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    Using smart-messaging to enhance mindfulness-based cognitive therapy for cancer patients: A mixed methods proof of concept evaluation

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    Author
    Malins, Samuel
    Biswas, Sanchia
    Sweeney, Timothy
    Levene, Jo
    Keyword
    Cognitive therapy
    Telemedicine
    Patient dropout
    Depression
    Anxiety
    Mindfulness
    Neoplasms
    Date
    2019
    
    Metadata
    Show full item record
    DOI
    10.1002/pon.5256
    Publisher's URL
    https://onlinelibrary.wiley.com/doi/abs/10.1002/pon.5256
    Abstract
    OBJECTIVE Depression and anxiety lead to reduced treatment adherence, poorer quality of life, and increased care costs amongst cancer patients. Mindfulness-Based Cognitive Therapy (MBCT) is an effective treatment, but dropout reduces potential benefits. Smart-message reminders can prevent dropout and improve effectiveness. However, smart-messaging is untested for MBCT in cancer. This study evaluates smart-messaging to reduce dropout and improve effectiveness in MBCT for cancer patients with depression or anxiety. METHODS Fifty-one cancer patients attending MBCT in a psycho-oncology service were offered a smart-messaging intervention, which reminded them of prescribed between-session activities. Thirty patients accepted smart-messaging and 21 did not. Assessments of depression and anxiety were taken at baseline, session-by-session and one-month follow-up. Logistic regression and multilevel modelling compared the groups on treatment completion and clinical effectiveness. Fifteen post-treatment patient interviews explored smart-messaging use. RESULTS The odds of programme completion were eight times greater for patients using smart-messaging compared with non-users, controlling for age, gender, baseline depression, and baseline anxiety (OR = 7.79, 95% CI 1.75 to 34.58, p = .007). Smart-messaging users also reported greater improvement in depression over the programme (B = -2.33, SEB = .78, p = .004), when controlling for baseline severity, change over time, age, and number of sessions attended. There was no difference between groups in anxiety improvement (B = -1.46, SEB = .86, p = .097). In interviews, smart-messaging was described as a motivating reminder and source of personal connection. CONCLUSIONS Smart-messaging may be an easily integrated telehealth intervention to improve MBCT for cancer patients.
    Citation
    Wells, C., Malins, S., Clarke, S., Skorodzien, I., Biswas, S., Sweeney, T., Mogaddam, N. & Levene, J. (2019). Using smart-messaging to enhance mindfulness-based cognitive therapy for cancer patients: A mixed methods proof of concept evaluation. Psycho-Oncology, 29 (1), pp. 212-219.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/14187
    Note
    © 2019 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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    Anxiety
    Cancer
    Depression

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