"A Hippo Out of Water": A Qualitative Inquiry of How Cancer Survivors' Experienced In-Person and Remote-Delivered Mind-Body Therapies.

Global advances in integrative medicine and health Pub Date : 2023-10-28 eCollection Date: 2023-01-01 DOI:10.1177/27536130231207807
Andrew Ian Gordon McLennan, Mohamad Baydoun, Devesh Oberoi, Linda Carlson
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Abstract

Background: Mind-body therapies (MBTs) are an effective treatment option for people living with and surviving from cancer to help manage unwanted physical and psychological symptoms and side-effects related to treatment and the illness itself. Many of these structured MBTs, such as Mindfulness Based Cancer Recovery (MBCR) and tai chi/qigong (TCQ) programs are common; however, COVID-19 caused most research intervention trials and clinical programs to halt completely, or rapidly adapt an online modality. The Mindfulness and Tai Chi for Cancer Health (MATCH) study, a large-scale study that compared MBCR to a structured TCQ program for treating psychological and physical health outcomes for cancer survivors, adapted to an online, Zoom delivered, program at the outset of COVID-19.

Objectives: Study objectives were to explore the experiences of MATCH study participants who took the MBCR or TCQ program completely in-person, those who took the program completely online (over zoom), and participants who had to shift from in-person to online delivery midway through their series of TCQ classes.

Methods: Semi-structured interviews were conducted with 13 participants following participation in either the MBCR or TCQ program of the MATCH study.

Results: We derived four themes from the data: 1) attending to personal needs, 2) functional, interpersonal, and COVID19-related challenges, 3) unique engagement styles based on mode of delivery, and 4) ease of transitioning to remote delivery. We found that thematic outcomes were variable and largely based on individual preference, such as valuing more autonomy online, or appreciating the interpersonal connection of being in-person. Our results further indicated that the process of shifting from in-person to online within a short time-period was a relatively seamless transition that had minimal impact on participant experience.

Conclusions: Insights from this study highlight the benefits of digital mind-body therapies for cancer survivors that extend beyond the acute effects of COVID19.

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“Hippo Out Water”:癌症幸存者如何体验人内和远程身心治疗的定性调查。
背景:心理疗法(MBT)是癌症患者和幸存者的有效治疗选择,有助于管理与治疗和疾病本身相关的不必要的身体和心理症状和副作用。许多这种结构化的MBT,如基于正念的癌症康复(MBCR)和太极/气功(TCQ)项目是常见的;然而,新冠肺炎导致大多数研究干预试验和临床项目完全停止,或迅速适应在线模式。正念和太极治疗癌症健康(MATCH)研究是一项大型研究,将MBCR与用于治疗癌症幸存者心理和身体健康结果的结构化TCQ计划进行了比较,目的:研究目的是探索MATCH研究参与者的经历,他们完全亲自参加MBCR或TCQ课程,完全在线(放大)参加课程,以及在TCQ系列课程中途不得不从亲自授课转为在线授课的参与者。方法:在参加MATCH研究的MBCR或TCQ项目后,对13名参与者进行半结构化访谈。结果:我们从数据中得出了四个主题:1)关注个人需求,2)功能、人际和新冠肺炎相关挑战,3)基于交付模式的独特参与风格,以及4)易于过渡到远程交付。我们发现,主题结果是可变的,很大程度上是基于个人偏好,比如重视更多的在线自主性,或者欣赏面对面的人际关系。我们的研究结果进一步表明,在短时间内从面对面转变为在线的过程是一个相对无缝的过渡,对参与者体验的影响最小。结论:这项研究的见解突出了数字身心疗法对癌症幸存者的益处,这些益处超出了COVID的急性影响19。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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