Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors

作者：Lengacher Cecile A^*; Reich Richard R; Ramesar Sophia; Alinat Carissa B; Moscoso Manolete; Cousin Lakeshia; Marino Victoria R; Elias Maya N; Paterson Carly L; Pleasant Michelle L; Rodriguez Carmen S; Wang Hsiao Lan; Kip Kevin E; Meng Hongdao; Park Jong Y

来源：Psycho-Oncology, 2018, 27(2): 524-531.

DOI：10.1002/pon.4491

• breast cancer survivors
• mobile-based
• MBSR
• quality of life
• symptom managment

ObjectiveThe 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.
MethodsA 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 6weeks using an iPad.
ResultsThe mean age of the 15 enrolled BCS was 57years; 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 6weeks 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.
ConclusionsThese 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.

• 出版日期2018-2