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
Open accessAbstract
BACKGROUND: Elevated stress can exacerbate cancer symptom severity, and after completion of primary cancer treatments, many individuals continue to have significant distress. Mindfulness-Based Cancer Recovery (MBCR) is an 8-week group psychosocial intervention consisting of training in mindfulness meditation and yoga designed to mitigate stress, pain, and chronic illness. Efficacy research shows face-to-face (F2F) MBCR programs have positive benefits for cancer patients; however barriers exist that impede participation in F2F groups. While online MBCR groups are available to the public, none have been evaluated. PRIMARY OBJECTIVE: determine whether underserved patients are willing to participate in and complete an online MBCR program. SECONDARY OBJECTIVES: determine whether online MBCR will mirror previous efficacy findings from F2F MBCR groups on patient-reported outcomes. METHOD/DESIGN: The study includes cancer patients in Alberta, exhibiting moderate distress, who do not have access to F2F MBCR. Participants will be randomized to either online MBCR, or waiting for the next available group. An anticipated sample size of 64 participants will complete measures online pre and post treatment or waiting period. Feasibility will be tracked through monitoring numbers eligible and participating through each stage of the protocol. DISCUSSION: 47 have completed/completing the intervention. Data suggest it is possible to conduct a randomized waitlist controlled trial of online MBCR to reach underserved cancer survivors. TRIAL REGISTRATION: Clinical Trials.gov Identifier: NCT01476891.
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Recent studies have begun to explore the use of technology to replace face-to-face approaches to deliver mindfulness interventions.
“To overcome the challenges of physically attending mindfulness classes, recent studies have begun to explore the use of technology to replace face-to-face approaches to deliver mindfulness interventions [40–42].”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [40]
A waitlist control would not have been appropriate because of the limited life expectancy of this patient population.
“A waitlist control, which has been used in studies of cancer survivors [36, 40], would not have been appropriate because of the limited life expectancy of this patient population.”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [40]
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Pereira, D. R., Silva, E., Carvalho-Maia, C., Monteiro‐Reis, S., Lourenço, C., Calisto, R., Teixeira, R. J., Carlson, L. E., Bart, G., Vainio, S. J., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19128911
Integrative approaches to anxiety
Addington, E. L. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-30194-0.00034-5
- Authors
- Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., Dirkse, D. A., & Carlson, L. E.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Carlson, Linda E
- Venue
- BMC Complementary and Alternative Medicine
- Published
- 2013-02-16
- Volume
- 13
- Issue
- 1
- Pages
- 34-34
- ISSN
- 1472-6882 (ISSN-L)
- PMC
- PMC3576301
- OpenAlex
- W1991183918
- Semantic Scholar
- 5526029bba71e98f8196b33f8650ea633782eb5c
- Cited by
- 55
- References
- 48
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 8 · 2021: 6 · 2020: 8 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 2
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Complementary and Alternative Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Libraries and Cultural Resources (University of Calgary) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Alberta Health Services
- Alberta Cancer Foundation
- Alberta Innovates
- 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 intervention, mindfulness meditation, yoga, cancer survivors, psychosocial interventions, stress, cancer-related distress, underserved populations, feasibility, patient-reported outcomes, e-therapy
- MeSH terms
- Adult, Alberta, Chronic Disease, Evaluation Studies as Topic, Female, Humans, Male, Neoplasms, Stress, Psychological, Waiting Lists, Yoga, Outcome Assessment, Health Care, Meditation, Internet, Research Subjects, Healthcare Disparities, Pain Management
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