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Price J, Sharma S, Brunet J. Women's experiences with yoga after a cancer diagnosis: a qualitative meta-synthesis-part I. Syst Rev 2023; 12:176. [PMID: 37752520 PMCID: PMC10521480 DOI: 10.1186/s13643-023-02350-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 09/10/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND Qualitative research on women's experiences participating in yoga after a cancer diagnosis is growing; systematic synthesis and integration of results are necessary to facilitate the transfer and implementation of knowledge among researchers and end-users. Thus, the purpose of this meta-synthesis was to: (1) integrate findings from qualitative studies, (2) compare and contrast findings to elucidate patterns or contradictions in conclusions, and (3) develop an overarching interpretation of women's experiences participating in yoga after a cancer diagnosis. METHODS Using meta-study methodology, six electronic databases were searched using a sensitive search strategy in November 2020, a supplemental scan of reference lists was conducted in August 2021, and the database search was replicated in October 2021. Two reviewers independently screened titles/abstracts and full-texts to determine eligibility. RESULTS The searches yielded 6804 citations after de-duplication. Data from 24 articles meeting the eligibility criteria were extracted, and the results, methods, and theoretical approach(es) were analyzed. The analysis revealed that there was a predominant focus on two focal points in the primary articles: (1) women's well-being and quality of life (QoL; part I) and (2) intervention preferences (part II). Five overarching categories emerged related to well-being and QoL: (1) yoga can support improvements in multiple dimensions of QoL in women diagnosed with cancer, (2) women diagnosed with cancer experience an interaction between QoL dimensions, (3) elements of yoga that support improvements in QoL dimensions, (4) breathwork and meditation are integral elements of yoga, and (5) yoga practice may support lifestyle behavior change. The articles reviewed had notable limitations related to: (1) reporting about instructor(s), content of the intervention, and environmental characteristics of the setting, (2) identifying and incorporating optimal features in the intervention design, (3) incorporating theory and real-world considerations into the study procedures, and (4) including positive and negative conceptualizations of QoL as an interconnected and multidimensional concept. CONCLUSION Moving forward, it remains critical to identify the ideal structure and content of yoga programs for promoting well-being and QoL among women diagnosed with cancer, as well as to explore barriers and facilitators to sustainable program implementation. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42021229253.
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Affiliation(s)
- Jenson Price
- School of Human Kinetics, University of Ottawa, 125 University Private, Montpetit Hall, Room 339, Ottawa, ON, K1N 6N5, Canada
| | - Sitara Sharma
- School of Human Kinetics, University of Ottawa, 125 University Private, Montpetit Hall, Room 339, Ottawa, ON, K1N 6N5, Canada
| | - Jennifer Brunet
- School of Human Kinetics, University of Ottawa, 125 University Private, Montpetit Hall, Room 339, Ottawa, ON, K1N 6N5, Canada.
- Cancer Therapeutic Program, Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, ON, Canada.
- Institut du Savoir Montfort, Hôpital Montfort, Ottawa, ON, Canada.
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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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Penner C, Zimmerman C, Conboy L, Kaptchuk T, Kerr C. "Honorable Toward Your Whole Self": Experiences of the Body in Fatigued Breast Cancer Survivors. Front Psychol 2020; 11:1502. [PMID: 32719641 PMCID: PMC7350261 DOI: 10.3389/fpsyg.2020.01502] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 06/05/2020] [Indexed: 11/13/2022] Open
Abstract
Introduction Cancer Related Fatigue (CRF) is one of the most common and detrimental side effects of cancer treatment. Despite its increasing prevalence and severity CRF remains dismissed by the majority of clinicians. One reason for the apparent gap between clinical need and clinical undertaking is the penchant toward reductionist accounts of the disorder: a tendency to discount the interface between the lived experience of sufferers and the multi-dimensional etiology of CRF as it manifests adversely on a day-to-day basis. Methods In order to better understand the interplay between social, bodily, and emotional components of the disorder we undertook semi-structured interviews with thirteen Breast Cancer survivors suffering from CRF, and then subsequently analyzed their responses using Team Based Qualitative Analysis. Results Our analysis revealed multiple dimensions of the social and bodily underpinnings of fatigue. Most relevantly we found a consistent change in the level and quality of attention to bodily signals. This shift in awareness appeared to be directly connected to the experience of CRF and a newfound, “respect,” for the needs of the body. Furthermore, we found that many of the practices that were described as helpful in alleviating fatigue were oriented around eliciting a sense of embodied awareness, examples being: dance, yoga, and shamanic ritual. This relationship with bodily sensations existed in conjunction with the anxiety and trauma that arose as a result of cancer treatment. Conclusion Our analysis suggests that the quality of awareness and relationship to bodily experience in CRF is a functionally relevant component of the disorder and should be considered as an experiential target moving forward.
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Affiliation(s)
- Cooper Penner
- Department of Neuroscience, Brown University, Providence, RI, United States.,Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA, United States
| | - Chloe Zimmerman
- Department of Neuroscience, Brown University, Providence, RI, United States.,Warren Alpert Medical School, Brown University, Providence, RI, United States.,Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States
| | - Lisa Conboy
- Warren Alpert Medical School, Brown University, Providence, RI, United States.,Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.,New England School of Acupuncture, Newton, MA, United States
| | - Ted Kaptchuk
- Warren Alpert Medical School, Brown University, Providence, RI, United States.,Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States
| | - Catherine Kerr
- Department of Contemplative Studies, Brown University, Providence, RI, United States
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Mah K, Lebel S, Irish J, Bezjak A, Payne AYM, Devins GM. A two-dimensional model of disrupted body integrity: initial evaluation in head and neck cancer. Support Care Cancer 2018; 26:3365-3377. [PMID: 29651597 DOI: 10.1007/s00520-018-4187-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 03/28/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE This cross-sectional study presents an initial psychometric evaluation of a two-dimensional (perceptual and evaluative) conceptualization and measure of disrupted body integrity (DBI)-illness-related disruption of the sense of the body as an integrated, smoothly functioning whole. METHODS Male and female head and neck cancer (HNC) outpatients (N = 98) completed a questionnaire package prior to outpatient visits. MAIN OUTCOME MEASURES The Disrupted Body Integrity Scale (DBIS) was developed to measure the perceptual and evaluative facets of DBI. Self-report measures of disfigurement, stigma, depressive symptoms, and negative affect were also completed. RESULTS Almost all DBIS subscales demonstrated good internal consistency. Results largely supported the DBIS's construct validity. The majority of subscales correlated within the predicted range of r's = .40-.70. Almost all DBIS constructs were positively linked with either depressive symptoms or disfigurement. None correlated with positive affect, and only two subscales, abnormal sensations (perceptual) and physical vulnerability (evaluative), correlated with negative affect. DBIS constructs showed little relation with stigma, once disfigurement effects were controlled for. CONCLUSIONS Findings offer preliminary evidence for the DBIS and the relevance of DBI in HNC. Further evaluation of DBI in disease adaptation and the DBIS's factor structure is warranted.
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Affiliation(s)
- Kenneth Mah
- Department of Supportive Care, Princess Margaret Cancer Centre (University Health Network), Toronto, Ontario, Canada.
| | - Sophie Lebel
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
| | - Jonathan Irish
- Department of Surgical Oncology, Princess Margaret Cancer Centre (University Health Network), Toronto, Ontario, Canada.,Department of Medicine, University of Toronto, Toronto, Ontario, Canada.,Ontario Cancer Institute, Toronto, Ontario, Canada
| | - Andrea Bezjak
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada.,Ontario Cancer Institute, Toronto, Ontario, Canada.,Department of Radiation Oncology, Princess Margaret Cancer Centre (University Health Network), Toronto, Ontario, Canada
| | | | - Gerald M Devins
- Department of Supportive Care, Princess Margaret Cancer Centre (University Health Network), Toronto, Ontario, Canada.,Ontario Cancer Institute, Toronto, Ontario, Canada.,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
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Loudon A, Barnett T, Williams A. Yoga, breast cancer-related lymphoedema and well-being: A descriptive report of women's participation in a clinical trial. J Clin Nurs 2017; 26:4685-4695. [PMID: 28334470 DOI: 10.1111/jocn.13819] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2017] [Indexed: 11/27/2022]
Abstract
AIMS AND OBJECTIVES To describe the experiences of women taking part in a yoga intervention trial for breast cancer-related lymphoedema. BACKGROUND Around 20% of women will experience lymphoedema as a consequence of treatment for breast cancer. Specialist lymphoedema clearing, along with self-management, remains the mainstay of therapy. Yoga, an increasingly popular complementary therapeutic practice, may provide another tool to augment self-management. DESIGN A qualitative, descriptive design. METHODS Interviews were conducted with 15 women with stage one breast cancer-related lymphoedema who had completed an 8-week yoga intervention trial. The intervention consisted of a weekly teacher-led 1.5-hr yoga class and a daily home practice using a 45-min DVD. Interviews were audio-taped and transcribed. These data were then analysed using an iterative-thematic approach. RESULTS Participants reported improved well-being, increased awareness of their physical body as well as improved physical, mental and social functioning. They gained from being part of the yoga group that also provided a forum for them to share their experiences. Nine women felt empowered to describe their yoga participation as a transformative journey through illness. CONCLUSION When safe to do so, the holistic practice of yoga may augment and provide additional benefit to current self-management and treatment practices for women with breast cancer-related lymphoedema. RELEVANCE TO CLINICAL PRACTICE Patients with breast cancer-related lymphoedema may seek advice and guidance from nurses and other healthcare professionals on a range of complementary therapies to help relieve symptoms and promote recovery. Patients who choose to augment their treatment of breast cancer-related lymphoedema by practicing yoga should be carefully assessed, be taught an appropriate technique by a qualified yoga teacher/therapist and its impact monitored by their yoga teacher/therapist, breast care nurse, lymphoedema therapist or treating clinician.
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Affiliation(s)
- Annette Loudon
- Forest Yoga Massage and Pilates, Forestville, NSW, Australia
| | - Tony Barnett
- Centre for Rural Health, University of Tasmania, Launceston, Tas., Australia
| | - Andrew Williams
- Exercise Science, School of Health Sciences, University of Tasmania, Launceston, Tas., Australia
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Carr T, Quinlan E, Robertson S, Duggleby W, Thomas R, Holtslander L. Yoga as palliation in women with advanced cancer: a pilot study. Int J Palliat Nurs 2016; 22:111-7. [PMID: 27018737 DOI: 10.12968/ijpn.2016.22.3.111] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
OBJECTIVE The purpose of this pilot study was to investigate the palliative potential of home-based yoga sessions provided to women with advanced cancer. METHOD Personalised 45-minute yoga sessions were offered to three women with advanced cancer by an experienced yoga teacher. Each woman took part in a one-to-one interview after the completion of the yoga programme and was asked to describe her experiences of the programme's impact. RESULTS The personalised nature of the yoga sessions resulted in similar positive physical and psychosocial effects comparable to those demonstrated in other studies with cancer patients. Participants described physical, mental, and emotional benefits as well as the alleviation of illness impacts. The enhancement of mind-body and body-spirit connections were also noted. CONCLUSION Personalised home-based yoga programmes for people with advanced cancer may produce similar benefits, including palliation, as those institutionally-based programmes for people with non-advanced cancer.
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Affiliation(s)
- Tracey Carr
- Postdoctoral Fellow, at the Department of Sociology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Elizabeth Quinlan
- Associate Professor, at the Department of Sociology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Susan Robertson
- Research Associate, at the Department of Sociology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Wendy Duggleby
- Professor, Faculty of Nursing, University of Alberta, Edmonton
| | - Roanne Thomas
- Associate Professor, Faculty of Health Sciences, University of Ottawa, Ottawa
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Satger B, Nozières E, Blaise S. Évaluation d’un atelier « Yoga et relaxation » dans un programme d’éducation thérapeutique « Vivre avec son lymphœdème ». ACTA ACUST UNITED AC 2015; 40:273-6. [DOI: 10.1016/j.jmv.2015.05.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Accepted: 05/13/2015] [Indexed: 11/28/2022]
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Solomonova E. First-person experience and yoga research: studying neural correlates of an intentional practice. Front Hum Neurosci 2015; 9:85. [PMID: 25762918 PMCID: PMC4340189 DOI: 10.3389/fnhum.2015.00085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Accepted: 02/02/2015] [Indexed: 11/24/2022] Open
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