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Benzo MV, Kelpin SS, Werneburg B, Hoult J, Clark MM, Novotny P, Benzo R. Patient Engagement in Health Coaching and Self-Management Abilities in Chronic Obstructive Pulmonary Disease. Am J Lifestyle Med 2024; 18:243-251. [PMID: 38559791 PMCID: PMC10979730 DOI: 10.1177/15598276221120523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024] Open
Abstract
Objective: Health coaching has the potential to improve self-management abilities (SM) in patients with Chronic Obstructive Pulmonary Disease (COPD). Patient engagement with health care providers has a beneficial effect on patient outcomes. We examined the association of patient engagement with the health coach on SM abilities in patients with COPD. Methods: We analyzed the association between the degree of engagement measured by the Working Alliance Inventory (WAI-SR) and the SM measured by the Self-Management-Ability-Scale-30 (SMAS-30) at the end of a COPD health coaching intervention. Results: The cohort included 146 moderate to severe COPD patients. The WAI-SR total score was 85% of the maximum possible scores indicating a high degree of engagement between the health coach and the patients. The WAI-SR Task and Bond domains were positively associated with SM abilities after adjusting for lung function (FEV1 %) and depression symptoms (PHQ-2). Conclusion: The degree of engagement between a health coach and patients is associated with the perception of SM abilities in patients with COPD. Our results may inform self-management intervention and clinical practice.
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Affiliation(s)
- Maria V. Benzo
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
| | - Sydney S. Kelpin
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
| | - Brooke Werneburg
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
| | - Johanna Hoult
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
| | - Matthew M. Clark
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
| | - Paul Novotny
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
| | - Roberto Benzo
- Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN)
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Lacey J, Huston A, Lopez G, Vozmediano JR, Lam CS, Narayanan S, Lu W, Wolf U, Subbiah IM, Richard P, Lopez AM, Rao S, Frenkel M. Establishing an Integrative Oncology Service: Essential Aspects of Program Development. Curr Oncol Rep 2024; 26:200-211. [PMID: 38358637 DOI: 10.1007/s11912-024-01504-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/05/2024] [Indexed: 02/16/2024]
Abstract
PURPOSE OF REVIEW Over the last 2 decades, integrative oncology (IO) has seen exponential growth within cancer care. It aims to combine evidence-based complementary therapies with conventional treatments to improve the well-being and quality of life for individuals dealing with cancer. The proliferation of integrative medicine programs in major cancer centers globally reflects varying approaches shaped by cultural, demographic, and resource-based factors. RECENT FINDINGS Drawing upon the expertise of leaders in IO from the Society for Integrative Oncology (SIO) Clinical Practice Committee, this manuscript serves as a practical guide for establishing an IO practice. Collating insights from diverse professionals, including oncologists, integrative oncologists, supportive care physicians, researchers, and clinicians, the paper aims to provide a comprehensive roadmap for initiating and advancing IO services. The primary objective is to bridge the gap between conventional cancer care and complementary therapies, fostering a patient-centric approach to address the multifaceted challenges encountered by individuals with cancer. This paper delineates several key sections elucidating different aspects of IO practice. It delves into the core components necessary for an IO service's foundation, outlines the initial medical consultation process, and presents crucial tools essential for successful consultations. By consolidating insights and expertise, this manuscript seeks to facilitate the integration of IO into mainstream cancer care, ultimately enhancing patient outcomes and experiences.
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Affiliation(s)
- Judith Lacey
- Supportive Care and Integrative Oncology, Chris O'Brien Lifehouse, Camperdown, NSW, Australia
| | - Alissa Huston
- Pluta Integrative Oncology & Wellness Center, Wilmot Cancer Institute University of Rochester, Rochester, NY, USA
| | - Gabriel Lopez
- Integrative Medicine Center, Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | - Chun Sing Lam
- School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
| | - Santhosshi Narayanan
- Integrative Medicine Center, Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Weidong Lu
- Zakim Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
| | - Ursula Wolf
- Institute of Complementary and Integrative Medicine, University of Bern, Bern, Switzerland
| | - Ishwaria M Subbiah
- Cancer Care Equity and Professional Wellness, Sarah Cannon Research Institute, Nashville, TN, USA
| | - Patrick Richard
- Radiation Oncology, Rocky Mountain Cancer Centers, Boulder, CO, USA
| | - Ana Maria Lopez
- Integrative Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University Cherry Hill, Cherry Hill, NJ, USA
| | - Santosh Rao
- Integrative Oncology, University Hospitals Connor Whole Health. Beachwood, Beachwood, OH, USA
| | - Moshe Frenkel
- Complementary and Integrative Medicine Service, Oncology Division, Rambam Health Care Campus, Haifa, Israel.
- Department of Family Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX, USA.
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Ee C, Singleton AC, de Manincor M, Elder E, Davis N, Mitchell C, Dune T, MacMillan F, McBride K, Grant S. A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer. Integr Cancer Ther 2022; 21:15347354221099540. [PMID: 35652533 PMCID: PMC9168877 DOI: 10.1177/15347354221099540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: Weight gain is common after breast cancer. Yoga, mindfulness meditation, and
acupuncture may assist with managing weight. However, evidence on
effectiveness is limited. This study assessed the feasibility and
acceptability of recruiting for and implementing a randomized controlled
trial (RCT) evaluating these interventions as adjuncts to lifestyle
interventions (diet and exercise) for weight management in women with breast
cancer. Methods: Qualitative study involving virtual focus groups or semi-structured
interviews. Participants were recruited via email invitation from a breast
cancer consumer organization and breast cancer center in Australia. Eligible
participants had received treatment for breast cancer, and were fluent in
English. A purposive sample of culturally and linguistically diverse (CALD)
participants was also recruited. Focus groups and interviews were
audio-recorded, transcribed verbatim and analyzed using thematic analysis
with the constant comparison method. Results: Emails were sent to 1415 women of which 37 provided data in 5 focus groups
and 1 semi-structured interview, including 1 focus group (n = 6) with only
women from CALD backgrounds. Yoga and mindfulness meditation were perceived
as feasible and acceptable for weight management, but acupuncture was seen
to be too invasive to be acceptable. A focus on wellness rather than weight
reduction, flexible program delivery, trusted advice, consideration of
participant burden and benefit, and peer-support were key factors perceived
to increase feasibility and acceptability. Conclusions: Yoga and mindfulness meditation are acceptable and useful adjuncts to
lifestyle interventions for weight management after breast cancer. This
research places end-users at the forefront of trial design, and will inform
future trials using these interventions for weight management and improving
health and wellbeing after breast cancer.
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Affiliation(s)
- Carolyn Ee
- Western Sydney University, Penrith, NSW, Australia
| | - Anna C Singleton
- Engagement and Co-Design Research Hub, Faculty of Medicine and Health, School of Health Sciences, University of Sydney, Westmead, NSW, Australia
| | | | | | - Nikki Davis
- Primary Care Collaborative Cancer Clinical Trials Group, Melbourne, VIC, Australia
| | | | - Tinashe Dune
- Western Sydney University, Penrith, NSW, Australia
| | | | - Kate McBride
- Western Sydney University, Penrith, NSW, Australia
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But-Hadzic J, Dervisevic M, Karpljuk D, Videmsek M, Dervisevic E, Paravlic A, Hadzic V, Tomazin K. Six-Minute Walk Distance in Breast Cancer Survivors-A Systematic Review with Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052591. [PMID: 33807611 PMCID: PMC7967367 DOI: 10.3390/ijerph18052591] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 02/25/2021] [Accepted: 02/27/2021] [Indexed: 12/17/2022]
Abstract
The six-minute walk test (6MWT) is a widely used test for the indirect measurement of cardiorespiratory fitness in various cancer populations. Although the 6MWT is a simple test, there are no normative values for breast cancer survivors (BCS) or comparisons of results with healthy counterparts. A systematic review with a meta-analysis was carried out, which included studies from 2007 to 2020. Ninety-one studies were found, 21 of which were included in the quantitative synthesis. Among them were 9 randomized controlled trials (RCT), 8 prospective cohort studies and 4 cross-sectional studies. A total of 1084 BCS were included. Our results revealed that healthy subjects (n = 878) covered a significantly greater distance than BCS during the 6MWT (589.9 m vs. 477.4 m, p < 0.001), and the results of the meta-regression analysis showed that the 6MWD was predicted by the participants’ BMI (p < 0.001), but not by their age (p = 0.070). After adjustment for BMI, the healthy subjects also covered greater distances than the BCS (103 m; p < 0.001). The normative values of 6MWT were presented for BCS. Besides, 6MWT distances distinguish between their healthy counterparts, therefore, the 6MWT distance is a relevant parameter for the assessment and monitoring of cardiorespiratory fitness in medical and exercise interventions for BCS.
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Affiliation(s)
- Jasna But-Hadzic
- Department of Radiation Oncology, Institute of Oncology, 1000 Ljubljana, Slovenia;
- Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia
| | - Mirza Dervisevic
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
| | - Damir Karpljuk
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
| | - Mateja Videmsek
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
| | - Edvin Dervisevic
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
| | - Armin Paravlic
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
- Science and Research Centre, Institute of Kinesiology Research, 6000 Koper, Slovenia
| | - Vedran Hadzic
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
| | - Katja Tomazin
- Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia; (M.D.); (D.K.); (M.V.); (E.D.); (A.P.); (V.H.)
- Correspondence:
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