Objectives Suffering is common among patients with advanced cancer. The practice of mindfulness during patient care can potentially reduce suffering. We aimed to examine the efficacy of mindfulness-based supportive therapy (MBST) on reducing suffering in patients with advanced cancer.
Methods We conducted a parallel-group, single-blinded, randomised controlled trial at the University of Malaya Medical Centre, Malaysia. Seventy-three patients with advanced cancer with an overall suffering score ≥4/10 based on the Suffering Pictogram were recruited and randomly assigned into either the MBST group (n=34) or the control group (n=39).
Results There was a statistically significant reduction in the overall suffering score in the MBST group compared with the control group (U=432.5, median1=−2.0, median2=−1.0, z=−2.645, p=0.008). There was also significant improvement in the total Hospital Anxiety and Depression Scale score (U=483.5, median1=−4.0, median2=−3.0, z=−1.994, p=0.046), and the total Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being score (U=252.0, median1=+14.5, median2=+5.0, z=−4.549, p=0.000) in the MBST group compared with the control group.
Conclusions The results provided evidence that the practice of MBST during patient care could promote positive psychosocial outcomes.
- psychological care
- quality of life
- supportive care
- spiritual care
Data availability statement
Data are available on reasonable request.
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Contributors Study design: SBT, DPC, SIZ, ECL, LLC. Recruitment: SBT, CHC, CFN, SLH, YWT. Statistical analyses: SBT, CHC, CFN, SLH, YWT, CGN. Manuscript preparation: SBT, CHC, CFN, SLH, YWT, DPC, SIZ, ECL, LLC, CSC, DLCN. Guarantor: SBT.
Funding The study was supported by the Fundamental Research Grant Scheme of the Ministry of Higher Education, Malaysia (FRGS/1/2019/SKK02/UNIMAS/02/01).
Disclaimer The funding body only financially supported the study, and did not take part in the design of the study; or collection, analyses and interpretation of the data; or writing of the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.