Randomized Feasibility Study of Meditative Practices in Hospitalized Cancer Patients

Autor: Santhosshi Narayanan MD, Akhila Reddy MD, Gabriel Lopez MD, Wenli Liu MD, Jimin Wu MS, Diane Liu MS, Joana Manzano MD, Janet L. Williams MD, Smitha Mallaiah MS, Marina George MD, Jaya Amaram MD, Balachandar Subramaniam MD, Lorenzo Cohen PhD, Eduardo Bruera MD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Integrative Cancer Therapies, Vol 19 (2020)
Druh dokumentu: article
ISSN: 1534-7354
1552-695X
15347354
DOI: 10.1177/1534735420909903
Popis: Introduction: There is limited research regarding the benefits of mind-body practices such as meditation in hospitalized patients with an active diagnosis of any cancer type. Methods: We conducted a prospective, randomized, clinical trial (NCT03445572) comparing 2 meditative practices—Isha Kriya (IK) and meditative slow breathing (MSB)—versus wait-list controls in hospitalized cancer patients. Our aim was to determine the feasibility of meditation practice in cancer inpatients. Feasibility was defined as recruitment of more than 50% of the eligible patients approached and at least 60% of the patients having meditated at least 4 days by day 7. Acceptability was assessed on day 7 as a positive response on at least 2 questions on the modified Global Symptom Evaluation (GSE) scale. Results: Forty patients (39% of the eligible patients approached) consented to participate in the study and were randomly assigned to the MSB (n = 13), IK (n = 14), or wait-list (n = 13) groups. Of the 27 patients assigned to receive MSB and IK meditations, day 7 data were available for 18 patients. Fifteen of the 18 patients meditated at least once in the first 7 days, and most (12/15) responded positively on the GSE. Conclusion: Both IK and MSB meditations were acceptable among the hospitalized cancer patients. Feasibility for enrollment and practice was likely not achieved due to limited uninterrupted time for daily meditation, high levels of morbidity in some participants, and limited research staff support. Shorter term outcomes should be explored in future meditation studies involving hospitalized cancer patients.
Databáze: Directory of Open Access Journals
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