P1.16-11 A Dyad-Based Mindfulness Cancer Recovery Program for Survivors and Family Members to Reduce Lung Cancer Symptoms

Abstract

Although the five-year survival rate for individuals with NSCLC stages I-IIIa, is increasing, excessive symptom burden remains a distressing problem that negatively impacts quality of life. Our long-term goal is to improve clinical outcomes for survivors of localized lung cancer (NSCLC; stages I–IIIa). The study objective is to test a tailored intervention, Breathe Easier, which encompasses meditation, varying levels of yoga, and breathing exercises to evaluate feasibility and preliminary effects for survivors and family members (dyads). A community-based participatory research approach was used to adapt a mindfulness-based cancer recovery program. Using a prospective, one-group, repeated measures, mixed method design, this study collected feasibility and preliminary data to test the hypothesis that survivors and family members (dyads) who receive an 8-week intervention will demonstrate (a) less dyspnea, (b) less fatigue, (c) improved sleep quality and quantity, (d) improved exercise tolerance and (e) less stress immediately after the intervention. The intervention known as “Breathe Easier” consisted of breathing exercises, individual and partner sitting, standing and floor yoga movements, meditations and participant interaction. The outcome variables were measured pre and immediately post intervention by the FACIT Dyspnea Short Form (Parts 1 and 2), FACIT Fatigue Scale v.4. Pittsburgh Sleep Quality Index, 6-Minute Walk Test, and the Perceived Stress Scale v.4. Post-intervention qualitative interviews were conducted. Descriptive statistics were obtained for five quantitative feasibility measures (recruitment, retention, intervention dose, adherence, acceptability). Thematic analysis was used to interpret the qualitative data. In six iterations of the intervention,164 survivors were reached, and 32 dyads enrolled (62 participants; 20% recruitment and 94% retention rates). Survivors were 44% male and 62% African American. Among all, 74% were not current smokers, 22% used oxygen, and 71% completed a six-minute walk test post-intervention. Adherence was demonstrated by good attendance and exceeding expectations on home assignments for breathing exercises and meditations. All participants practiced gentle movements (yoga), meeting approximately 80% of expectations. Survivors reported completing daily home assignments slightly more than family members. All agreed that the intervention materials were easy to use, learning yoga and breathing exercises helped, and involving a family member was important. For each outcome variable, differences in survivors versus partners were calculated. Survivors had less dyspnea and perceived stress over time. Both groups had improved fatigue and sleep scores. Interview data enriched the understanding of feasibility and preliminary outcome measures. Six themes illustrated participants’ experiences: (1) Learning to Breathe Easier, (2) Enhanced Closeness with Committed Partners, (3) Stretching, Releasing Tension, and Feeling Energized, (4) Interacting with Others as Beneficial, (5) Refocused on Living, and (6) Sustainability as a Decision. Recruitment, retention, adherence, and acceptability demonstrated strong feasibility. Preliminary outcome data indicate benefits over time for both survivors and family members.