A Randomized Wait-List Controlled Trial of Feasibility and Efficacy of an Online Mindfulness–Based Cancer Recovery Program: The eTherapy for Cancer Applying Mindfulness Trial

Zernicke, Kristin A.; Campbell, Tavis S.; Speca, Michael; McCabe-Ruff, Kelley; Flowers, Steven; Carlson, Linda E.

doi:10.1097/psy.0000000000000053

Cited by 187Cancer survivorship and careMindfulness and Compassion InterventionsDigital Mental Health Interventions

A Randomized Wait-List Controlled Trial of Feasibility and Efficacy of an Online Mindfulness–Based Cancer Recovery Program: The eTherapy for Cancer Applying Mindfulness Trial

Zernicke, Kristin A., Campbell, Tavis S., Speca, Michael, McCabe-Ruff, Kelley, Flowers, Steven, Carlson, Linda E.·2014·Psychosomatic Medicine

DOI 10.1097/psy.0000000000000053

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Abstract

OBJECTIVE: A treatment-as-usual randomized wait-list controlled trial was conducted to investigate the feasibility and impact of an online synchronous Mindfulness-Based Cancer Recovery (MBCR) group program for underserved distressed cancer survivors. METHODS: Sixty-two men and women exhibiting moderate to high distress within 3 years of completing primary cancer treatment without access to in-person MBCR were randomized to either immediate online MBCR (n = 30) or to wait for the next available program (n = 32). Participants completed questionnaires preintervention and postintervention or wait period online. Program evaluations were completed after MBCR. Feasibility was tracked through monitoring eligibility and participation through the protocol. Intent-to-treat mixed-model analyses for repeated measures were conducted. RESULTS: Feasibility targets for recruitment and retention were achieved, and participants were satisfied and would recommend online MBCR. There were significant improvements and moderate Cohen d effect sizes in the online MBCR group relative to controls after MBCR for total scores of mood disturbance (d = 0.44, p = .049), stress symptoms (d = 0.49, p = .021), spirituality (d = 0.37, p = .040), and mindfully acting with awareness (d = 0.50, p = .026). Main effects of time were observed for posttraumatic growth and remaining mindfulness facets. CONCLUSIONS: Results provide evidence for the feasibility and efficacy of an online adaptation of MBCR for the reduction of mood disturbance and stress symptoms, as well as an increase in spirituality and mindfully acting with awareness compared with a treatment-as-usual wait-list. Future study using larger active control RCT designs is warranted. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01476891.

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iMBIs have shown to be efficacious in treating psychological distress among cancer patients and survivors.
“Recently, internet-delivered Mindfulness-Based Interventions (iMBIs) has also shown to be efficacious in treating psychological distress among cancer patients and –survivors (Nissen et al., 2020; Compen et al., 2018; Zernicke et al., 2014; Bruggemann-Everts et al., 2015; Matis et al., 2020)”
From Internet-delivered Mindfulness-Based Cognitive Therapy for anxiety and depression in cancer survivors: Predictors of treatment response (2021) · cites this paper as Zernicke et al., 2014

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A randomized trial comparing live and telemedicine deliveries of an imagery‐based behavioral intervention for breast cancer survivors: reducing symptoms and barriers to care
Freeman, L. W., White, R., Ratcliff, C. G., Sutton, S., Stewart, M., Palmer, J. L., Link, J., & Cohen, L. G. (2014) · Psycho-Oncology · doi:10.1002/pon.3656 · Cited by 106 · see citing works
Are spiritual interventions beneficial to patients with cancer?
Xing, L., Guo, X., Bai, L., Qian, J., & Chen, J. (2018) · Medicine · doi:10.1097/md.0000000000011948 · Cited by 114 · see citing works
The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain
Poulin, P. A., Romanow, H. C., Rahbari, N., Small, R., Smyth, C. E., Hatchard, T., Solomon, B. K., Song, X., Harris, C. A., Kowal, J., et al. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3243-x · Cited by 89 · see citing works
A Mindfulness-Based Intervention as a Supportive Care Strategy for Patients with Metastatic Non-Small Cell Lung Cancer and Their Spouses: Results of a Three-Arm Pilot Randomized Controlled Trial
Milbury, K., Li, Y., Durrani, S., Liao, Z., Tsao, A. S., Carmack, C., Cohen, L., & Bruera, E. (2020) · The Oncologist · doi:10.1634/theoncologist.2020-0125 · Cited by 78 · see citing works
Online couples mindfulness-based intervention for young breast cancer survivors and their partners: A randomized-control trial
Price-Blackshear, M. A., Pratscher, S. D., Oyler, D. L., Armer, J. M., Cheng, A.-L., Cheng, M. X., Records, K., Udmuangpia, T., Carson, J. W., & Ann Bettencourt, B. (2020) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2020.1778150 · Cited by 76 · see citing works
Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research (Preprint)
Matis, J., Svetlak, M., Slezackova, A., Svoboda, M., & Šumec, R. (2020) · doi:10.2196/preprints.20709 · Cited by 81 · see citing works
Digital Health Interventions for Adult Patients With Cancer Evaluated in Randomized Controlled Trials: Scoping Review
Lee, K., Kim, S., Kim, S. H., Yoo, S., Sung, J. H., Oh, E. G., Kim, N. W., & Lee, J. (2023) · Journal of Medical Internet Research · doi:10.2196/38333 · Cited by 79 · see citing works
An online randomized controlled trial, with or without problem-solving treatment, for long-term cancer survivors after hematopoietic cell transplantation
Syrjala, K. L., Yi, J. C., Artherholt, S. B., Romano, J. M., Crouch, M.-L., Fiscalini, A. S., Hegel, M. T., Flowers, M. E. D., Martin, P. J., & Leisenring, W. M. (2018) · Journal of Cancer Survivorship · doi:10.1007/s11764-018-0693-9 · Cited by 76 · see citing works
A Systematic Review and Meta-Analysis of e-Mental Health Interventions to Treat Symptoms of Posttraumatic Stress
Simblett, S. K., Birch, J., Matcham, F., Yágüez, L., & Morris, R. G. (2017) · JMIR Mental Health · doi:10.2196/mental.5558 · Cited by 72 · see citing works
Consolidation and prediction of long-term treatment effect of group and online mindfulness-based cognitive therapy for distressed cancer patients.
Cillessen, L., Schellekens, M. P. J., Van de Ven, M. O. M., Donders, A. R. T., Compen, F. R., Bisseling, E. M., Van der Lee, M. L., & Speckens, A. E. M. (2018) · Acta Oncologica · doi:10.1080/0284186x.2018.1479071 · Cited by 66 · see citing works
“A small waitlist randomized-controlled trial (RCT) about an online group mindfulness-based intervention (MBI) for cancer patients revealed positive effects on stress symptoms and mood disturbances [14].”
Background
Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults
Lewis, C., Roberts, N. P., Bethell, A., Robertson, L., & Bisson, J. I. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011710.pub2 · Cited by 67 · see citing works
Mindfulness-Based Stress Reduction in Advanced Nursing Practice
Williams, H., Simmons, L. A., & Tanabe, P. J. (2015) · Journal of Holistic Nursing · doi:10.1177/0898010115569349 · Cited by 67 · see citing works
Pilot pragmatic randomized trial of mHealth mindfulness‐based intervention for advanced cancer patients and their informal caregivers
Kubo, A., Kurtovich, E., McGinnis, M., Aghaee, S., Altschuler, A., Quesenberry, C., Kolevska, T., Liu, R., Greyz‐Yusupov, N., & Avins, A. (2024) · Psycho-Oncology · doi:10.1002/pon.5557 · Cited by 57 · see citing works
Which Treatment Is Better? Ascertaining Patient Preferences With Crossover Randomized Controlled Trials
Hui, D., Zhukovsky, D. S., & Bruera, E. D. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.11.294 · Cited by 59 · see citing works
Mind-Body Practices in Cancer Care
Chaoul, A., Milbury, K., Sood, A. K., Prinsloo, S., & Cohen, L. G. (2014) · Current Oncology Reports · doi:10.1007/s11912-014-0417-x · Cited by 59 · see citing works
Feasibility and Outcomes of an Internet-Based Mindfulness Training Program: A Pilot Randomized Controlled Trial
Kvillemo, P., Brandberg, Y., & Bränström, R. (2016) · JMIR Mental Health · doi:10.2196/mental.5457 · Cited by 56 · see citing works
The Quest for Mindful Sleep: a Critical Synthesis of the Impact of Mindfulness-Based Interventions for Insomnia
Garland, S. N., Zhou, E. S., Gonzalez, B. D., & Rodriguez, N. (2016) · Current Sleep Medicine Reports · doi:10.1007/s40675-016-0050-3 · Cited by 57 · see citing works
Yoga into Cancer Care
Agarwal, R. P., & Maroko-Afek, A. (2018) · International Journal of Yoga · doi:10.4103/ijoy.ijoy_42_17 · Cited by 57 · see citing works
The efficacy and mechanisms of a guided self-help intervention based on mindfulness in patients with breast cancer: a randomized controlled trial.
Shao, D., Zhang, H., Cui, N., Sun, J., Li, J., & Cao, F. (2021) · Cancer · doi:10.1002/cncr.33381 · Cited by 57 · see citing works
Virtual care models for cancer survivorship
Phạm, Q., Hearn, J., Gao, B. M., Brown, I., Hamilton, R. J., Berlín, A., Cafazzo, J. A., & Feifer, A. H. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-00321-3 · Cited by 55 · see citing works
<scp>Video conference</scp> vs <scp>face‐to‐face group psychotherapy for distressed cancer survivors</scp>: A <scp>randomized controlled trial</scp>
Lleras de Frutos, M., Medina, J. C., Vives, J., Casellas‐Grau, A., Marzo, J. L., Borràs, J. M., & Ochoa‐Arnedo, C. (2020) · Psycho-Oncology · doi:10.1002/pon.5457 · Cited by 50 · see citing works
Effectiveness of psychosocial interventions for posttraumatic growth in patients with cancer: A meta-analysis of randomized controlled trials
Li, J., Peng, X., Su, Y., He, Y., Zhang, S., & Hu, X. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101798 · Cited by 54 · see citing works
Effects of Mindfulness Training on Posttraumatic Growth: a Systematic Review and Meta-Analysis
Shiyko, M. P., Hallinan, S., & Naito, T. (2017) · Mindfulness · doi:10.1007/s12671-017-0684-3 · Cited by 53 · see citing works
What Is the Impact of Online Training in Mind–Body Skills?
Kemper, K. J., Lynn, J., & Mahan, J. D. (2015) · Journal of Evidence-Based Complementary & Alternative Medicine · doi:10.1177/2156587215580882 · Cited by 50 · see citing works
Effectiveness of an Unsupervised Online Yoga Program on Pain and Function in People With Knee Osteoarthritis
Bennell, K. L., Schwartz, S., Teo, P. L., Hawkins, S., Mackenzie, D., McManus, F. J., Lamb, K. E., Kimp, A. J., Metcalf, B., Hunter, D. J., et al. (2022) · Annals of Internal Medicine · doi:10.7326/m22-1761 · Cited by 49 · see citing works
The Impact of Preoperative Mindfulness-Based Stress Reduction on Postoperative Patient-Reported Pain, Disability, Quality of Life, and Prescription Opioid Use in Lumbar Spine Degenerative Disease: A Pilot Study
Yi, J. L., Porucznik, C. A., Gren, L. H., Guan, J., Joyce, E. J., Brodke, D. S., Dailey, A. T., Mahan, M. A., Hood, R. S., Lawrence, B. D., et al. (2018) · World Neurosurgery · doi:10.1016/j.wneu.2018.09.223 · Cited by 49 · see citing works
Effects of mindfulness-based interventions on fatigue in cancer survivors: A systematic review and meta-analysis of randomized controlled trials
Johns, S. A., Tarver, W. L., Secinti, E., Mosher, C. E., Stutz, P. V., Carnahan, J. L., Talib, T. L., Shanahan, M. L., Faidley, M. T., Kidwell, K. M., et al. (2021) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2021.103290 · Cited by 48 · see citing works
A mobile health mindfulness intervention for women with moderate to moderately severe postpartum depressive symptoms: feasibility study
Avalos, L. A., Aghaee, S., Kurtovich, E., Quesenberry Jr, C., Nkemere, L., McGinnis, M. K., & Kubo, A. (2020) · JMIR Mental Health · doi:10.2196/17405 · Cited by 41 · see citing works
The eCALM Trial: eTherapy for Cancer Applying Mindfulness. Exploratory Analyses of the Associations Between Online Mindfulness-Based Cancer Recovery Participation and Changes in Mood, Stress Symptoms, Mindfulness, Posttraumatic Growth, and Spirituality
Zernicke, K. A., Campbell, T. S., Speca, M., Ruff, K. M., Flowers, S., Tamagawa, R., & Carlson, L. E. (2016) · Mindfulness · doi:10.1007/s12671-016-0545-5 · Cited by 46 · see citing works
Self-citation
Convenient and Live Movement (CALM) for women undergoing breast cancer treatment: Challenges and recommendations for internet-based yoga research
Addington, E. L., Sohl, S. J., Tooze, J. A., & Danhauer, S. C. (2018) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2018.02.001 · Cited by 45 · see citing works
Effect of a 4-Week Internet-Delivered Mindfulness-Based Cancer Recovery Intervention on the Symptom Burden and Quality of Life of Patients With Breast Cancer: Randomized Controlled Trial
Wang, L., Chen, X., Peng, Y., Zhang, K., Ma, J., Xu, L., Liu, Z., Liu, L., Luo, Y., & Gu, C. (2022) · Journal of Medical Internet Research · doi:10.2196/40059 · Cited by 44 · see citing works
Predictors and Effects of Usage of an Online Mindfulness Intervention for Distressed Cancer Patients: Usability Study
Cillessen, L., van de Ven, M. O., Compen, F. R., Bisseling, E. M., van der Lee, M. L., & Speckens, A. E. (2020) · Journal of Medical Internet Research · doi:10.2196/17526 · Cited by 43 · see citing works
Use of a Wearable EEG Headband as a Meditation Device for Women With Newly Diagnosed Breast Cancer: A Randomized Controlled Trial
Millstine, D. M., Bhagra, A., Jenkins, S. M., Croghan, I. T., Stan, D. L., Boughey, J. C., Nguyen, M.-D. T., & Pruthi, S. (2019) · Integrative Cancer Therapies · doi:10.1177/1534735419878770 · Cited by 44 · see citing works
A systematic review and meta-analysis of effects of psychosocial interventions on spiritual well-being in adults with cancer
McLouth, L. E., Ford, C. G., Pustejovsky, J. E., Park, C. L., Sherman, A. C., Trevino, K., & Salsman, J. (2020) · Psycho-Oncology · doi:10.1002/pon.5562 · Cited by 39 · see citing works
A Mindfulness-Based Meditation Pilot Study: Lessons Learned on Acceptability and Feasibility in Adolescents with Cancer
Malboeuf‐Hurtubise, C., Achille, M. A., Muise, L., Beauregard-Lacroix, R., Vadnais, M., & Lacourse, É. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0299-z · Cited by 41 · see citing works
Internet-based Mindfulness Meditation for Cognition and Mood in Older Adults: A Pilot Study.
Wahbeh, H., Goodrich, E., & Oken, B. (2016) · PubMed · Cited by 41 · see citing works
Web-Based Psychological Interventions for People Living With and Beyond Cancer: Meta-Review of What Works and What Does Not for Maximizing Recruitment, Engagement, and Efficacy
Leslie, M. R., Beatty, L., Hulbert‐Williams, L., Pendrous, R., Cartwright, T., Jackson, R., The Finding My Way UK Trial Steering Group, & Hulbert-Williams, N. J. (2022) · JMIR Cancer · doi:10.2196/36255 · Cited by 40 · see citing works
Positive health outcomes of mindfulness-based interventions for cancer patients and survivors: A systematic review and meta-analysis
Badaghi, N., Buskbjerg, C. R., Kwakkenbos, L., Bosman, S. J. E., Zachariae, R. H., & Speckens, A. E. M. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102505 · Cited by 42 · see citing works
Internet Mindfulness Meditation Intervention for the General Public: Pilot Randomized Controlled Trial
Wahbeh, H., & Oken, B. (2016) · JMIR Mental Health · doi:10.2196/mental.5900 · Cited by 40 · see citing works
Resilience Interventions Conducted in Western and Eastern Countries—A Systematic Review
Blessin, M., Lehmann, S., Kunzler, A. M., van Dick, R., & Lieb, K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116913 · Cited by 40 · see citing works
Effects of an online mindfulness-based intervention on Fear of Cancer Recurrence and quality of life among Chinese breast cancer survivors
Peng, L., Yang, Y., Chen, M., Xu, C., Chen, Y., Liu, R., Cao, X., & Li, M. (2022) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2022.101686 · Cited by 39 · see citing works
Treatment of holistic suffering in cancer: A systematic literature review
Best, M., Aldridge, L., Butow, P., Olver, I., Price, M., & Webster, F. (2015) · Palliative Medicine · doi:10.1177/0269216315581538 · Cited by 32 · see citing works
A Smartphone App–Based Mindfulness Intervention for Cancer Survivors: Protocol for a Randomized Controlled Trial
Subnis, U. B., Farb, N. A., Piedalue, K.-A. L., Speca, M., Lupichuk, S., Tang, P. A., Faris, P., Thoburn, M., Saab, B. J., & Carlson, L. E. (2020) · JMIR Research Protocols · doi:10.2196/15178 · Cited by 37 · see citing works
Self-citation
Mindfulness-Based Cognitive Therapy for Cancer Patients Delivered via Internet: Qualitative Study of Patient and Therapist Barriers and Facilitators
Compen, F. R., Bisseling, E. M., Schellekens, M. P., Jansen, E. T., van der Lee, M. L., & Speckens, A. E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7783 · Cited by 38 · see citing works
Mindfulness-Based Interventions in Cancer Survivors: A Systematic Review of Participants’ Adherence to Home Practice
Baydoun, M., Moran, C., McLennan, A., Piedalue, K.-A. L., Oberoi, D. V., & Carlson, L. E. (2021) · Patient Preference and Adherence · doi:10.2147/ppa.s267064 · Cited by 38 · see citing works
Self-citation
Cost‐utility of individual internet‐based and face‐to‐face Mindfulness‐Based Cognitive Therapy compared with treatment as usual in reducing psychological distress in cancer patients
Compen, F. R., Adang, E., Bisseling, E., van der Lee, M. L., & Speckens, A. E. M. (2019) · Psycho-Oncology · doi:10.1002/pon.5246 · Cited by 38 · see citing works
mHealth Mindfulness Intervention for Women with Moderate-to-Moderately-Severe Antenatal Depressive Symptoms: a Pilot Study Within an Integrated Health Care System
Kubo, A., Aghaee, S., Kurtovich, E. M., Nkemere, L., Quesenberry, C. P., McGinnis, M. K., & Avalos, L. A. (2021) · Mindfulness · doi:10.1007/s12671-021-01606-8 · Cited by 39 · see citing works
Effectiveness of online mindfulness-based interventions for cancer patients: a systematic review and meta-analysis
Fan, M., Wang, Y., Zheng, L., Cui, M., Zhou, X., & Liu, Z. (2023) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyad101 · Cited by 36 · see citing works
Protocol for the MATCH study (Mindfulness and Tai Chi for cancer health): A preference-based multi-site randomized comparative effectiveness trial (CET) of Mindfulness-Based Cancer Recovery (MBCR) vs. Tai Chi/Qigong (TCQ) for cancer survivors
Carlson, L. E., Zelinski, E. L., Speca, M., Balneaves, L. G., Jones, J. M., Mina, D. S., Wayne, P. M., Campbell, T. S., Giese‐Davis, J., Faris, P., et al. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.05.015 · Cited by 39 · see citing works
Self-citation
Effectiveness of resilience interventions among cancer patients – A systematic review, meta-analysis, and meta-regression of randomised controlled trials
Ang, W. R., Ang, W. H. D., Cham, S. Q. G., Mel, S. D., Chew, H. S. J., & Devi, M. K. (2023) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2023.102446 · Cited by 39 · see citing works
Psychosocial interventions on the posttraumatic growth of adults with cancer: A systematic review and meta‐analysis of clinical trials
Vrontaras, N., Κουλιεράκης, Γ., Ntourou, I., Karakatsoulis, G., Sergentanis, T. Ν., Kyrou, D., Kapetanakis, A., Karademas, E. C., & Karamanidou, C. (2023) · Psycho-Oncology · doi:10.1002/pon.6241 · Cited by 36 · see citing works
Distress Management Through Mind-Body Therapies in Oncology.
Carlson, L. (2017) · Journal of the National Cancer Institute. Monographs · doi:10.1093/jncimonographs/lgx009 · Cited by 29 · see citing works
Self-citation
Effectiveness of SPACE Model of Cognitive Behavioral Coaching in Management of Occupational Stress in a Sample of School Administrators in South-East Nigeria
Ogba, F. N., Onyishi, C. N., Ede, M. O., Ugwuanyi, C. S., Nwokeoma, B. N., Victor-Aigbodion, V., Eze, U. N., Omeke, F. C., Okorie, C. O., & Ossai, O. V. (2019) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-019-00334-2 · Cited by 33 · see citing works
Effects of Web-Based Group Mindfulness Training on Stress and Sleep Quality in Singapore During the COVID-19 Pandemic: Retrospective Equivalence Analysis (Preprint)
Lim, J., Leow, Z., Ong, J., Pang, L.-S., & Lim, E. (2020) · doi:10.2196/preprints.21757 · Cited by 33 · see citing works
Meta-analysis of Technology-Enabled Mindfulness-Based Programs for Negative Affect and Mindful Awareness
Victorson, D. E., Sauer, C. M., Wolters, L., Maletich, C., Lukoff, K., & Sufrin, N. (2020) · Mindfulness · doi:10.1007/s12671-020-01373-y · Cited by 33 · see citing works
Internet-delivered Mindfulness-Based Cognitive Therapy for anxiety and depression in cancer survivors: Predictors of treatment response
Nissen, E. R., Zachariae, R., O'Connor, M., Kaldo, V., Jørgensen, C. R., Højris, I., Borre, M., & Mehlsen, M. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100365 · Cited by 32 · see citing works
“Recently, internet-delivered Mindfulness-Based Interventions (iMBIs) has also shown to be efficacious in treating psychological distress among cancer patients and –survivors (Nissen et al., 2020; Compen et al., 2018; Zernicke et al., 2014; Bruggemann-Everts et al., 2015; Matis et al., 2020), with a recent”
Background
Guided versus non‐guided digital psychological interventions for cancer patients: A systematic review and meta‐analysis of engagement and efficacy
Akdemir, A., Smith, A. B., Wu, V. S., Rincones, O., Russell, H., Lyhne, J. D., Kemp, E., David, M., & Bamgboje‐Ayodele, A. (2024) · Psycho-Oncology · doi:10.1002/pon.6290 · Cited by 33 · see citing works
Mindfulness and Meditative Movement Interventions for Men Living With Cancer: A Meta-analysis
Ford, C. G., Vowles, K. E., Smith, B. W., & Kinney, A. Y. (2019) · Annals of Behavioral Medicine · doi:10.1093/abm/kaz053 · Cited by 29 · see citing works
The Impact of Preoperative Mindfulness-Based Stress Reduction on Postoperative Outcomes in Lumbar Spine Degenerative Disease: 3-Month and 12-Month Results of a Pilot Study
Chavez, J. L., Porucznik, C. A., Gren, L. H., Guan, J., Joyce, E. J., Brodke, D. S., Dailey, A. T., Mahan, M. A., Hood, R. S., Lawrence, B. D., et al. (2020) · World Neurosurgery · doi:10.1016/j.wneu.2020.03.186 · Cited by 29 · see citing works
Post-traumatic stress symptoms, post-traumatic stress disorder, and post-traumatic growth among cancer survivors: a systematic scoping review of interventions
Capaldi, J. M., Shabanian, J., Finster, L. B., Asher, A., Wertheimer, J. C., Zebrack, B., & Shirazipour, C. H. (2023) · Health Psychology Review · doi:10.1080/17437199.2022.2162947 · Cited by 31 · see citing works
Effects of Internet Training in Mindfulness Meditation on Variables Related to Cancer Recovery
Messer, D. W., Horan, J. J., Larkey, L., & Shanholtz, C. E. (2019) · Mindfulness · doi:10.1007/s12671-019-01182-y · Cited by 29 · see citing works
Digital Characteristics and Dissemination Indicators to Optimize Delivery of Internet-Supported Mindfulness-Based Interventions for People With a Chronic Condition: Systematic Review
Russell, L., Ugalde, A., Milne, D., Austin, D., & Livingston, P. M. (2018) · JMIR Mental Health · doi:10.2196/mental.9645 · Cited by 26 · see citing works
Study protocol of a multicenter randomized controlled trial comparing the effectiveness of group and individual internet-based Mindfulness-Based Cognitive Therapy with treatment as usual in reducing psychological distress in cancer patients: the BeMind study
Compen, F. R., Bisseling, E., van der Lee, M. L., Adang, E., Donders, A. R. T., & Speckens, A. E. M. (2015) · BMC Psychology · doi:10.1186/s40359-015-0084-1 · Cited by 29 · see citing works
A randomized clinical trial of guided self-help intervention based on mindfulness for patients with hepatocellular carcinoma: Effects and mechanisms
Liu, Z., Li, M., Jia, Y., Wang, S., Zheng, L., Wang, C., & Chen, L. (2022) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyab198 · Cited by 25 · see citing works
Integrative Approaches to Stress Management
Carlson, L. E., Toivonen, K., & Subnis, U. B. (2019) · The Cancer Journal · doi:10.1097/ppo.0000000000000395 · Cited by 32 · see citing works
Self-citation
Effectiveness of eHealth mindfulness-based interventions on cancer-related symptoms among cancer patients and survivors: A systematic review and meta-analysis
Fung, J. Y. T., Lim, H., Vongsirimas, N., & Klainin‐Yobas, P. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221078490 · Cited by 27 · see citing works
Virtual Group–Based Mindfulness Intervention for Autistic Adults: a Feasibility Study
Lunsky, Y., Redquest, B. K., Albaum, C. S., Hutton, S., Share, M., Share-Strom, D., & Weiss, J. A. (2022) · Mindfulness · doi:10.1007/s12671-022-01909-4 · Cited by 30 · see citing works
Smartphone problem-solving therapy to reduce fear of cancer recurrence among breast cancer survivors: an open single-arm pilot study
Imai, F., Momino, K., Katsuki, F., Horikoshi, M., Furukawa, T. A., Kondo, N., Toyama, T., Yamaguchi, T., & Akechi, T. (2019) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyz005 · Cited by 23 · see citing works
Videoconferenced Yoga Interventions for Cancer Patients and their Caregivers during the COVID-19 Pandemic: A Report from a Clinician’s Perspective
Snyder, S., Silva, R. F., Whisenant, M., & Milbury, K. (2021) · Integrative Cancer Therapies · doi:10.1177/15347354211019111 · Cited by 26 · see citing works
Effectiveness of online mindfulness-based interventions for improving mental health in patients with physical health conditions: Systematic review and meta-analysis
Liu, Z., Jia, Y., Li, M., Meng, X., Shang, B., Wang, C., & Chen, L. (2021) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2021.10.001 · Cited by 26 · see citing works
Effect of a Short-Term Online Version of a Mindfulness-Based Intervention on Self-criticism and Self-compassion in a Nonclinical Sample
Halamová, J., Kanovský, M., Jurková, V., & Kupeli, N. (2018) · Studia Psychologica · doi:10.21909/sp.2018.04.766 · Cited by 26 · see citing works
Being Mindful at University: A Pilot Evaluation of the Feasibility of an Online Mindfulness-Based Mental Health Support Program for Students
Světlák, M., Linhartová, P., Knejzlíková, T., Knejzlík, J., Kóša, B., Horníčková, V., Jarolínová, K., Lučanská, K., Slezáčková, A., & Šumec, R. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.581086 · Cited by 26 · see citing works
Evaluation of the effectiveness of self-healing training on self-compassion, body image concern, and recovery process in patients with skin cancer
Latifi, Z., Soltani, M., & Mousavi, S. (2020) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2020.101180 · Cited by 24 · see citing works
Impact of new technologies on stress, attrition and well-being in emergency call centers: the NextGeneration 9–1-1 study protocol
Baseman, J. G., Debra Revere, A., Painter, I. S., Stangenes, S. R., Lilly, M. M., Beaton, R. D., Calhoun, R. E., & Meischke, H. W. (2018) · BMC Public Health · doi:10.1186/s12889-018-5510-x · Cited by 25 · see citing works
Treatment of pain following cancer: applying neuro-immunology in rehabilitation practice
Nijs, J., Leysen, L., Pas, R., Adriaenssens, N., Meeus, M., Hoelen, W., Ickmans, K., & Moloney, N. A. (2016) · Disability and Rehabilitation · doi:10.1080/09638288.2016.1261418 · Cited by 22 · see citing works
Exploring Knowledge, Attitudes, and Practice Associated With Meditation Among Patients With Melanoma
Russell, L., Orellana, L., Ugalde, A., Milne, D., Krishnasamy, M., Chambers, R., & Livingston, P. M. (2017) · Integrative Cancer Therapies · doi:10.1177/1534735417699514 · Cited by 22 · see citing works
Pilot Testing of a Brief Couple-Based Mind-Body Intervention for Patients With Metastatic Non-Small Cell Lung Cancer and Their Partners
Milbury, K., Engle, R., Tsao, A. S., Liao, Z. X., Owens, A., Chaoul, A., Bruera, E. D., & Cohen, L. G. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.11.027 · Cited by 21 · see citing works
Being mindful of mindfulness interventions in cancer: A systematic review of intervention reporting and study methodology
Shaw, J. M., Sekelja, N., Frasca, D., Dhillon, H. M., & Price, M. A. (2018) · Psycho-Oncology · doi:10.1002/pon.4651 · Cited by 20 · see citing works

Online Mindfulness-Based Cancer Recovery Program for People Living with Cancer in Alberta: A Randomized Wait-List Controlled Trial
Zernicke, K. A. (2015) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27180
Self-citation
The eCALM Trial-eTherapy for cancer appLying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial
Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., Dirkse, D. A., & Carlson, L. E. (2013) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-13-34 · Cited by 55 · see citing works
Self-citation
The eCALM Trial: eTherapy for Cancer Applying Mindfulness. Exploratory Analyses of the Associations Between Online Mindfulness-Based Cancer Recovery Participation and Changes in Mood, Stress Symptoms, Mindfulness, Posttraumatic Growth, and Spirituality
Zernicke, K. A., Campbell, T. S., Speca, M., Ruff, K. M., Flowers, S., Tamagawa, R., & Carlson, L. E. (2016) · Mindfulness · doi:10.1007/s12671-016-0545-5 · Cited by 46 · see citing works
Self-citation
The SERENITY study: online Mindfulness-Based Cancer Recovery (e-MBCR) program for women living with breast and gynecological cancer—protocol for a pilot effectiveness-implementation randomized trial
Gaignard, M., Stanić, J., Bodmer, A., Zaman, K., Sarivalasis, A., Labidi‐Galy, S. I., Jermann, F., Marco, M. D., Ljuslin, M., Ryser, S., et al. (2023) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000096 · Cited by 3 · see citing works
The effectiveness of online mindfulness-based cancer recovery program on psychological Variables of colorectal and stomach cancer patients: A randomized control trial
Yousefi, A., Arani, A. M., Ghadiany, M., Jafari, M., Lighvan, M. A., Asanjarani, B., & Isfeedvajani, M. S. (2022) · Medical Science · doi:10.54905/disssi/v26i120/ms55e2021 · Cited by 6 · see citing works

Authors: Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. E.
Affiliations: University of Calgary (CA)
Corresponding author: Carlson, Linda E.
ORCID: Zernicke, Kristin A.
Campbell, Tavis S.
Speca, Michael
Carlson, Linda E.
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-05
Volume: 76
Issue: 4
Pages: 257-267
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/psy.0000000000000053
OpenAlex: W1999813264
Cited by: 187
References: 55
Citations by year: 2026: 5 · 2025: 10 · 2024: 9 · 2023: 14 · 2022: 26 · 2021: 25 · 2020: 22 · 2019: 14 · 2018: 18 · 2017: 20 · 2016: 13 · 2015: 8 · 2014: 3
FWCI: 7.08
Type: journal article
Language: en
Open access: closed
Locations: Psychosomatic Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Canadian Institutes of Health Research
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: online group intervention, cancer survivors, psychological distress, mood disturbance, stress symptoms, spirituality, posttraumatic growth, feasibility, underserved populations, telemedicine
MeSH terms: Adaptation, Psychological, Adult, Aged, Awareness, Feasibility Studies, Female, Humans, Male, Middle Aged, Neoplasms, Patient Acceptance of Health Care, Psychotherapy, Group, Surveys and Questionnaires, Stress, Psychological, Waiting Lists, Linear Models, Treatment Outcome, Telemedicine, Survivors, Internet, Spirituality, Intention to Treat Analysis, Mindfulness

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A Randomized Wait-List Controlled Trial of Feasibility and Efficacy of an Online Mindfulness–Based Cancer Recovery Program: The eTherapy for Cancer Applying Mindfulness Trial

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