A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer
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 tria...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-06-01
|
| Series: | Integrative Cancer Therapies |
| Online Access: | https://doi.org/10.1177/15347354221099540 |
| _version_ | 1828730699285266432 |
|---|---|
| author | Carolyn Ee PhD Anna C. Singleton PhD Michael de Manincor PhD Elisabeth Elder PhD Nikki Davis BSc Christine Mitchell Para.Aesth Tinashe Dune PhD Freya MacMillan PhD Kate McBride PhD Suzanne Grant PhD |
| author_facet | Carolyn Ee PhD Anna C. Singleton PhD Michael de Manincor PhD Elisabeth Elder PhD Nikki Davis BSc Christine Mitchell Para.Aesth Tinashe Dune PhD Freya MacMillan PhD Kate McBride PhD Suzanne Grant PhD |
| author_sort | Carolyn Ee PhD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T17:35:04Z |
| format | Article |
| id | doaj.art-9b791e5e1a4e41ce9e6f8aa3076196c3 |
| institution | Directory Open Access Journal |
| issn | 1534-7354 1552-695X |
| language | English |
| last_indexed | 2024-04-12T17:35:04Z |
| publishDate | 2022-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Integrative Cancer Therapies |
| spelling | doaj.art-9b791e5e1a4e41ce9e6f8aa3076196c32022-12-22T03:23:01ZengSAGE PublishingIntegrative Cancer Therapies1534-73541552-695X2022-06-012110.1177/15347354221099540A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast CancerCarolyn Ee PhD0Anna C. Singleton PhD1Michael de Manincor PhD2Elisabeth Elder PhD3Nikki Davis BSc4Christine Mitchell Para.Aesth5Tinashe Dune PhD6Freya MacMillan PhD7Kate McBride PhD8Suzanne Grant PhD9Western Sydney University, Penrith, NSW, AustraliaEngagement and Co-Design Research Hub, Faculty of Medicine and Health, School of Health Sciences, University of Sydney, Westmead, NSW, AustraliaWestern Sydney University, Penrith, NSW, AustraliaWestmead Breast Cancer Institute, Westmead, NSW, AustraliaPrimary Care Collaborative Cancer Clinical Trials Group, Melbourne, VIC, AustraliaBreast Cancer Network Australia, Castle Hill, VIC, AustraliaWestern Sydney University, Penrith, NSW, AustraliaWestern Sydney University, Penrith, NSW, AustraliaWestern Sydney University, Penrith, NSW, AustraliaWestern Sydney University, Penrith, NSW, AustraliaIntroduction: 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.https://doi.org/10.1177/15347354221099540 |
| spellingShingle | Carolyn Ee PhD Anna C. Singleton PhD Michael de Manincor PhD Elisabeth Elder PhD Nikki Davis BSc Christine Mitchell Para.Aesth Tinashe Dune PhD Freya MacMillan PhD Kate McBride PhD Suzanne Grant PhD A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer Integrative Cancer Therapies |
| title | A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer |
| title_full | A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer |
| title_fullStr | A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer |
| title_full_unstemmed | A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer |
| title_short | A Qualitative Study Exploring Feasibility and Acceptability of Acupuncture, Yoga, and Mindfulness Meditation for Managing Weight After Breast Cancer |
| title_sort | qualitative study exploring feasibility and acceptability of acupuncture yoga and mindfulness meditation for managing weight after breast cancer |
| url | https://doi.org/10.1177/15347354221099540 |
| work_keys_str_mv | AT carolyneephd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT annacsingletonphd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT michaeldemanincorphd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT elisabethelderphd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT nikkidavisbsc aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT christinemitchellparaaesth aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT tinashedunephd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT freyamacmillanphd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT katemcbridephd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT suzannegrantphd aqualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT carolyneephd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT annacsingletonphd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT michaeldemanincorphd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT elisabethelderphd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT nikkidavisbsc qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT christinemitchellparaaesth qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT tinashedunephd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT freyamacmillanphd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT katemcbridephd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer AT suzannegrantphd qualitativestudyexploringfeasibilityandacceptabilityofacupunctureyogaandmindfulnessmeditationformanagingweightafterbreastcancer |