一项探索针灸、瑜伽和正念冥想用于乳腺癌后体重管理的可行性和可接受性的定性研究。
A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer.
作者信息
Ee Carolyn, Singleton Anna C, de Manincor Michael, Elder Elisabeth, Davis Nikki, Mitchell Christine, Dune Tinashe, MacMillan Freya, McBride Kate, Grant Suzanne
机构信息
Western Sydney University, Penrith, NSW, Australia.
Engagement and Co-Design Research Hub, Faculty of Medicine and Health, School of Health Sciences, University of Sydney, Westmead, NSW, Australia.
出版信息
Integr Cancer Ther. 2022 Jan-Dec;21:15347354221099540. doi: 10.1177/15347354221099540.
INTRODUCTION
Weight gain is common after breast cancer. Yoga, mindfulness meditation, and acupuncture may assist with managing weight. However, evidence on effectiveness is limited. This study assessed the feasibility and acceptability of recruiting for and implementing a randomized controlled trial (RCT) evaluating these interventions as adjuncts to lifestyle interventions (diet and exercise) for weight management in women with breast cancer.
METHODS
Qualitative study involving virtual focus groups or semi-structured interviews. Participants were recruited via email invitation from a breast cancer consumer organization and breast cancer center in Australia. Eligible participants had received treatment for breast cancer, and were fluent in English. A purposive sample of culturally and linguistically diverse (CALD) participants was also recruited. Focus groups and interviews were audio-recorded, transcribed verbatim and analyzed using thematic analysis with the constant comparison method.
RESULTS
Emails were sent to 1415 women of which 37 provided data in 5 focus groups and 1 semi-structured interview, including 1 focus group (n = 6) with only women from CALD backgrounds. Yoga and mindfulness meditation were perceived as feasible and acceptable for weight management, but acupuncture was seen to be too invasive to be acceptable. A focus on wellness rather than weight reduction, flexible program delivery, trusted advice, consideration of participant burden and benefit, and peer-support were key factors perceived to increase feasibility and acceptability.
CONCLUSIONS
Yoga and mindfulness meditation are acceptable and useful adjuncts to lifestyle interventions for weight management after breast cancer. This research places end-users at the forefront of trial design, and will inform future trials using these interventions for weight management and improving health and wellbeing after breast cancer.
引言
乳腺癌后体重增加很常见。瑜伽、正念冥想和针灸可能有助于控制体重。然而，关于其有效性的证据有限。本研究评估了招募并实施一项随机对照试验（RCT）的可行性和可接受性，该试验旨在评估这些干预措施作为生活方式干预（饮食和运动）的辅助手段，用于乳腺癌女性体重管理的效果。
方法
采用定性研究，包括虚拟焦点小组或半结构式访谈。通过电子邮件邀请澳大利亚一个乳腺癌消费者组织和乳腺癌中心的参与者。符合条件的参与者已接受过乳腺癌治疗，且英语流利。还招募了具有文化和语言多样性（CALD）的目标样本参与者。焦点小组和访谈进行了录音，逐字转录，并使用恒定比较法进行主题分析。
结果
共向1415名女性发送了电子邮件，其中37人在5个焦点小组和1次半结构式访谈中提供了数据，包括1个仅由CALD背景女性组成的焦点小组（n = 6）。瑜伽和正念冥想被认为对于体重管理是可行且可接受的，但针灸被认为侵入性太大而不可接受。关注健康而非减重、灵活的项目实施方式、可靠的建议、考虑参与者的负担和益处以及同伴支持是被认为可提高可行性和可接受性的关键因素。
结论
瑜伽和正念冥想是乳腺癌后体重管理生活方式干预中可接受且有用的辅助手段。本研究将最终用户置于试验设计的前沿，并将为未来使用这些干预措施进行体重管理以及改善乳腺癌后健康和福祉的试验提供参考。
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