ArticleBMC palliative care2026
Adapting a brief mindful breathing intervention for self-management of distress in advanced cancer patients: the RESOLVE-i study.
Article in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
Abstract
backgroundPsychological distress is common among patients with advanced cancer and can be a barrier to effective symptom management. Despite national guidance, psychological support in UK palliative care remains limited. Existing interventions are frequently delivered by untrained staff lacking confidence. Adapting evidence-based interventions offers an efficient strategy to improve care. This study describes the adaptation of a brief mindful breathing intervention, originally developed in Malaysia, for self-management of distress by patients with advanced cancer in the UK.
methodsUsing Moore et al.'s ADAPT framework, we followed four stages: Step 1: A systematic review (PROSPERO: CRD42022311729) established a rationale for adapting a brief mindful breathing intervention for distress in advanced cancer. Step 2: Semi-structured interviews with healthcare professionals (HCPs) explored acceptability, perceived utility, and integration into routine care. Step 3: A series of interviews with patients and carers informed the cultural and contextual iterative adaptation of the mindful breathing intervention and the development of accessible self-management resources. Step 4: A feasibility study was designed to assess acceptability, implementation, and to generate pilot data.
resultsThe systematic review supported the effectiveness of mindful breathing, though evidence found was context-specific to Malaysian clinical settings. HCPs endorsed integration into routine care but noted time constraints and concerns about information accessibility. Feedback from patients and carers informed several adaptations for self-management, including simplified language, inclusive imagery, removal of prescriptive instructions (e.g., breathing through the nose), and development of low-literacy resources. A video animation, infographic, and HCP training package were created to support implementation.
conclusionsThis stakeholder-informed adaptation resulted in a self-management mindful breathing intervention tailored for patients with advanced cancer in the UK. The intervention is now ready for feasibility testing and represents a scalable, resource-efficient strategy to enhance psychological support in palliative care, in line with NHS goals for community-based self-management.
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