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Patients’ experiences of a mindfulness intervention for adults with advanced cancer: a qualitative analysis
Abstract
Purpose People with advanced cancer often experience significant emotional turmoil that accompanies their diagnosis and cancer-related treatments. Therefore, psychological interventions become relevant to address these impacts; however, there is a lack of research into the psychological support needs of those with advanced cancer (those not yet in palliative or end-of-life stages). In this context, we developed a mindfulness-based intervention, Coping with Cancer Mindfully (CCM), to provide psychological and emotional support to adults with advanced cancer. This article reports on qualitative interviews from a mixed method study of the CCM intervention exploring its utility and the extent it provides psychological support to this population in a pre-post-intervention design. Methods Adults with advanced cancer (stage III or IV) were recruited via cancer-related services in Christchurch, New Zealand. Thematic analysis was used to analyse the semi-structured interviews. Results Twenty participants were interviewed. Thematic analysis showed that at baseline, participants were experiencing distress but few had been offered psychological support; they reported feeling vulnerable and battling their cancers, and were seeking help. Post-intervention interviews reported that most participants' perspectives had shifted, from a state of vulnerability to one of self-encouragement, increased optimism, and taking new actions regarding their situations. The CCM intervention was identified a…
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Study participants across all nine studies described that they repeatedly used the learned skills, such as focusing on the breath or bodily sensations, in concrete situations.
“Study participants across all nine studies described that they repeatedly used the learned skills, such as focusing on the breath or bodily sensations, in concrete situations. 64-72”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [69]
One single-arm study suggests a significant effect of an MBI on coping measured with the Mindful Coping Scale.
“Furthermore, one single -arm study 63 suggests a significant effect of an MBI on coping measured with the Mindful Coping Scale. 82”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [63]
Interviewee's reports in seven studies indicated that the MBI promoted acceptance of challenges but also changes as a part of life.
“Interviewee's reports in seven studies indicated that the MBI promoted acceptance of challenges but also changes as a part of life. 64,65,67-71”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [69]
In five studies, patients reported a sense of general calm and inner strength.
“In five studies, patients reported a sense of general calm and inner strength. 66-70”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [69]
A more miscellaneous aspect identified in six studies was that practicing mindfulness was experienced as a time of contemplation with the self that opened a wider spiritual perspective.
“A more miscellaneous aspect identified in six studies was that practicing mindfulness was experienced as a time of contemplation with the self that opened a wider spiritual perspective 66-70,72”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [69]
Another aspect identified in five studies was a sense of clarity about priorities and acting accordingly.
“Another aspect identified in five studies was a sense of clarity about priorities and acting accordingly. 64,66-69”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [69]
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Metadata
- Authors
- Zimmermann, F. F., Burrell, B., & Jordan, J.
- Affiliations
- University of Otago (NZ)
- Corresponding author
- Zimmermann, Fernanda F.
- Venue
- Supportive Care in Cancer
- Published
- 2020-02-03
- Volume
- 28
- Issue
- 10
- Pages
- 4911-4921
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W3004527423
- Cited by
- 13
- References
- 37
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- advanced cancer, mindfulness-based interventions, psychological support, patient experience, emotional distress, acceptance, meaning in life, psychological intervention
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Emotions, Female, Humans, Male, Middle Aged, Neoplasm Staging, Neoplasms, New Zealand, Qualitative Research, Mindfulness
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