Personalized Mind–Body Medicine in Integrative Oncology: Meeting the Moment with Each Patient

Mishra, Kavita; Victorson, David; Mehta, Darshan; Vago, David R.

doi:10.1089/jicm.2022.0562

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…We tailored the MBI as a clinical service for patients in active cancer treatment by using a 4-session format and by including content on common cancer and treatment-associated symptoms, as well as mindfulness practices as evidence-based cancer risk-reduction strategies (eg, increasing activity), which still apply after a cancer diagnosis. In addition to prescribing daily meditation practice, we focused on micro-practices or “MBM snacks” 39 (eg, brief breathing techniques) for times of acute stress and mindful awareness in activities of daily life for when patients were short on energy or time. Emphasis was placed on meditation qualities of open awareness and friendliness vs concentration.…”

Section: Methodsmentioning

confidence: 99%

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Mindfulness-Based Group Medical Visits: Strategies to Improve Equitable Access and Inclusion for Diverse Patients in Cancer Treatment

Mishra,

Leung,

Chao

et al. 2024

Global Advances in Integrative Medicine and Health

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Background Mindfulness-based interventions (MBIs) are supported by clinical practice guidelines as effective non-pharmacologic interventions for common symptoms experienced by cancer patients, including anxiety, depression, and fatigue. However, the evidence predominately derives from White breast cancer survivors. Racial and ethnic minority patients have less access to integrative oncology care and worse cancer outcomes. To address these gaps, we designed and piloted a series of mindfulness-based group medical visits (MB-GMVs), embedded into comprehensive cancer care, for racially and ethnically diverse patients in cancer treatment. Methods As a quality improvement project, we launched a telehealth MB-GMV series for patients undergoing cancer treatment, delivered as four weekly 2-hour visits billable to insurance. Content was concordant with evidence-based guidelines and established MBIs and adapted to improve cultural relevance and fit (eg, access-centered, trauma-informed, with inclusive communication practices). Program structure was adapted to address barriers to participation, with ≥50% slots per series reserved for racial and ethnic minority patients. Intake surveys incorporated a demographic questionnaire and symptom assessments. Evaluations were sent following the visits. Results In our first ten cohorts (n = 78), 80% of referred patients enrolled. Participants were: 22% Asian, 14% Black, 17% Latino, 45% non-Latino White; 65% female; with a median age of 54 years (range 27-79); and 80% had metastatic cancer. Common baseline symptoms included lack of energy, difficulty sleeping, and worrying. Most patients (90%) attended ≥3 visits. On final evaluations, 87% patients rated the series as “excellent”; 81% “strongly agreed” that they liked the GMV format; and 92% would “definitely” recommend the series to others. Qualitative themes included empowerment and connectedness. Conclusion Telehealth GMVs are a feasible, acceptable, and financially sustainable model for increasing access to MBIs. Diverse patients in active cancer treatment were able to participate and reported high levels of satisfaction with this series that was tailored to center health equity and inclusion.

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Section: Methodsmentioning

confidence: 99%

“…This should include personalized mind-body medicine (MBM), described by Mishra et al as appropriate and effective application of MBM for patients of varying backgrounds, inclinations, and abilities. 20 …”

Section: Introductionmentioning

confidence: 99%