A Pilot Study Examining the Feasibility of the MBSR(BC) Home-Based Approach via an iPad

Abstract

Purpose: The purpose of this pilot study was to test the feasibility of Mindfulness-Based Stress Reduction for Breast Cancer (MBSR(BC)) Home-based approach through smart technology platform using an iPad. Methods: A single group, pre-post design was implemented among female breast cancer (BC) patients (stages 0-III) who completed treatment. Data were collected at baseline and at week 6 on self-reported measures of psychological and physical symptoms and quality of life (QOL). The MBSR(BC) is a standardized stress-reducing intervention that combines sitting and walking meditation, body scan, and yoga adapted for BC survivors. The Home-based program was designed to deliver the weekly 2-hour sessions for 6 weeks on an iPad decreasing subject burden and allowing completion of the intervention at home. Participants received an orientation on use of the iPad, and recorded practice time in a daily diary. Results: Of the 15 enrolled, the mean age was 58 and one participant was Black Non-Hispanic with the other 14 being White Non-Hispanic. Of the 13 who completed the study, there were significant differences and improvements from pre- MBSR(BC) to 6 weeks (post MBSR(BC)) in psychological and physical symptoms of depression, state anxiety, stress, fear of recurrence, sleep quality, fatigue and quality of life (p < .05). Conclusion: These results provide preliminary support that the Home-based MBSR(BC) program is feasible and acceptable, and had a clinical impact on decreasing psychological and physical symptoms. This program offered an alternative to the standard 6 week intervention by allowing for delivery flexibility at home while receiving the benefits of the MBSR(BC) program.