A randomized pilot of eHealth mindful movement and breathing to improve gynecologic surgery outcomes
Stephanie J Sohl1, Janet A Tooze2, Beverly J Levine1
1Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Objective:
To conduct a pilot randomized controlled trial of eHealth Mindful Movement and Breathing (eMMB) compared to an empathic attention control (AC).
Participants:
Women undergoing surgery for a suspected gynecologic malignancy.
Methods:
eMMB is a brief yoga intervention delivered remotely during the perioperative timeframe. We assessed feasibility and participants completed assessments (baseline, weeks 2 and 4 postoperatively). We summarized feasibility, participant characteristics, and outcomes by intervention group and time.
Findings:
Forty-three percent of eligible patients approached participated (n = 31). Adherence to the interventions was 77%. Percent of participants to complete outcomes was 81% at Week 2 and 84% at Week 4 (>70%; retention was the primary feasibility indicator). Average reductions in the primary outcome of pain intensity were larger in the eMMB group than AC group (Week 2 d = -0.38; Week 4 d = -0.46).
Implications:
This pilot study of eMMB supported feasibility and improvements in pain intensity that warrant a future efficacy study.
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