16 studies, evaluated telephone‐based support (5 studies), videoconferencing (3 studies), web‐based programs and resources (7 studies) or combined use of videoconferencing and web‐based modules (1 study) to deliver supportive care remotely. Caregivers were involved in 31% of interventions. Mean rates of accrual (68%) and adherence (74%) were moderate, whereas acceptability or satisfaction for those completing the interventions was typically high (M satisfied or very satisfied = 81%). Adherence rates were generally higher and clinical gains were more evident for interventions involving real‐time interaction as opposed to self‐guided interventions. Conclusions Telehealth delivery of supportive care is feasible and acceptable to a high proportion of individuals with primary brain tumour and their caregivers. It is recommended that future research focuses on implementation outcomes, including factors influencing the uptake and sustainability of telehealth platforms in practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

et al. 2020

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Interventions for preventing and ameliorating cognitive deficits in adults treated with cranial irradiation

Kirkman

Day

Gehring

et al. 2022

Cochrane Database of Systematic Reviews

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Feasibility, usability, and acceptability of psychoeducational videoconferencing interventions for informal caregivers: A systematic review of randomized controlled trials

Sang,

Hirschman,

Bowles

2023

Research in Nursing & Health

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Psychoeducational videoconferencing interventions bypass traditional in‐person barriers to attendance and are effective in improving caregiving skills, self‐care, and wellness among informal caregivers. Information on their feasibility, usability, and acceptability from the caregivers' perspective is needed to inform future designs and developments. This systematic review follows PRISMA 2020 guidelines to integrate this information. Five databases were systematically searched for relevant randomized control trials published between January 2012 and December 2022. Reference lists were cross‐checked for additional studies. Relevant studies were appraised and had their data extracted. This review contains 14 randomized controlled trials. Retention rates ranged from 55.56% to 100%, and major reasons for withdrawing include deteriorating patient health, lack of interest, and technical difficulties (feasibility). Caregivers found the videoconference technology usable, although participants in one intervention experienced poor connectivity and persistent technical issues (usability). Most caregivers were satisfied with videoconferencing interventions, found their content applicable to their situation, and appreciated their structure (acceptability). Those in videoconferencing group interventions were satisfied with small caregiver group sizes (acceptability). Adding respite care to interventions and incorporating short and regular videoconferencing sessions may improve feasibility. Ensuring small group sizes in videoconferencing group interventions and using participatory design may enhance acceptability. Advocacy is needed for employees identifying as informal caregivers to receive employer support and for quality connectivity within underserved areas. This may improve the feasibility and usability of interventions, allowing caregivers to receive the support they need. In future studies, power analyses and recruiting more caregivers may better assess feasibility.

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Online Couple-Based Meditation Intervention for Patients With Primary or Metastatic Brain Tumors and Their Partners: Results of a Pilot Randomized Controlled Trial

Cited by 38 publications

References 36 publications

Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

Interventions for preventing and ameliorating cognitive deficits in adults treated with cranial irradiation

Feasibility, usability, and acceptability of psychoeducational videoconferencing interventions for informal caregivers: A systematic review of randomized controlled trials

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