Hematopoietic and Lymphatic System Neoplasm, Malignant Solid Neoplasm
Conditions
Brief summary
This clinical trial evaluates whether a virtual stress reduction program that uses mindfulness-based stress reduction (MBSR) techniques works to improve mental health outcomes in cancer patients living in underserved/rural regions of Minnesota. 80% of Minnesota counties are considered mental health care shortage areas. This shortage disproportionately impacts Minnesotans living in underserved and rural regions as they have to travel further for mental health care services. Interventions that provide patients with mental health resources from the comfort of their own home help to reduce barriers that limit access to mental health care. MBSR courses can help patients control their responses to stressful events, reduce the impact of chronic stress, develop more effective ways to cope with medical/psychological conditions, and increase overall sense of well-being. MBSR courses may serve as a way to bridge the gap between mental health care and patients with cancer living in underserved/rural regions of Minnesota.
Interventions
OTHERElectronic Health Record Review
Ancillary studies
BEHAVIORALMindfulness Relaxation
Receive MBSR intervention
OTHERQuestionnaire Administration
Ancillary studies
Sponsors
Mayo Clinic
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients with a history of cancer, or currently have cancer * Patients reporting \> 4/10 emotional distress on a 0-10 scale within the past six months * Patients with a Rural-Urban Commuting Area (RUCA) code of 4 or greater * Have a computer or smartphone * Willing to complete questionnaires
Exclusion criteria
* Non-English-speaking patients * Life expectancy \< 12 months * Active psychiatric disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion Rate | Up to 10 weeks | Assessed by the number of participants who complete the virtual stress reduction program (MBSR) program |
| Change in Stress | Baseline, at course completion (week 10), 3 months, 6 months | Assessed using the 10-item Perceived Stress Scale (PSS), which measures global perceived stress experienced by the participant over the preceding 30 days. The PSS consists of 10 questions assessing how often the participant felt or thought a certain way during the past month. Possible answers include: 0 - never; 1 - almost never; 2 - sometimes; 3 - fairly often, and 4 - very often. Possible scores range from 0 to 40, with lower scores indicating a better outcome (less stress). |
| Change in Anxiety | Baseline, at course completion (week 10), 3 months, 6 months | Assessed using the General Anxiety Disorder 7-item (GAD-7) scale. The GAD-7 consists of 7 questions answered on a scale of 0-3 where 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every days. The total score ranges from 0 to 21 where 0 indicates no anxiety, 1-4 indicates minimal anxiety, 5-9 indicates mild anxiety, 10-14 indicates moderate anxiety, and 15-21 indicates severe anxiety. |
| Change in Mindfulness | Baseline, at course completion (week 10), 3 months, 6 months | Assessed using the Mindful Attention Awareness Scale (MAAS), a 15-item scale designed to assess a core characteristic of dispositional mindfulness (open or receptive awareness of and attention to what is taking place in the present). The MAAS consists of 15 statements about everyday experience, with each item answered on a scale ranging from 1 (almost always) to 6 (almost never) to indicate how frequently or infrequently participants have each experience. The MAAS is scored by computing a mean (average) of all 15 items. Higher scores reflect higher levels of dispositional mindfulness. |
| Barriers to completion of the course | At course completion (week 10) | Assessed using a study-specific questionnaire. Responses will be evaluated and reported descriptively. |
Countries
United States
Contacts
CONTACTClinical Trials Referral Office
CONTACTAhauve Orusa, MD, MPH
PRINCIPAL_INVESTIGATORStacy D. D'Andre, MD
Mayo Clinic in Rochester
Outcome results
None listed