Couple-Based Meditation for Metastatic Lung Cancer Patients and Their Partners

Conditions

Lung Cancer

Keywords

Non-Small Cell Lung Cancer, NSCLC, Couples-based meditation program, Couples-based cancer-related discussion program, Questionnaires, Surveys, Metastatic lung cancer, Quality of life, QOL

Brief summary

Objectives: Our specific aims are to: Aim 1: Examine the feasibility of a couple-based meditation program in 50 patients with metastatic lung cancer and their partners. Aim 2: Establish the initial efficacy of a couple-based meditation program in patients and their partners regarding physical, psychological, and spiritual quality of life outcomes.

Kathrin Milbury, Yisheng Li, Sania Durrani, Zhongxing Liao, Anne S. Tsao et al. (8 authors)

The Oncologist2020-07-0478 citations

10.1634/theoncologist.2020-0125

Results of a pilot randomized controlled trial: A couple-based meditation intervention for patients with metastatic lung cancer and their partners.

Kathrin Milbury, Yisheng Li, Sania Durrani, Zhongxing Liao, Claire C. Yang et al. (8 authors)

Journal of Clinical Oncology2019-11-012 citations

10.1200/jco.2019.37.31_suppl.135

A research protocol for a pilot randomized controlled trial designed to examine the feasibility of a couple-based mind-body intervention for patients with metastatic lung cancer and their partners

Kathrin Milbury, Anne S. Tsao, Zhongxing Liao, April Owns, Rosalinda Engle et al. (8 authors)

Pilot and Feasibility Studies2018-01-2411 citations

10.1186/s40814-018-0231-6

Interventions

BEHAVIORALQuestionnaires

Phase 1: At end of second meditation and discussion session, couples complete complete a written review about the program in general and a questionnaire about their general health and well-being. Phase 2: Couples complete 12 questionnaires before first meditation and discussion session. Questionnaires ask about participant's health, mood, level of fatigue, sleeping habits, their relationship, and quality of life. Same questionnaires completed 1 week after mediation sessions. Phase 3: Participant complete 13 questionnaires before first mediation session, after last session, and again 3 months later. Questionnaires ask about participant's health, any symptoms they may be having, mood, level of fatigue, sleeping habits, their relationship, and their quality of life. Partners complete 12 questionnaires about their health, mood, level of fatigue, sleeping habits, their relationship, and their quality of life. AC group completes same questionnaires with no intervention.

BEHAVIORALMeditation and Discussion Sessions

Phase 1: Participant and partner attend 2 meditation sessions with a mediation trained instructor. Each session will last about 60-90 minutes. Phase 2 and 3: Participant and partner attend meditation class with a trained meditation instructor each week for 4 weeks. Each session will last about 60 minutes total. Meditation and discussion sessions videotaped.

BEHAVIORALCancer-Related Discussion Program

Phase 3: Participant and partner attend 1 discussion session each week for 4 weeks with a trained interventionist. During the discussion sessions, participants discuss issues for couples coping with cancer. Each session will last about 60 minutes.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

1. ALL PHASES, PATIENTS ONLY: Diagnosed with stage IV Non-Small Cell Lung Cancer (NSCLC) 2. ALL PHASES, PATIENTS ONLY: Currently receiving treatment (e.g. radiotherapy, chemotherapy) at MD Anderson Cancer Center 3. ALL PHASES, PATIENTS ONLY: Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to 2 4. ALL PHASES, PATIENTS ONLY: Have a romantic partner with whom they have resided for a minimum of 6 months 5. ALL PHASES, PATIENTS AND PARTNERS: Must be at least 18 years old 6. ALL PHASES, PATIENTS AND PARTNERS: Able to read and speak English 7. ALL PHASES, PATIENTS AND PARTNERS: Able to provide consent.

Exclusion criteria

1. ALL PHASES, PATIENTS AND PARTNERS: Not oriented to time, place, or person as deemed by the clinical team 2. ALL PHASES, PATIENTS AND PARTNERS: Regular (self-defined) participation in psychotherapy or a formal cancer support group 3. ALL PHASES, PATIENTS AND PARTNERS: Prior enrollment in a couple-based mind-body intervention research study (protocols 2011-1179, 2013-0496, 2014-0036) conducted by the principal investigator including phase 1 or phase 2 of the current study.

Design outcomes

Primary

Measure	Time frame	Description
Efficacy of Couple-Based Meditation for Participants with Lung Cancer and Their Partners	4 months	Efficacy based on physical, psychological, and spiritual quality of life outcomes. T-tests used to compare the pre-post change in the quality of life (QOL) outcomes between interventions separately for the participants and caregivers.
Feasibility of Couple-Based Meditation for Participants with Lung Cancer and Their Partners	4 months	Intervention deemed feasible if \>60% of enrolled couples complete Time 1 and Time 2 survey assessments.

Countries

United States

Contacts

CONTACTKathrin Milbury, PHD, MA

KMilbury@mdanderson.org713-745-2868

PRINCIPAL_INVESTIGATORKathrin Milbury, PHD, MA

M.D. Anderson Cancer Center

Outcome results

None listed