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Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study.
Support Care Cancer 2019; 27(11):4307-4316SC

Abstract

PURPOSE

Patients with metastatic breast cancer (MBC) experience high levels of symptoms. Yoga interventions have shown promise for improving cancer symptoms but have rarely been tested in patients with advanced disease. This study examined the acceptability of a comprehensive yoga program for MBC and the feasibility of conducting a randomized trial testing the intervention.

METHODS

Sixty-three women with MBC were randomized with a 2:1 allocation to yoga or a support group comparison condition. Both interventions involved eight weekly group sessions. Feasibility was quantified using rates of accrual, attrition, and session attendance. Acceptability was assessed with a standardized self-report measure. Pain, fatigue, sleep quality, psychological distress, mindfulness, and functional capacity were assessed at baseline, post-intervention, and 3 and 6 months post-intervention.

RESULTS

We met goals for accrual and retention, with 50% of eligible patients enrolled and 87% of randomized participants completing post-intervention surveys. Sixty-five percent of women in the yoga condition and 90% in the support group attended ≥ 4 sessions. Eighty percent of participants in the yoga condition and 65% in the support group indicated that they were highly satisfied with the intervention. Following treatment, women in the yoga intervention had modest improvements in some outcomes; however, overall symptom levels were low for women in both conditions.

CONCLUSIONS

Findings suggest that the yoga intervention content was highly acceptable to patients with MBC, but that there are challenges to implementing an intervention involving eight group-based in-person sessions. Alternative modes of delivery may be necessary to reach patients most in need of intervention.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 90399, Durham, NC, 27708, USA. laura.porter@duke.edu.Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, NC, 27705, USA.Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.Department of Medicine, Duke University Medical Center, Box 2628, Durham, NC, 27710, USA.Memorial Sloan Kettering Cancer Center, 1250 First Avenue, New York, NY, 10065, and Weill Cornell Medical Center, New York, NY, USA. Department of Medicine, Duke University Medical Center, Box 3459, Durham, NC, 27710, USA.Department of Medicine, Duke University Medical Center, Box 3459, Durham, NC, 27710, USA.Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 90399, Durham, NC, 27708, USA.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30877596

Citation

Porter, Laura S., et al. "Feasibility of a Mindful Yoga Program for Women With Metastatic Breast Cancer: Results of a Randomized Pilot Study." Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 27, no. 11, 2019, pp. 4307-4316.
Porter LS, Carson JW, Olsen M, et al. Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. Support Care Cancer. 2019;27(11):4307-4316.
Porter, L. S., Carson, J. W., Olsen, M., Carson, K. M., Sanders, L., Jones, L., ... Keefe, F. J. (2019). Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 27(11), pp. 4307-4316. doi:10.1007/s00520-019-04710-7.
Porter LS, et al. Feasibility of a Mindful Yoga Program for Women With Metastatic Breast Cancer: Results of a Randomized Pilot Study. Support Care Cancer. 2019;27(11):4307-4316. PubMed PMID: 30877596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. AU - Porter,Laura S, AU - Carson,James W, AU - Olsen,Maren, AU - Carson,Kimberly M, AU - Sanders,Linda, AU - Jones,Lee, AU - Westbrook,Kelly, AU - Keefe,Francis J, Y1 - 2019/03/15/ PY - 2018/09/04/received PY - 2019/02/18/accepted PY - 2020/11/01/pmc-release PY - 2019/3/17/pubmed PY - 2020/1/16/medline PY - 2019/3/17/entrez KW - Metastatic breast cancer KW - Randomized trial KW - Symptom management KW - Yoga SP - 4307 EP - 4316 JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JO - Support Care Cancer VL - 27 IS - 11 N2 - PURPOSE: Patients with metastatic breast cancer (MBC) experience high levels of symptoms. Yoga interventions have shown promise for improving cancer symptoms but have rarely been tested in patients with advanced disease. This study examined the acceptability of a comprehensive yoga program for MBC and the feasibility of conducting a randomized trial testing the intervention. METHODS: Sixty-three women with MBC were randomized with a 2:1 allocation to yoga or a support group comparison condition. Both interventions involved eight weekly group sessions. Feasibility was quantified using rates of accrual, attrition, and session attendance. Acceptability was assessed with a standardized self-report measure. Pain, fatigue, sleep quality, psychological distress, mindfulness, and functional capacity were assessed at baseline, post-intervention, and 3 and 6 months post-intervention. RESULTS: We met goals for accrual and retention, with 50% of eligible patients enrolled and 87% of randomized participants completing post-intervention surveys. Sixty-five percent of women in the yoga condition and 90% in the support group attended ≥ 4 sessions. Eighty percent of participants in the yoga condition and 65% in the support group indicated that they were highly satisfied with the intervention. Following treatment, women in the yoga intervention had modest improvements in some outcomes; however, overall symptom levels were low for women in both conditions. CONCLUSIONS: Findings suggest that the yoga intervention content was highly acceptable to patients with MBC, but that there are challenges to implementing an intervention involving eight group-based in-person sessions. Alternative modes of delivery may be necessary to reach patients most in need of intervention. SN - 1433-7339 UR - https://www.unboundmedicine.com/medline/citation/30877596/Feasibility_of_a_mindful_yoga_program_for_women_with_metastatic_breast_cancer:_results_of_a_randomized_pilot_study_ L2 - https://dx.doi.org/10.1007/s00520-019-04710-7 DB - PRIME DP - Unbound Medicine ER -