Mindful Night-to-Day: A Pilot Feasibility Trial of a Mindfulness-Based Insomnia and Symptom Management Intervention for Patients with Hematologic Cancer.
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| Title: | Mindful Night-to-Day: A Pilot Feasibility Trial of a Mindfulness-Based Insomnia and Symptom Management Intervention for Patients with Hematologic Cancer. |
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| Authors: | Fisher, Hannah M. (AUTHOR), Hyland, Kelly A. (AUTHOR), Miller, Shannon N. (AUTHOR), Amaden, Grace H. (AUTHOR), Diachina, Allison (AUTHOR), Ulmer, Christi S. (AUTHOR), Danforth, Meg (AUTHOR), LeBlanc, Thomas W. (AUTHOR), Somers, Tamara J. (AUTHOR), Keefe, Francis J. (AUTHOR) |
| Source: | Behavioral Sleep Medicine. Sep/Oct2024, Vol. 22 Issue 5, p674-696. 23p. |
| Subjects: | Fatigue (Physiology), Hematologic malignancies, Mindfulness, Statistical sampling, Descriptive statistics, Cancer fatigue |
| Abstract: | Objectives: Patients with hematologic cancer experience severe symptoms (i.e. insomnia, fatigue, pain, distress). Few interventions addressing insomnia and other symptoms exist for this population. Mindfulness-Based Therapy for Insomnia (MBTI) may be appropriate but has only been tested in healthy outpatients. This study aimed to develop and test an adapted MBTI protocol for hematologic cancer patients. Methods: Patient (n = 3) and clinician (n = 1) focus groups, and user-testing (N = 5) informed adaptation of Mindful Night-to-Day (MBTI+). A single-arm pilot trial (N = 32) evaluated feasibility (accrual, attrition, adherence), acceptability (intervention satisfaction), and changes to insomnia symptom severity (Insomnia Severity Index; primary outcome) and secondary outcomes (fatigue, pain, distress, pre-sleep arousal, mindfulness, symptom management self-efficacy) at baseline, post-intervention, and 1-month post-intervention. Descriptive statistics and paired sample t-tests were conducted. Results: Qualitative feedback informed MBTI+ content, format, and delivery. Mindfulness was used to increase symptom awareness (sleepiness vs. fatigue). Meditations and behavioral skills were applied to inpatient treatment. MBTI+ met feasibility (N = 32/12 months; 8.1% attrition; 83.8% adherence) and acceptability (M = 3.52/4.00) benchmarks. Insomnia symptom severity decreased (d = 1.20) from baseline to post-intervention, as did most secondary outcomes. Conclusions: MBTI+ was feasible, acceptable, and showed promise for benefits throughout inpatient and outpatient treatment. Findings warrant further evaluation in a randomized trial. [ABSTRACT FROM AUTHOR] |
| Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 179339262 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Mindful Night-to-Day: A Pilot Feasibility Trial of a Mindfulness-Based Insomnia and Symptom Management Intervention for Patients with Hematologic Cancer. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Fisher%2C+Hannah+M%2E%22">Fisher, Hannah M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hyland%2C+Kelly+A%2E%22">Hyland, Kelly A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller%2C+Shannon+N%2E%22">Miller, Shannon N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Amaden%2C+Grace+H%2E%22">Amaden, Grace H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Diachina%2C+Allison%22">Diachina, Allison</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ulmer%2C+Christi+S%2E%22">Ulmer, Christi S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Danforth%2C+Meg%22">Danforth, Meg</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22LeBlanc%2C+Thomas+W%2E%22">LeBlanc, Thomas W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Somers%2C+Tamara+J%2E%22">Somers, Tamara J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Keefe%2C+Francis+J%2E%22">Keefe, Francis J.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Behavioral+Sleep+Medicine%22">Behavioral Sleep Medicine</searchLink>. Sep/Oct2024, Vol. 22 Issue 5, p674-696. 23p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Fatigue+%28Physiology%29%22">Fatigue (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22Hematologic+malignancies%22">Hematologic malignancies</searchLink><br /><searchLink fieldCode="DE" term="%22Mindfulness%22">Mindfulness</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+fatigue%22">Cancer fatigue</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: Patients with hematologic cancer experience severe symptoms (i.e. insomnia, fatigue, pain, distress). Few interventions addressing insomnia and other symptoms exist for this population. Mindfulness-Based Therapy for Insomnia (MBTI) may be appropriate but has only been tested in healthy outpatients. This study aimed to develop and test an adapted MBTI protocol for hematologic cancer patients. Methods: Patient (n = 3) and clinician (n = 1) focus groups, and user-testing (N = 5) informed adaptation of Mindful Night-to-Day (MBTI+). A single-arm pilot trial (N = 32) evaluated feasibility (accrual, attrition, adherence), acceptability (intervention satisfaction), and changes to insomnia symptom severity (Insomnia Severity Index; primary outcome) and secondary outcomes (fatigue, pain, distress, pre-sleep arousal, mindfulness, symptom management self-efficacy) at baseline, post-intervention, and 1-month post-intervention. Descriptive statistics and paired sample t-tests were conducted. Results: Qualitative feedback informed MBTI+ content, format, and delivery. Mindfulness was used to increase symptom awareness (sleepiness vs. fatigue). Meditations and behavioral skills were applied to inpatient treatment. MBTI+ met feasibility (N = 32/12 months; 8.1% attrition; 83.8% adherence) and acceptability (M = 3.52/4.00) benchmarks. Insomnia symptom severity decreased (d = 1.20) from baseline to post-intervention, as did most secondary outcomes. Conclusions: MBTI+ was feasible, acceptable, and showed promise for benefits throughout inpatient and outpatient treatment. Findings warrant further evaluation in a randomized trial. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=179339262 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/15402002.2024.2339819 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 23 StartPage: 674 Subjects: – SubjectFull: Fatigue (Physiology) Type: general – SubjectFull: Hematologic malignancies Type: general – SubjectFull: Mindfulness Type: general – SubjectFull: Statistical sampling Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Cancer fatigue Type: general Titles: – TitleFull: Mindful Night-to-Day: A Pilot Feasibility Trial of a Mindfulness-Based Insomnia and Symptom Management Intervention for Patients with Hematologic Cancer. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Fisher, Hannah M. – PersonEntity: Name: NameFull: Hyland, Kelly A. – PersonEntity: Name: NameFull: Miller, Shannon N. – PersonEntity: Name: NameFull: Amaden, Grace H. – PersonEntity: Name: NameFull: Diachina, Allison – PersonEntity: Name: NameFull: Ulmer, Christi S. – PersonEntity: Name: NameFull: Danforth, Meg – PersonEntity: Name: NameFull: LeBlanc, Thomas W. – PersonEntity: Name: NameFull: Somers, Tamara J. – PersonEntity: Name: NameFull: Keefe, Francis J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep/Oct2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 15402002 Numbering: – Type: volume Value: 22 – Type: issue Value: 5 Titles: – TitleFull: Behavioral Sleep Medicine Type: main |
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