A mindful self-compassion videoconference intervention for nationally recruited posttreatment young adult cancer survivors: feasibility, acceptability, and psychosocial outcomes
Young adult (YA) cancer survivors report substantial distress, social isolation, and body image concerns that can impede successful reintegration into life years after treatment completion. Mindful Self-Compassion (MSC) interventions focus on developing mindfulness and self-compassion for managing distress, hardships, and perceived personal inadequacies. An MSC intervention would be beneficial in supporting YA survivors’ management of psychosocial challenges that arise in survivorship; however, a telehealth intervention modality is essential for reaching this geographically dispersed population. We conducted a single-arm feasibility study of an MSC 8-week videoconference intervention for nationally recruited YA survivors (ages 18–29).
The MSC intervention was group-based, 90-minute videoconference sessions, held weekly over 8 weeks, with audio-supplemented home practice. Feasibility and acceptability were assessed via attendance rate and an intervention satisfaction scale. Baseline to post-intervention changes in psychosocial outcomes (body image, anxiety, depression, social isolation, posttraumatic growth, resilience, self-compassion, mindfulness) were assessed using paired t tests and Cohen’s d effect sizes.
Thirty-four participants were consented and 25 attended a videoconference group. Feasibility was established with 84% attending at least six of the eight sessions, and intervention acceptability was high (M = 4.36, SD = 0.40, score range = 1–5). All psychosocial outcomes, except for resilience, demonstrated significant changes (p < 0.002), with medium to large effect sizes (Cohen’s d > 0.5).
YA survivors are interested in receiving an MSC videoconference intervention. Feasibility, acceptance, and potential psychosocial benefits of the intervention were demonstrated. Findings can be applied toward the design of an efficacy randomized controlled trial to improve quality of life for YA survivors in transition after cancer treatment.
KeywordsYoung adult cancer survivors Videoconference Self-compassion Mindfulness Feasibility study Intervention
Study funding was provided by a Small Grants Program for Research/Scholarship from University of North Carolina-Chapel Hill’s Department of Family Medicine, the University Cancer Research Fund, and NC TraCS grant (2KR651503). The study support was provided by the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health (UL1TR001111). R.A. Campo was supported by a T32 Research Fellowship (AT003378) from the National Institutes of Health National Center for Complementary and Integrative Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
- 2.Zebrack BJ, Corbett V, Embry L, Aguilar C, Meeske KA, Hayes-Lattin B, Block R, Zeman DT, Cole S (2014) Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis PsychooncologyGoogle Scholar
- 13.Pinto-Gouveia J, Duarte C, Matos M, Fraguas S (2014) The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clin Psychol Psychother 21:311–23Google Scholar
- 19.Friis AM, Johnson MH, Cutfield RG, Consedine NS (2016) Kindness matters: a randomized controlled trial of a mindful self-compassion intervention improves depression, distress, and HbA1c among patients with diabetes. Diabetes care 39:1963–1971Google Scholar
- 24.Freeman LW, White R, Ratcliff CG, Sutton S, Stewart M, Palmer JL, Link J, Cohen L (2014) A randomized trial comparing live and telemedicine deliveries of an imagery-based behavioral intervention for breast cancer survivors: reducing symptoms and barriers to care. Psycho-Oncology: n/a-n/aGoogle Scholar
- 25.Zernicke KA, Campbell TS, Speca M, McCabe-Ruff K, Flowers S, Carlson LE (2014) 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. Psychosom Med 76:257–267CrossRefPubMedGoogle Scholar
- 27.Rabin C, Pinto B, Fava J (2015) Randomized trial of a physical activity and meditation intervention for young adult cancer survivors. Journal of Adolescent and Young Adult OncologyGoogle Scholar
- 28.Seitz DC, Knaevelsrud C, Duran G, Waadt S, Goldbeck L (2014) Internet-based psychotherapy in young adult survivors of pediatric cancer: feasibility and participants' satisfaction. Cyberpsychology, behavior and social networking 17:624–629Google Scholar
- 40.Duggan M, Brenner J (2013) The demographics of social media users—2012. In: Editor (ed)^(eds) Book The demographics of social media users—2012. Pew Research Center, CityGoogle Scholar
- 45.Lenhart A, Purcell K, Smith A, Zickuhr K (2010) Social media and mobile internet use among teens and young adults. In: Editor (ed)^(eds) Book Social media and mobile internet use among teens and young adults. Pew Research Center, CityGoogle Scholar
- 47.Adolescent and Young Adult Oncology Progress Review Group (2006) Closing the gap: research and care imperatives for adolescents and young adults with cancer In: Editor (ed)^(eds) Book Closing the gap: Research and care imperatives for adolescents and young adults with cancer National Institutes of Health, CityGoogle Scholar
- 49.Bleyer A, O'Leary M, Barr R, Ries LAG (2006) Cancer epidemiology in older adolescents and young adults 15 to 29 years of age, Including SEER incidence and survival: 1975–2000. In: (eds) Book Cancer epidemiology in older adolescents and young adults 15 to 29 years of age, including SEER incidence and survival: 1975–2000. National Cancer Institute, NIH, CityGoogle Scholar