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Caring-Healing Modalities for Emotional Distress and Resilience in Persons with Cancer: A Scoping Review
Judyta Kociolek1, Rita Gengo1, Lenny Chiang-Hanisko1
1Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL 33431, USA.
Nursing Reports (Pavia, Italy)
|September 26, 2025
Summary
Caring-healing modalities (CHMs) offer non-pharmacological support for cancer patients, reducing distress and enhancing resilience. This review maps their components, outcomes, and delivery methods for better application in cancer survivorship care.
Area of Science:
- Nursing Science
- Integrative Oncology
- Psychosocial Oncology
Background:
- Caring-healing modalities (CHMs) are nurse-led, non-pharmacological interventions.
- CHMs show potential in reducing emotional distress and enhancing resilience in cancer patients.
- The heterogeneity of CHMs necessitates a comprehensive review of their formulation, outcomes, and mechanisms.
Purpose of the Study:
- To map the existing literature on CHMs for emotional distress and resilience in cancer patients.
- To identify the components, targeted outcomes, and measures of various CHMs.
- To explore the mechanisms of action for CHMs in cancer survivorship.
Main Methods:
- A scoping review guided by Watson's Theory of Human Caring and JBI methodology.
- Inclusion of experimental studies, systematic reviews, opinion pieces, and gray literature.
- Searches across eleven databases with no date or setting restrictions, followed by dual reviewer screening and data extraction.
Main Results:
- Sixteen records published between 2016-2025 were included, primarily from the US and China.
- Mindfulness-based, group-based, expressive, and educational CHMs were identified, often targeting breast cancer patients.
- Peer support and group discussions were common active ingredients; delivery modes and dosages varied significantly.
Conclusions:
- CHMs represent a holistic, caring-based approach to cancer survivorship.
- Key components, active ingredients, delivery modes, and dosages of CHMs are identified.
- Future research should broaden the scope beyond breast cancer to include diverse cancer types.
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