Mindfulness-Based Interventions and Homework Interference with Cancer Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/602534
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Mindfulness-Based Interventions and Homework Interference with Cancer Patients
Author(s):
Krug, Jacquelyn Tracy
Lead Author STTI Affiliation:
Non-member
Author Details:
Jacquelyn Tracy Krug, RN, jkrug@wgu.edu.com
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Abstract:  A wealth of studies exist to the efficacy of mindfulness-based interventions with cancer patients but few reflect homework behaviors.  The aim of this study was to add to the literature by examining the pre-post intervention scores with the group membership variable eliminated and to explore interfering homework variables. Research Problem: The need exist in further understanding the impact a mindfulness-based intervention has on the psychological and physical symptoms of a cancer patient.  Research has shown that two mindfulness-based approaches have been implemented with cancer patients, namely mindfulness-based stressed reduction (MBSR) and mindfulness-based cognitive therapy (MBCT).  Research maintains each intervention employs a positive influence on the cancer patient’s symptoms.  Further study is needed to rule out the influences of group membership as a positive influence on the patient’s outcomes and to further understand what variables interfere with the patient’s completion of their homework.  This study looked to explore the patient’s personal experience with a mindfulness-based intervention and the factors that interfered with the completion of weekly homework as part of the intervention. Research Method: The methodological approach used for this research study was quasi experimental. Three instruments were utilized for the study comprising two Likert scales and a survey.  The participants were nine cancer patients recruited for a six-week mindfulness-based program consisting of both MBSR (Mindfulness-based Stress Reduction) and MBCT (Mindfulness-based Cognitive Therapy).  Each week the subjects were introduced to a new daily mindfulness exercise and were asked to monitor six variables before and after each exercise (the homework).  These variables were:  pain, sadness, shame, anger, fear, and joy.  The subjects also monitored six variables likely to interfere with homework completion: family obligation, motivation, overwhelmed, relationship, pain, and depression/mood.  The mindfulness exercises were as follows:  Breathing Mindfully, Inner-Outer Shuttle, Body Awareness, Safe Place Visualization, Loving Kindness, and Walking Mindfully.  Results: A t -test analysis was completed on the pre and post intervention scores resulting in a significance of p <.05 in each category: pain ( p <.000301), sadness ( p <.000268), shame ( p <.004028), anger ( p <.000223), fear ( p <.003262) and joy ( p <.002928)).  A trending analysis also supports these findings. Reliability and validity were not attached to the homework findings, as the assessment tool was designed by the researcher and not yet tested.  It was found that subjects reported family obligation or motivation to interfere 67-68% of the time with the completion of their daily mindfulness homework. Conclusion:  This research study proposed to further understand the impact a mindfulness-based intervention had on cancer patients’ emotions and pain levels and to learn the variables that interfered with their mindfulness homework completion. The findings did support that mindfulness-based interventions did have a positive impact on the cancer patients’ emotions and pain levels.  The findings also identified common variables that interfered with the subjects completing their mindfulness homework, namely, family obligations, motivation, and depression.  What the research doesn’t detail is the human side of the study.  One subject, who was terrified of needles, told the story of going to the hospital for a blood transfusion, a frequent ordeal, and said, “I just told myself to breathe and start at my toes and work my way up” and the fear and anxiety was at a level one nurse could handle!  Another subject was so taken with the mindfulness program that she passed it on to her family members to practice.  Still another shared that focusing on mindfulness helped prepare her for her medical appointments especially after being newly diagnosed with another cancer.  Yet, the most poignant story came from a subject who had just been informed by his doctors that there were no more options left for him; his response was, “What do I do now?  It’s all about perspective.  Isn’t it?  This stuff (mindfulness) is about the now so I just stick with what I have right now.”  
Keywords:
Cancer; Complementary and Alternative Medicine; Mindfulness-based Intervention
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15RS1.48
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleMindfulness-Based Interventions and Homework Interference with Cancer Patientsen
dc.contributor.authorKrug, Jacquelyn Tracyen
dc.contributor.departmentNon-memberen
dc.author.detailsJacquelyn Tracy Krug, RN, jkrug@wgu.edu.comen
dc.identifier.urihttp://hdl.handle.net/10755/602534en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Abstract:  A wealth of studies exist to the efficacy of mindfulness-based interventions with cancer patients but few reflect homework behaviors.  The aim of this study was to add to the literature by examining the pre-post intervention scores with the group membership variable eliminated and to explore interfering homework variables. Research Problem: The need exist in further understanding the impact a mindfulness-based intervention has on the psychological and physical symptoms of a cancer patient.  Research has shown that two mindfulness-based approaches have been implemented with cancer patients, namely mindfulness-based stressed reduction (MBSR) and mindfulness-based cognitive therapy (MBCT).  Research maintains each intervention employs a positive influence on the cancer patient’s symptoms.  Further study is needed to rule out the influences of group membership as a positive influence on the patient’s outcomes and to further understand what variables interfere with the patient’s completion of their homework.  This study looked to explore the patient’s personal experience with a mindfulness-based intervention and the factors that interfered with the completion of weekly homework as part of the intervention. Research Method: The methodological approach used for this research study was quasi experimental. Three instruments were utilized for the study comprising two Likert scales and a survey.  The participants were nine cancer patients recruited for a six-week mindfulness-based program consisting of both MBSR (Mindfulness-based Stress Reduction) and MBCT (Mindfulness-based Cognitive Therapy).  Each week the subjects were introduced to a new daily mindfulness exercise and were asked to monitor six variables before and after each exercise (the homework).  These variables were:  pain, sadness, shame, anger, fear, and joy.  The subjects also monitored six variables likely to interfere with homework completion: family obligation, motivation, overwhelmed, relationship, pain, and depression/mood.  The mindfulness exercises were as follows:  Breathing Mindfully, Inner-Outer Shuttle, Body Awareness, Safe Place Visualization, Loving Kindness, and Walking Mindfully.  Results: A t -test analysis was completed on the pre and post intervention scores resulting in a significance of p <.05 in each category: pain ( p <.000301), sadness ( p <.000268), shame ( p <.004028), anger ( p <.000223), fear ( p <.003262) and joy ( p <.002928)).  A trending analysis also supports these findings. Reliability and validity were not attached to the homework findings, as the assessment tool was designed by the researcher and not yet tested.  It was found that subjects reported family obligation or motivation to interfere 67-68% of the time with the completion of their daily mindfulness homework. Conclusion:  This research study proposed to further understand the impact a mindfulness-based intervention had on cancer patients’ emotions and pain levels and to learn the variables that interfered with their mindfulness homework completion. The findings did support that mindfulness-based interventions did have a positive impact on the cancer patients’ emotions and pain levels.  The findings also identified common variables that interfered with the subjects completing their mindfulness homework, namely, family obligations, motivation, and depression.  What the research doesn’t detail is the human side of the study.  One subject, who was terrified of needles, told the story of going to the hospital for a blood transfusion, a frequent ordeal, and said, “I just told myself to breathe and start at my toes and work my way up” and the fear and anxiety was at a level one nurse could handle!  Another subject was so taken with the mindfulness program that she passed it on to her family members to practice.  Still another shared that focusing on mindfulness helped prepare her for her medical appointments especially after being newly diagnosed with another cancer.  Yet, the most poignant story came from a subject who had just been informed by his doctors that there were no more options left for him; his response was, “What do I do now?  It’s all about perspective.  Isn’t it?  This stuff (mindfulness) is about the now so I just stick with what I have right now.”  en
dc.subjectCanceren
dc.subjectComplementary and Alternative Medicineen
dc.subjectMindfulness-based Interventionen
dc.date.available2016-03-21T16:31:08Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:31:08Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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