Quality of life among women diagnosed with breast Cancer: A randomized waitlist controlled trial of commercially available mobile app‐delivered mindfulness training

KD Rosen, SM Paniagua, W Kazanis, S Jones… - Psycho …, 2018 - Wiley Online Library
KD Rosen, SM Paniagua, W Kazanis, S Jones, JS Potter
Psycho‐oncology, 2018Wiley Online Library
Objective The primary objective was to evaluate the efficacy of commercially available
mobile app‐delivered mindfulness training (AMT), compared with waitlist control (WC), on
quality of life (QOL) among women diagnosed with breast cancer. The secondary outcome
was dispositional mindfulness. Enrollment, app utilization, and study completion are
reported as feasibility objectives. Methods Women diagnosed with breast cancer≤ 5 years
(n= 112) were randomized to AMT (n= 57) or WC (n= 55), over 8 weeks, with 4 weeks of …
Objective
The primary objective was to evaluate the efficacy of commercially available mobile app‐delivered mindfulness training (AMT), compared with waitlist control (WC), on quality of life (QOL) among women diagnosed with breast cancer. The secondary outcome was dispositional mindfulness. Enrollment, app utilization, and study completion are reported as feasibility objectives.
Methods
Women diagnosed with breast cancer ≤5 years (n = 112) were randomized to AMT (n = 57) or WC (n = 55), over 8 weeks, with 4 weeks of follow‐up. We conducted linear mixed effects models to examine group by observation interactions on QOL and dispositional mindfulness at baseline, during intervention (5‐weeks), post‐intervention (9‐weeks), and follow‐up (12‐weeks post‐baseline).
Results
Participants assigned to AMT reported higher QOL, compared with those assigned to WC, from baseline through follow‐up t(258.40) = 3.09, P < 0.01, 95% CI [2.71, 11.90]. Participants assigned to AMT also reported higher dispositional mindfulness, compared with those assigned to WC, from baseline through follow‐up t(268.44) = 2.04, P = 0.04, 95% CI [0.01, 0.57]. App utilization data was obtained from 34 participants. Fewer participants assigned to AMT completed all study assessments, compared with participants assigned to WC, (χ21 = 7.07, P = 0.008).
Conclusions
Findings suggest commercially available AMT may proffer some benefit to women seeking to enhance their QOL following breast cancer diagnosis.
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