Being mindful of mindfulness interventions in cancer: A systematic review of intervention reporting and study methodology

Shaw, Joanne M.; Sekelja, Natasha; Frasca, Diana; Dhillon, Haryana M.; Price, Melanie A.

doi:10.1002/pon.4651

Cited by 20Mindfulness and Compassion InterventionsCancer survivorship and careReligion, Spirituality, and Psychology

Being mindful of mindfulness interventions in cancer: A systematic review of intervention reporting and study methodology

Shaw, Joanne M., Sekelja, Natasha, Frasca, Diana, Dhillon, Haryana M., Price, Melanie A.·2018·Psycho-Oncology

DOI 10.1002/pon.4651

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Abstract

Objectives: While mindfulness‐based stress reduction (MBSR) and mindfulness‐based cognitive therapy (MBCT) have demonstrated efficacy in clinical populations, the potential therapeutic benefit of mindfulness in the context of cancer is less clear. The aim of this review was to critically appraise mindfulness intervention reporting and study methodology. Methods: Studies using randomized control trial design and/or a control arm were included. PubMed, Medline, PsycINFO, CINAHL, and Embase databases between January 1999 and April 2017 were searched. Studies were assessed on (1) reported theoretical framework, (2) intervention description, and (3) justification of modifications to standardized MBSR/MBCT. The overall quality of study design and research methodology were also assessed. Results: Of 30 studies identified, none adhered to MBSR. Modified versions of MBSR were reported in 19 studies. Five studies reported variants of MBCT, 1 used a combination of MBSR/MBCT, and 5 inadequately documented the intervention/ theoretical framework. Overall, component and timeline modifications were poorly documented and justified. Mean intervention contact time was less than standardized MBSR/MBCT protocols. Target outcomes were poorly justified, and 12 studies failed to identify a primary aim, reporting multiple outcomes. Only 9 of 15 studies recruiting clinical populations included clinical cutoffs, and an active therapeutic control was included in 4 studies. Conclusions: Mindfulness is increasingly considered a standard therapy in psycho‐oncology. While many studies proclaim benefits, considerable variability, modification to standardized protocols, and claims of benefit often reflect decreases in sub‐clinical supportive care symptomology rather than therapeutic relief of clinically significant psychological disorders.

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A systematic review of MBIs and RCTs in cancer cohorts suggested most interventions were variable and poorly defined, that the protocol often changed during treatment and that information was gathered sometime after the MBI had been delivered.
“A systematic review of MBIs and RCTs in cancer cohorts suggested most interventions were variable and poorly defined, that the protocol often changed during treatment and that information was gathered sometime after the MBI had been delivered”
From Mindfulness for the self-management of negative coping, rumination and fears of compassion in people with cancer: An exploratory study (2023) · cites this paper as [32]
Two authors evaluated MBI quality using five criteria inspired by Shaw and colleagues.
“Two authors (LC and MJ) evaluated MBI quality using five criteria inspired by Shaw and colleagues.26”
From Mindfulness‐based interventions for psychological and physical health outcomes in cancer patients and survivors: A systematic review and meta‐analysis of randomized controlled trials (2019) · cites this paper as [26]

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Additional file 1 of Understanding the multilevel factors influencing the implementation of digital health interventions for supportive care in Adolescents and Young Adult (AYA) cancer survivorship: determinants of adopting mindfulness-based mobile applications
Kwok, G., Senger, A., Sharma, A., Mandato, I., & Devine, K. A. (2024) · Figshare · doi:10.6084/m9.figshare.26322642
Additional file 2 of Understanding the multilevel factors influencing the implementation of digital health interventions for supportive care in Adolescents and Young Adult (AYA) cancer survivorship: determinants of adopting mindfulness-based mobile applications
Kwok, G., Senger, A., Sharma, A., Mandato, I., & Devine, K. A. (2024) · Figshare · doi:10.6084/m9.figshare.26322759

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Authors: Shaw, J. M., Sekelja, N., Frasca, D., Dhillon, H. M., & Price, M. A.
Affiliations: The University of Sydney (AU)
Corresponding author: Shaw, Joanne M.
ORCID: Shaw, Joanne M.
Dhillon, Haryana M.
Venue: Psycho-Oncology
Publisher: Wiley
Published: 2018-03
Volume: 27
Issue: 4
Pages: 1162-1171
ISSN: 1057-9249 (ISSN-L)
1099-1611
DOI: 10.1002/pon.4651
OpenAlex: W2790598797
Cited by: 20
References: 45
Citations by year: 2025: 2 · 2024: 4 · 2022: 4 · 2021: 1 · 2020: 5 · 2019: 2 · 2018: 2
FWCI: 0.42
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Psycho-Oncology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Health › Religion, Spirituality, and Psychology
Keywords: mindfulness-based stress reduction, mindfulness-based cognitive therapy, mindfulness-based interventions, cancer, intervention reporting quality, protocol modification, research methodology, randomized controlled trials, psychological distress in cancer patients
MeSH terms: Mental Disorders, Clinical Trials as Topic, Female, Humans, Male, Neoplasms, Research Design, Stress, Psychological, Cognitive Behavioral Therapy, Mindfulness

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Being mindful of mindfulness interventions in cancer: A systematic review of intervention reporting and study methodology

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