Mindfulness-Based Group Medical Visits: Strategies to Improve Equitable Access and Inclusion for Diverse Patients in Cancer Treatment.
| Autor: | Mishra, Kavita K., Leung, Ivan C., Chao, Maria T., Thompson-Lastad, Ariana, Pollak, Christine, Dhruva, Anand, Hartogensis, Wendy, Lister, Michael, Cheng, Stephanie W., Atreya, Chloe E. |
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| Předmět: |
TUMOR treatment
HEALTH services accessibility EMOTION regulation DIVERSITY & inclusion policies ASIAN Americans AFRICAN Americans QUALITATIVE research SELF-efficacy RESEARCH funding MINDFULNESS CANCER patient medical care PILOT projects HISPANIC Americans MEDICAL care WHITE people PSYCHOLOGICAL adaptation INTERNET RACE TELEMEDICINE METASTASIS THEMATIC analysis MIND & body therapies BREATHING exercises GROUP medical appointments FOOD habits MEDITATION ATTITUDES of medical personnel QUALITY assurance INTERPERSONAL relations CULTURAL pluralism RELAXATION techniques PATIENTS' attitudes |
| Zdroj: | Global Advances in Integrative Medicine & Health; 6/17/2024, p1-13, 13p |
| Abstrakt: | Background: Mindfulness-based interventions (MBIs) are supported by clinical practice guidelines as effective non-pharmacologic interventions for common symptoms experienced by cancer patients, including anxiety, depression, and fatigue. However, the evidence predominately derives from White breast cancer survivors. Racial and ethnic minority patients have less access to integrative oncology care and worse cancer outcomes. To address these gaps, we designed and piloted a series of mindfulness-based group medical visits (MB-GMVs), embedded into comprehensive cancer care, for racially and ethnically diverse patients in cancer treatment. Methods: As a quality improvement project, we launched a telehealth MB-GMV series for patients undergoing cancer treatment, delivered as four weekly 2-hour visits billable to insurance. Content was concordant with evidence-based guidelines and established MBIs and adapted to improve cultural relevance and fit (eg, access-centered, trauma-informed, with inclusive communication practices). Program structure was adapted to address barriers to participation, with ≥50% slots per series reserved for racial and ethnic minority patients. Intake surveys incorporated a demographic questionnaire and symptom assessments. Evaluations were sent following the visits. Results: In our first ten cohorts (n = 78), 80% of referred patients enrolled. Participants were: 22% Asian, 14% Black, 17% Latino, 45% non-Latino White; 65% female; with a median age of 54 years (range 27-79); and 80% had metastatic cancer. Common baseline symptoms included lack of energy, difficulty sleeping, and worrying. Most patients (90%) attended ≥3 visits. On final evaluations, 87% patients rated the series as "excellent"; 81% "strongly agreed" that they liked the GMV format; and 92% would "definitely" recommend the series to others. Qualitative themes included empowerment and connectedness. Conclusion: Telehealth GMVs are a feasible, acceptable, and financially sustainable model for increasing access to MBIs. Diverse patients in active cancer treatment were able to participate and reported high levels of satisfaction with this series that was tailored to center health equity and inclusion. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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