nach oben

Supportive Care in Cancer

Erschienen in:

01.07.2013 | Original Article

Cancer patients’ experiences with and perceived outcomes of yoga: results from focus groups

verfasst von: C. F. van Uden-Kraan, M. J. M Chinapaw, C. H. C. Drossaert, I. M. Verdonck-de Leeuw, L. M. Buffart

Erschienen in: Supportive Care in Cancer | Ausgabe 7/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Yoga is a “mind–body” exercise, a combination of physical poses with breathing and meditation, and may have beneficial effects on physical and psychosocial symptoms. We aimed to explore cancer patients’ motives for practicing yoga, experiences of practicing yoga, and perceived physical and psychosocial outcomes.

Methods

Participants (n = 45) following yoga classes for cancer patients were asked to participate in focus group interviews, of whom 29 participated. The focus groups (n = 5) were audio taped with prior consent and transcribed verbatim. Data were analyzed by two coders and independently coded into key issues and themes.

Results

Mean age of the participants was 53.8 (SD 10.8) years, of whom 25 were women, and 18 were diagnosed with breast cancer. Motives for participation in yoga were relaxation, the will to be physically active, the wish to pay more attention to one’s body, coping with psychosocial symptoms, contributing to their cancer rehabilitation process, and combing physical and mental processes. Main physical and psychosocial experiences of yoga mentioned by patients were regaining body awareness, raising attention to the inner self, learning how to relax, enjoyment, and finding recognition and understanding. Increased physical fitness and function, mental strength and resilience, increased coping, being more relaxed, and happiness were frequently mentioned experiences of patients.

Conclusions

Patients with different types of cancer perceived several benefits on physical and psychosocial outcomes by practicing yoga. Therefore, yoga can be a valuable form of supportive care for cancer patients.

Courneya KS, Friedenreich CM (1999) Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med 21:171–179PubMedCrossRef

Courneya KS (2003) Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc 35:1846–1852PubMedCrossRef

Curt GA (2000) Impact of fatigue on quality of life in oncology patients. Semin Hematol 37:14–17PubMedCrossRef

Dimeo FC (2001) Effects of exercise on cancer-related fatigue. Cancer 92:1689–1693PubMedCrossRef

Fors EA, Bertheussen GF, Thune I, Juvet LK, Elvsaas IK, Oldervoll L et al (2011) Psychosocial interventions as part of breast cancer rehabilitation programs? Results from a systematic review. Psychooncology 20:909–918PubMed

Goedendorp MM, Gielissen MF, Verhagen CA, Bleijenberg G (2009) Psychosocial interventions for reducing fatigue during cancer treatment in adults. Cochrane Database Syst Rev (1):CD006953. doi:10.1002/14651858.CD006953.pub2

Jacobsen PB, Donovan KA, Vadaparampil ST, Small BJ (2007) Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue. Health Psychol 26:660–667PubMedCrossRef

Tatrow K, Montgomery GH (2006) Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis. J Behav Med 29:17–27PubMedCrossRef

De Backer IC, Schep G, Backx FJ, Vreugdenhil G, Kuipers H (2009) Resistance training in cancer survivors: a systematic review. Int J Sports Med 30:703–712PubMedCrossRef

10.

Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH (2010) An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv 4:87–100PubMedCrossRef

11.

Courneya KS, McKenzie DC, Reid RD, Mackey JR, Gelmon K, Friedenreich CM et al (2008) Barriers to supervised exercise training in a randomized controlled trial of breast cancer patients receiving chemotherapy. Ann Behav Med 35:116–122PubMed

12.

Midtgaard J, Baadsgaard MT, Moller T, Rasmussen B, Quist M, Andersen C et al (2009) Self-reported physical activity behaviour; exercise motivation and information among Danish adult cancer patients undergoing chemotherapy. Eur J Oncol Nurs 13:116–121PubMedCrossRef

13.

Whitehead S, Lavelle K (2009) Older breast cancer survivors’ views and preferences for physical activity. Qual Health Res 19:894–906PubMedCrossRef

14.

Courneya KS, Friedenreich CM, Quinney HA, Fields AL, Jones LW, Vallance JK et al (2005) A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial. Ann Behav Med 29:147–153PubMedCrossRef

15.

Perna FM, Craft L, Carver CS, Antoni MH (2008) Negative affect and barriers to exercise among early stage breast cancer patients. Health Psychol 27:275–279PubMedCrossRef

16.

Courneya KS, Friedenreich CM, Quinney HA, Fields AL, Jones LW, Fairey AS (2004) Predictors of adherence and contamination in a randomized trial of exercise in colorectal cancer survivors. Psychooncology 13:857–866PubMedCrossRef

17.

Rogers LQ, Courneya KS, Verhulst S, Markwell SJ, McAuley E (2008) Factors associated with exercise counseling and program preferences among breast cancer survivors. J Phys Act Health 5:688–705PubMed

18.

Lipton L (2008) Using yoga to treat disease: an evidence-based review. JAAPA 21:34–36, 38, 41PubMed

19.

Bower JE, Woolery A, Sternlieb B, Garet D (2005) Yoga for cancer patients and survivors. Cancer Control 12:165–171PubMed

20.

Buffart LM, van Uffelen JG, Riphagen II, Brug J, van MW, Brown WJ et al (2012) Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Cancer 12:559PubMedCrossRef

21.

Lin KY, Hu YT, Chang KJ, Lin HF, Tsauo JY (2011) Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis. Evid Based Complement Alternat Med 2011:659876PubMed

22.

Smith KB, Pukall CF (2009) An evidence-based review of yoga as a complementary intervention for patients with cancer. Psychooncology 18:465–475PubMedCrossRef

23.

Bower JE, Garet D, Sternlieb B, Ganz PA, Irwin MR, Olmstead R et al (2012) Yoga for persistent fatigue in breast cancer survivors: A randomized controlled trial. Cancer 118:3766–3775PubMedCrossRef

24.

Patton MQ (1990) Qualitative evaluation and research methods, 2nd edn. Sage, Newbury Park

25.

Galantino ML, Greene L, Archetto B, Baumgartner M, Hassall P, Murphy JK et al (2012) A qualitative exploration of the impact of yoga on breast cancer survivors with aromatase inhibitor-associated arthralgias. Explore (NY) 8:40–47CrossRef

26.

Krueger RA (1994) Focus groups: a practical guide for applied research. Sage, London

27.

Rabiee F (2004) Focus-group interview and data analysis. Proc Nutr Soc 63:655–660PubMedCrossRef

28.

Spence RR, Heesch KC, Brown WJ (2011) Colorectal cancer survivors’ exercise experiences and preferences: qualitative findings from an exercise rehabilitation programme immediately after chemotherapy. Eur J Cancer Care (Engl) 20:257–266CrossRef

29.

Stevinson C, Fox KR (2006) Feasibility of an exercise rehabilitation programme for cancer patients. Eur J Cancer Care (Engl) 15:386–396CrossRef

30.

Van Uden-Kraan CF, Drossaert CH, Taal E, Smit WM, Bernelot Moens HJ, Van de Laar MA (2011) Determinants of engagement in face-to-face and online patient support groups. J Med Internet Res 13:e106PubMedCrossRef

31.

Snobohm C, Friedrichsen M, Heiwe S (2010) Experiencing one’s body after a diagnosis of cancer—a phenomenological study of young adults. Psychooncology 19:863–869PubMed

32.

Dunkel-Schetter C, Feinstein LG, Taylor SE, Falke RL (1992) Patterns of coping with cancer. Health Psychol 11:79–87PubMedCrossRef

33.

Culos-Reed SN, Carlson LE, Daroux LM, Hately-Aldous S (2006) A pilot study of yoga for breast cancer survivors: physical and psychological benefits. Psychooncology 15:891–897PubMedCrossRef

34.

Carson JW, Carson KM, Porter LS, Keefe FJ, Seewaldt VL (2009) Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support Care Cancer (10):1301–1309. doi:10.1007/s00520-009-0587-5

35.

Chandwani KD, Thornton B, Perkins GH, Arun B, Raghuram NV, Nagendra HR et al (2010) Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer. J Soc Integr Oncol 8:43–55PubMed

36.

Vadiraja SH, Rao MR, Nagendra RH, Nagarathna R, Rekha M, Vanitha N et al (2009) Effects of yoga on symptom management in breast cancer patients: A randomized controlled trial. Int J Yoga 2:73–79PubMedCrossRef

37.

Hibbard JH, Stockard J, Mahoney ER, Tusler M (2004) Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res 39:1005–1026PubMedCrossRef

38.

Ando M, Morita T, Akechi T, Ifuku Y (2011) A qualitative study of mindfulness-based meditation therapy in Japanese cancer patients. Support Care Cancer 19:929–933PubMedCrossRef

39.

Litosseliti L (2007) Using focus groups in reserach. Continuum, London

Titel: Cancer patients’ experiences with and perceived outcomes of yoga: results from focus groups
verfasst von: C. F. van Uden-Kraan
M. J. M Chinapaw
C. H. C. Drossaert
I. M. Verdonck-de Leeuw
L. M. Buffart
Publikationsdatum: 01.07.2013
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 7/2013
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-013-1728-4

Springer Medizin

Cancer patients’ experiences with and perceived outcomes of yoga: results from focus groups