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Feasibility and acceptability of a mindfulness app-based intervention among patients with metastatic renal cell
Cristiane Decat Bergerot1, Paulo Gustavo Bergerot1, Errol J Philip2
1Oncoclinicas&Co-Medica Scientia Innovation Research (MEDSIR), Sao Paulo, SP 04543-906, Brazil.
Background:
Patients with metastatic renal cell carcinoma (mRCC) experience emotional distress and limited supportive care access. This study assesses a mindfulness app's feasibility, acceptability, and preliminary efficacy in improving emotional symptoms, trait mindfulness, and overall quality of life for patients with mRCC on immunotherapy.
Methods:
This multinational study recruited patients with mRCC undergoing immunotherapy from Brazil and the United States. Participants were required to engage in mindfulness app-based activities for 20-30 min daily, at least 4 days per week, over a 4-week period. Assessments were conducted at weeks 0, 2, 4, and 12 to evaluate emotional symptoms (PROMIS-Anxiety and Depression, Fear of Cancer Recurrence-7), fatigue (Brief Fatigue Inventory), trait mindfulness (Mindfulness Attention Awareness Scale), and quality of life (Functional Assessment of Chronic Illness Therapy-General). Self-reported data were used to assess adherence. Linear mixed-effects models were used to evaluate changes over time for the measured outcomes.
Results:
Among 50 patients with mRCC, the feasibility of this intervention was demonstrated; 96% of patients were assessed at week 4, with high adherence rates reported by 75% of patients. Participants expressed positive feedback on the smartphone-based approach. Significant improvements were observed in emotional symptoms, fatigue, and quality of life scores from baseline to post-intervention (P = .001 for each), suggesting the positive impact of this intervention.
Conclusion:
Our findings provide encouraging evidence for the feasibility and acceptability of a mindfulness app-based intervention among patients with mRCC. This intervention may offer a viable and accessible means of providing psychosocial support to patients with mRCC.
Insights
A mindfulness app intervention proved feasible and acceptable for patients with metastatic renal cell carcinoma (mRCC). This digital tool significantly improved emotional symptoms, fatigue, and quality of life for mRCC patients undergoing immunotherapy.
Area of Science:
- Oncology
- Digital Health
- Psychosocial Oncology
Background:
- Patients with metastatic renal cell carcinoma (mRCC) often face significant emotional distress.
- Access to supportive care services for mRCC patients can be limited.
- Immunotherapy is a common treatment for mRCC, but can be associated with side effects impacting quality of life.
Purpose of the Study:
- To assess the feasibility and acceptability of a mindfulness app intervention for mRCC patients.
- To evaluate the preliminary efficacy of the mindfulness app in improving emotional symptoms, trait mindfulness, and quality of life.
- To explore the potential of digital health solutions for psychosocial support in mRCC.
Main Methods:
- A multinational study involving patients with mRCC undergoing immunotherapy.
- Participants engaged in daily mindfulness app activities for 4 weeks.
- Outcomes including emotional symptoms, fatigue, mindfulness, and quality of life were assessed at multiple time points using validated scales. Adherence was self-reported, and linear mixed-effects models analyzed changes over time.
Main Results:
- The intervention demonstrated high feasibility, with 96% of patients completing assessments at week 4.
- High adherence rates (75%) and positive participant feedback were reported for the smartphone-based approach.
- Significant improvements were observed in emotional symptoms, fatigue, and quality of life from baseline to post-intervention (P=.001 for each).
Conclusions:
- A mindfulness app-based intervention is feasible and acceptable for patients with mRCC.
- This digital intervention shows promise as an accessible method for delivering psychosocial support.
- The findings support the use of mindfulness apps to enhance the well-being of mRCC patients undergoing immunotherapy.
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