Impact of loving-kindness meditation intervention vs. music intervention during biopsy on adherence to recommended breast cancer screening.

IF 3 3区医学 Q2 ONCOLOGY

Breast Cancer Research and Treatment Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI:10.1007/s10549-025-07721-7

Nicole A Arrato, Mary Scott Soo, Anava A Wren, Juliann M Stalls, Dana H Bovbjerg, Francis J Keefe, Rebecca A Shelby

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引用次数: 0

Abstract

Purpose: To evaluate the impact of providing a loving-kindness meditation (LKM) intervention vs. a music intervention during core-needle breast biopsy (CNBB) on adherence to subsequent, clinically recommended breast cancer screening and surveillance.

Methods: Women (N = 120) were randomly assigned to receive LKM, Music, or Usual Care during CNBB. Patients in the LKM or Music groups listened to audio recordings during CNBB and were provided recordings for home use. Utilization of subsequent recommended breast imaging was assessed via health record review for 18 months into the breast cancer surveillance period.

Results: The sample was, on average, 53 years old (SD = 12.4), partnered (55%), and employed (56%); 28% Black and 68% White. Adherence to recommended breast imaging post-biopsy was: 69% for Usual Care, 71% for Music, and 90% for LKM. Compared to Usual Care, there was no significant difference in adherence for the Music group (OR = 1.11, 95% CI [0.43, 2.89], p = 0.829), but the LKM group was 3.9 times more likely to be adherent (OR = 3.89, 95% CI [1.13, 13.41], p = 0.032). Comparisons between intervention arms showed adherence for the LKM group was 3.5 times higher than the Music group (OR = 3.50, 95% CI [1.02, 12.00], p = 0.046). Patterns of adherence were similar across women with an abnormal biopsy result and those with a benign result.

Conclusion: A LKM intervention initiated during CNBB can have significant, positive impacts on women's adherence to subsequent recommended breast imaging. Providing patients with LKM during CNBB is an easily disseminated approach that could improve adherence to breast cancer screening and surveillance after CNBB.

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活组织检查期间，慈悲冥想干预与音乐干预对遵从推荐乳腺癌筛查的影响。

目的：评估在核心针乳腺活检（CNBB）期间提供慈爱冥想（LKM）干预与音乐干预对后续临床推荐的乳腺癌筛查和监测的依从性的影响。方法：女性（N = 120）在CNBB期间随机分配接受LKM、音乐或常规护理。LKM组和音乐组的患者在CNBB期间听录音，并提供录音供家庭使用。在乳腺癌监测期的18个月里，通过健康记录回顾来评估后续推荐的乳房成像的使用情况。结果：样本平均年龄为53岁（SD = 12.4），有伴侣（55%），有工作（56%）；28%是黑人，68%是白人。活检后推荐的乳腺成像依从性：常规护理69%，音乐71%，LKM 90%。与常规护理组相比，Music组的依从性无显著差异（OR = 1.11, 95% CI [0.43, 2.89], p = 0.829），但LKM组的依从性是常规护理组的3.9倍（OR = 3.89, 95% CI [1.13, 13.41], p = 0.032）。干预组间比较显示，LKM组的依从性是Music组的3.5倍（OR = 3.50, 95% CI [1.02, 12.00], p = 0.046）。在活检结果异常的妇女和结果良性的妇女中，依从性模式相似。结论：在CNBB期间开始的LKM干预可以对妇女依从后续推荐的乳房影像学检查产生显著的积极影响。在CNBB期间为患者提供LKM是一种易于传播的方法，可以提高CNBB后乳腺癌筛查和监测的依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breast Cancer Research and Treatment 医学-肿瘤学

CiteScore

6.80

自引率

2.60%

发文量

342

审稿时长

1 months

期刊介绍： Breast Cancer Research and Treatment provides the surgeon, radiotherapist, medical oncologist, endocrinologist, epidemiologist, immunologist or cell biologist investigating problems in breast cancer a single forum for communication. The journal creates a "market place" for breast cancer topics which cuts across all the usual lines of disciplines, providing a site for presenting pertinent investigations, and for discussing critical questions relevant to the entire field. It seeks to develop a new focus and new perspectives for all those concerned with breast cancer.