Perceptions of Myeloproliferative Neoplasm Patients Participating in an Online Yoga Intervention: A Qualitative Study

Abstract

Myeloproliferative neoplasms (MPNs) are rare hematological malignancies with a significant symptom burden often left unresolved despite recent advances in pharmacological therapy. Yoga is a nonpharmacological strategy that has been shown to improve symptoms in other cancers and may be effective for improving symptoms in MPN patients. Online yoga helps address many of the commonly reported barriers of cancer patients to in-person interventions and may make yoga more accessible to MPNs. An exploration of MPN patient perceptions of participation in online yoga is needed to tailor interventions to patient needs and inform future studies. The purpose of this study was to explore the perceptions of MPN patients participating in a 12-week online yoga intervention. This article represents the combined qualitative interview data from two studies. Participants were asked to complete 60 min/wk of online, home-based yoga and were asked to participate in a 15- to 20-minute phone interview postintervention. The qualitative data was coded in NVivo 11 for content analysis. The total sample included 39 MPN patients. Online yoga was well accepted and liked among these patients. They reported physical (eg, improved sleep, reduced fatigue) and mental (eg, reduced stress) health benefits and liked the convenience of being able to do yoga at home. Online yoga provides a feasible and attractive format through which to deliver a nonpharmacological intervention among MPN patients. Randomized controlled trials are needed to confirm the effects of online yoga on MPN patient symptoms. The qualitative findings presented here help inform the development of these future trials.

Impact of Host, Lifestyle and Environmental Factors in the Pathogenesis of MPN

“…One possible mechanism could be due to the influence of increased adiposity in the bone marrow which leads to enhanced megakaryocyte maturation and accelerated proplatelet formation in mice [80]. Interventions using yoga in MPN have been performed [81,82], however no interventional studies using more rigorous physical activity with the intent of weight reduction in MPN have been performed.…”

The Role of e-Health in the Delivery of Care for Patients with Hematological Cancers: A Systematic Literature Review

“…Six studies were RCTs, one a pre/post-design and the remainder explored feasibility and acceptability using qualitative or quantitative approaches. Four of the five qualitative studies employed content analysis [29][30][31][32] . Just under half of the studies (n=11) had a methodological quality rating of 50% or less, meeting two or less of the four MMAT grading criteria.…”

“…All studies (n=23) were conducted in countries of very high human development 20 , with the largest number (n=9) conducted in the USA [21][22][23][24][25][26][27][28][29] . Thirteen of the studies included patients with any type of cancer; the percentage of haematology patients included in these samples ranged from 8-70%.…”

“…The intervention increased participants' knowledge and helped them to manage distress. The final self-help intervention study used qualitative methods to explore patient acceptability of an online yoga intervention 29 . Participants reported positive effects including improved sleep, less fatigue and reduced stress.…”

Experiencia De Personas Con Cáncer Que Realizan Terapia Complementaria: Revisión Integrativa

“…Se identi caron 118 artículos, de los cuales debieron excluirse los que no tenían acceso a texto completo, los que se encontraron duplicados en la medida que se avanzaba en la recuperación en las bases de datos y los que no cumplieron con la rigurosidad metodológica según Gálvez (18) (Figura 1). Del análisis exhaustivo se seleccionaron 16 artículos (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) , que cumplieron los criterios de inclusión (Tabla 1). Sus resultados fueron interpretados mediante el análisis de contenido (35) y se identi caron las categorías referidas por los autores, sus similitudes y diferencias.…”