Online Couple-Based Meditation Intervention for Patients With Primary or Metastatic Brain Tumors and Their Partners: Results of a Pilot Randomized Controlled Trial
Open accessAbstract
Objectives Although patients with primary and metastatic brain tumors and their partners are at risk of experiencing high symptom burden, they are often excluded from psychosocial intervention studies. Thus, we sought to examine the feasibility and preliminary efficacy of a couple-based meditation (CBM) program targeting symptom and well-being outcomes.Methods Couples completed baseline measures assessing symptom and well-being outcomes and were randomized to the CBM or a usual care control group. Couples in the CBM groups attended four weekly (60 minutes each) therapist-led sessions that were delivered via FaceTime (Apple Inc, Cupertino, CA). The CBM program focused on cultivating mindfulness, compassion, gratitude and purpose, and integrated emotional disclosure exercises. Both groups were reassessed six and 12 weeks after baseline.Results We approached 60 eligible dyads, of which 37 (62%) consented, 35 (95%) were randomized, and 22 (63%) completed all assessments. Couples in the CBM group attended a mean of 3.33 sessions (SD 1.09). For patients, significant group differences in favor of the CBM group were found for cognitive (d = 1.05) and general disease symptoms (d = 0.93), and relationship well-being (d = 0.68) and compassion (d = 0.96). No significant group differences were revealed for partners.Conclusion It seems to be feasible, acceptable, and possibly efficacious to deliver a dyadic intervention via FaceTime to brain tumor couples. Although both patients and partners in the CBM group rated the intervention as beneficial, significant group differences with medium-to-large effect sizes were only found for patients.
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One included study included brain tumor patients at various stages and their caregivers.
“one study included brain tumor patients at various stages and their caregivers [22].”
From Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review. (2023) · cites this paper as [22]
The Methods (Participants) confirm that the study enrolled patients with malignant glioma or cancer metastatic to the brain and their spouse or romantic partner. The Results (Participant Characteristics) show that both primary and metastatic brain tumors were represented, but our copy does not establish that patients were included at various disease stages. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe most common method was a weekly session for a total of 6 weeks or 8 weeks with a length of approximately 60 min per session.
“The most common method was a weekly session for a total of 6 weeks [19, 20, 24, 27] or 8 weeks [25, 28, 29] with a length of approximately 60 min per session [21, 22, 27, 29, 30].”
From Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review. (2023) · cites this paper as [22]
Five included studies included only spouses or partners.
“Five studies included only spouses or partners [21, 22, 27–29].”
From Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review. (2023) · cites this paper as [22]
Eight of the 12 included studies were pilot studies.
“Eight studies were pilot studies [19–26].”
From Third-wave cognitive behavioral therapies for caregivers of cancer patients: a scoping review. (2023) · cites this paper as [22]
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- Authors
- Milbury, K., Weathers, S.-P., Durrani, S., Li, Y., Whisenant, M., Li, J., Lim, B., Weinberg, J. S., Kesler, S. R., Cohen, L., & Bruera, E.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- The University of Texas at Austin (US)
- Corresponding author
- Milbury, Kathrin
- ORCID
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 59
- Issue
- 6
- Pages
- 1260-1267
- ISSN
- 0885-3924 (ISSN-L)
- PMC
- PMC11816621
- OpenAlex
- W3005986074
- Cited by
- 68
- References
- 44
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 9 · 2023: 14 · 2022: 12 · 2021: 6 · 2020: 2
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Texas MD Anderson Cancer Center
- National Center for Complementary and Integrative Health (K01 AT007559)
- National Institutes of Health
- 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
- brain tumors, brain metastases, dyadic intervention, online intervention, FaceTime, mindfulness, compassion, gratitude, emotional disclosure, relational well-being, symptom burden, feasibility, psychosocial interventions
- MeSH terms
- Brain Neoplasms, Empathy, Humans, Pilot Projects, Meditation, Mindfulness
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