Evidence map›Paper›PMID 29254912›Full record

ArticleJournal of medical Internet research2017

Mindfulness-Based Cognitive Therapy for Cancer Patients Delivered via Internet: Qualitative Study of Patient and Therapist Barriers and Facilitators.

Félix R Compen, Else M Bisseling, Melanie Pj Schellekens, Ellen Tm Jansen, Marije L van der Lee, Anne Em Speckens

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Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Félix R CompenCentre for Mindfulness, Department of Psychiatry, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0002-9988-6694
Else M BisselingHelen Dowling Institute for Psycho-Oncology, Bilthoven, Netherlands.ORCID 0000-0003-2457-2428
Melanie Pj SchellekensCentre for Mindfulness, Department of Psychiatry, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0001-8397-7674
Ellen Tm JansenCentre for Mindfulness, Department of Psychiatry, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0001-6850-1109
Marije L van der LeeHelen Dowling Institute for Psycho-Oncology, Bilthoven, Netherlands.ORCID 0000-0002-1316-7008
Anne Em SpeckensCentre for Mindfulness, Department of Psychiatry, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0001-5266-1554

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of patients living with cancer is growing, and a substantial number of patients suffer from psychological distress. Mindfulness-based interventions (MBIs) seem effective in alleviating psychological distress. Unfortunately, several cancer patients find it difficult, if not impossible, to attend a group-based course. Internet-based MBIs (eMBIs) such as Internet-based mindfulness-based cognitive therapy (eMBCT) may offer solutions. However, it is yet to be studied what facilitators and barriers cancer patients experience during eMBCT.

objectiveThis study aimed to explore facilitators and barriers of individual asynchronous therapist-assisted eMBCT as experienced by both patients and therapists.

methodsPatients with heterogeneous cancer diagnoses suffering from psychological distress were offered eMBCT. This 9-week intervention mirrored the group-based MBCT protocol and included weekly asynchronous written therapist feedback. Patients were granted access to a website that contained the eMBCT protocol and a secured inbox, and they were asked to practice and fill out diaries on which the therapist provided feedback. In total, 31 patients participated in an individual posttreatment interview on experienced facilitators and barriers during eMBCT. Moreover, eight therapists were interviewed. The data were analyzed with qualitative content analysis to identify barriers and facilitators in eMBCT.

resultsBoth patients and therapists mentioned four overarching themes as facilitators and barriers: treatment setting (the individual and Internet-based nature of the treatment), treatment format (how the treatment and its guidance were organized and delivered), role of the therapist, and individual patient characteristics.

conclusionsThe eMBCT provided flexibility in when, where, and how patients and therapists engage in MBCT. Future studies should assess how different eMBCT designs could further improve barriers that were found.

Indexed as

Cognitive Behavioral TherapyFemaleHumansInternetMaleMiddle AgedMindfulnessNeoplasmsQualitative ResearchTelemedicinecancer survivorsmindfulnesspsycho-oncologyqualitative researchtelemedicine

Identifiers

PMID29254912
PMCPMC5748478

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.