Virtual Mind-Body Programming for Patients With Cancer During the COVID-19 Pandemic: Qualitative Study (Preprint)

Emard, Nicholas; Lynch, Kathleen; Liou, Kevin T; Atkinson, Tom; Green, Angela K; Daly, Bobby; McConnell, Kelly M.; Mao, Jun J.

doi:10.2196/preprints.27384

Cited by 4 publications

(5 citation statements)

References 38 publications

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“…Although we did not assess the participants' satisfaction through objective measurement, the parents who could tell the effect on their children through their facial expressions, actions, postures and voices at a close distance mentioned that the children grew brighter and happier and were satisfied after completing a regular physical activity. This is in line with the results of a previous qualitative study of the effects of a videoconferencing‐based programme, which comprised fitness, yoga, tai chi, dance therapy, music therapy and meditation, on patients with cancer (Emard et al, 2021). The programme strengthened the psychological coping of participants, provided motivation and promoted adherence to health behaviours (Emard et al, 2021).…”

Section: Discussionsupporting

confidence: 88%

“…This is in line with the results of a previous qualitative study of the effects of a videoconferencing‐based programme, which comprised fitness, yoga, tai chi, dance therapy, music therapy and meditation, on patients with cancer (Emard et al, 2021). The programme strengthened the psychological coping of participants, provided motivation and promoted adherence to health behaviours (Emard et al, 2021).…”

Section: Discussionsupporting

confidence: 88%

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Feasibility and benefits of a videoconferencing‐based home exercise programme for paediatric cancer survivors during the coronavirus disease 2019 pandemic

Kim

Chae

Park

2022

European J Cancer Care

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Objective We aimed to determine the feasibility and benefits of a videoconferencing‐based home exercise programme to improve health‐related quality of life (HRQOL), posttraumatic growth and physical strength levels of paediatric cancer survivors during the coronavirus disease 2019 (COVID‐19). Methods Eight paediatric cancer survivors participated in the intervention for 8 weeks. The programme comprised home exercise sessions administered using Zoom, a videoconferencing platform. The supervised exercise sessions were performed two times per week; the participants were taught to perform joint exercises at home for the remaining 5 days of the week. HRQOL, posttraumatic growth and physical strength levels were assessed at baseline and after the intervention. Results The rates of recruitment, retention and attendance were 52.9%, 88.9% and 98.4%, respectively. There were no cases of adverse events. The programme significantly improved flexibility ( z = −2.21, p = 0.03), muscle strength ( z = −2.67, p = 0.01) and power ( z = −2.41, p = 0.02) among five domains of physical fitness measured using a physical activity promotion system and also improved total physical strength ( z = −2.67, p = 0.01). Posttraumatic growth decreased slightly, whereas HRQOL improved slightly; however, the change was not statistically significant. Conclusion The study findings present preliminary evidence of the feasibility and benefits of this videoconferencing‐based home exercise programme among paediatric cancer survivors.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Feasibility and benefits of a videoconferencing‐based home exercise programme for paediatric cancer survivors during the coronavirus disease 2019 pandemic

Kim

Chae

Park

2022

European J Cancer Care

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“…During COVID-19 restrictions, many yoga classes transitioned to telemedicine, yet there remain few published reports. [21][22][23][24] Among these, 2 studies transitioned from inperson to online intervention delivery during COVID-19 22,23 and a third study offered a variety of mind-body sessions to support psychological coping. 24 All these studies were conducted in group or dyad setups and found virtual yoga delivery acceptable and beneficial during COVID-19 social distancing restrictions.…”

Section: Introductionmentioning

confidence: 99%

“…[21][22][23][24] Among these, 2 studies transitioned from inperson to online intervention delivery during COVID-19 22,23 and a third study offered a variety of mind-body sessions to support psychological coping. 24 All these studies were conducted in group or dyad setups and found virtual yoga delivery acceptable and beneficial during COVID-19 social distancing restrictions. There are no studies reporting oneon-one yoga via telehealth in cancer populations during COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Yoga Therapy in Cancer Care via Telehealth During the COVID-19 Pandemic

et al. 2022

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Background: Yoga is an evidence-based mind-body practice known to improve physical and mental health in cancer patients. We report on the processes and patient-reported outcomes of one-on-one yoga therapy (YT) consultations delivered via telehealth. Methods: For patients completing a YT consultation between March 2020 and October 2021, we examined demographics, reasons for referral, and self-reported symptom burden before and after one YT session using the Edmonton Symptom Assessment Scale (ESAS). Changes in ESAS symptom and subscale scores [physical distress (PHS), psychological distress (PSS), and global distress (GDS)] were evaluated by Wilcoxon signed-rank test. Descriptive statistics summarized the data. Results: Ninety-seven initial YT consults were completed, with data evaluated for 95 patient encounters. The majority were women (83.2%) and white (75.8%), The mean age for females was 54.0 and for males was 53.4; the most common diagnosis was breast cancer (48%), 32.6% had metastatic disease, and nearly half (48.4%) were employed full-time. Mental health (43.0%) was the most common reason for referral, followed by fatigue (13.2%) and sleep disturbances (11.7%). The highest symptoms at baseline were sleep disturbance (4.3), followed by anxiety (3.7) and fatigue (3.5). YT lead to clinically and statistically significant reductions in PHS (mean change = −3.1, P < .001) and GDS (mean change = −5.1, P < .001) and significant reductions in PSS (mean change = −1.6, P < .001). Examination of specific symptom scores revealed clinically and statistically significant reductions in anxiety (mean change score −1.34, P < .001) and fatigue (mean change score −1.22, P < .001). Exploratory analyses of patients scoring ≥1 for specific symptoms pre-YT revealed clinically and statistically significant improvements in almost all symptoms and those scoring ≥4 pre-YT. Conclusions: As part of an integrative oncology outpatient consultation service, a single YT intervention delivered via telehealth contributed to a significant improvement in global, physical, and psychosocial distress. Additional research is warranted to explore the long-term sustainability of the improvement in symptoms.

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“…The rationale for virtually delivered interventions to manage IBS is increasing due to limited healthcare resources and higher cost-effectiveness (16,17). A yoga program delivered virtually is convenient, feasible, and effective in a COVID-19 setting in other diseases (e.g., cancer, heart disease, or chronic obstructive pulmonary disease) (18)(19)(20) and postpandemic where virtual care is accepted and expected. Effectiveness outcomes from these intervention nonrandomized studies included improved symptoms and functional performance, QOL, sleep quality, mental health, and reduced fatigue.…”

Section: Introductionmentioning

confidence: 99%

Meditation and Yoga for Irritable Bowel Syndrome: A Randomized Clinical Trial

et al. 2022

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INTRODUCTION:Delivered in person, yoga is effective in managing irritable bowel syndrome (IBS) symptoms. The evidence for efficacy, feasibility, and safety of virtually delivered yoga for patients with IBS is unknown.METHODS:Adults diagnosed with IBS were randomized to either Hatha yoga intervention of 8 weekly online classes delivered virtually or an advice-only control group and assessed at baseline and postintervention. We used an unadjusted ANOVA to determine differences between and within groups on the primary outcome (decrease of ≥50 points in IBS Symptom Severity Scale [IBS-SSS]) and secondary outcomes (quality of life, anxiety and depression, fatigue, somatic symptoms, perceived stress, COVID-19 stress, and self-compassion). We assessed feasibility through recruitment and attrition rates, adherence, participant satisfaction, and safety (i.e., adverse events).RESULTS:Seventy-nine people participated (mean age 45.4 years [SD = 14.0], 92% women, 20% attrition rate). IBS-SSS decreased significantly in the treatment group (Δchange = 54.7, P = 0.028), but not in the control group (Δchange = 22.6, P = 0.277). Fourteen patients (37%) in the yoga group reached a clinically relevant decrease of ≥50 points on the IBS-SSS postintervention compared with 8 patients (20%) in the control group (P = 0.242). No significant difference was found between groups in IBS-SSS score postintervention (P = 0.149), but significant differences in favor of the treatment group for quality of life (P = 0.030), fatigue (P = 0.035), and perceived stress (P = 0.040) were identified. The yoga program demonstrated feasibility. Intention to practice yoga decreased significantly in both groups from baseline to postintervention (P < 0.001). However, the decline in intention did not correlate with practice minutes.DISCUSSION:Virtually delivered yoga is safe and feasible, and effective in reducing IBS symptoms. Based on the primary end point, the intervention was not superior to an advice-only control group.

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Virtual Mind-Body Programming for Patients With Cancer During the COVID-19 Pandemic: Qualitative Study (Preprint)

Cited by 4 publications

References 38 publications

Feasibility and benefits of a videoconferencing‐based home exercise programme for paediatric cancer survivors during the coronavirus disease 2019 pandemic

Feasibility and benefits of a videoconferencing‐based home exercise programme for paediatric cancer survivors during the coronavirus disease 2019 pandemic

Yoga Therapy in Cancer Care via Telehealth During the COVID-19 Pandemic

Meditation and Yoga for Irritable Bowel Syndrome: A Randomized Clinical Trial

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