College of Nursing, University of South Florida, Tampa, FL, USA.
Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Psychooncology. 2018 Feb;27(2):524-531. doi: 10.1002/pon.4491. Epub 2017 Aug 8.
The purpose of this pilot study was to test the feasibility of delivering the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program using an iPad and to evaluate its impact on symptom improvement.
A single group, pre-posttest design was implemented among female stages 0-III breast cancer survivors (BCS) who completed treatment. Data were collected at baseline and week 6 on measures of psychological and physical symptoms and quality of life. The mMBSR(BC) program is a standardized, stress-reducing intervention that combines sitting and walking meditation, body scan, and yoga and is designed to deliver weekly 2-hour sessions for 6 weeks using an iPad.
The mean age of the 15 enrolled BCS was 57 years; one participant was non-Hispanic black, and 14 were non-Hispanic white. Of the 13 who completed the study, there were significant improvements from baseline to 6 weeks post-mMBSR(BC) in psychological and physical symptoms of depression, state anxiety, stress, fear of recurrence, sleep quality, fatigue, and quality of life (P's < .05). Effect sizes for improvements of multiple symptoms ranged from medium to large.
These results provide preliminary support that the mMBSR(BC) program may be feasible and acceptable, showing a clinical impact on decreasing psychological and physical symptoms. This mobile-based program offers a delivery of a standardized MBSR(BC) intervention to BCS that is convenient for their own schedule while decreasing symptom burden in the survivorship phase after treatment for breast cancer.
本初步研究旨在测试使用 iPad 提供移动正念减压乳腺癌(mMBSR(BC))方案的可行性,并评估其对症状改善的影响。
采用单组前后测试设计,纳入已完成治疗的 0-III 期女性乳腺癌幸存者(BCS)。在基线和第 6 周时,使用心理和生理症状及生活质量的测量工具收集数据。mMBSR(BC)方案是一种标准化的减压干预措施,结合坐式和行走冥想、身体扫描和瑜伽,旨在使用 iPad 每周提供 2 小时的 6 周课程。
15 名入组的 BCS 平均年龄为 57 岁;1 名参与者为非西班牙裔黑人,14 名为非西班牙裔白人。在完成研究的 13 名参与者中,从基线到 mMBSR(BC)后 6 周,抑郁、状态焦虑、压力、复发恐惧、睡眠质量、疲劳和生活质量的心理和生理症状均有显著改善(P 值均<.05)。多个症状改善的效应量从中等到大不等。
这些结果初步支持 mMBSR(BC)方案可能是可行且可接受的,对降低心理和生理症状具有临床影响。这种基于移动的方案为 BCS 提供了一种便利的标准化 MBSR(BC)干预措施,可减轻治疗后乳腺癌生存阶段的症状负担。