Caring-Healing Modalities for Emotional Distress and Resilience in Persons with Cancer: A Scoping Review.

Background/Objectives: Caring-healing modalities (CHMs), i.e., non-pharmacological, nurse-led interventions rooted in caring science, have shown promise in reducing emotional distress, while enhancing resilience. CHMs are heterogeneous, making it challenging to determine how they are formulated to build resilience, mitigate emotional distress, and explore their mechanisms of action. This scoping review mapped the literature on CHMs, including their components, targeted outcomes, and measures. Methods: This review was conceptually driven by Watson's Theory of Human Caring, followed the JBI methodology, and reported according to the PRISMA-ScR. Experimental studies, systematic reviews, opinion pieces, and the gray literature on CHMs for emotional distress and resilience delivered to persons with cancer, written in English, were considered. No date or setting limits were applied. Eleven databases (e.g., PubMed and CINAHL Full Text), were searched. Two independent reviewers screened, selected, and extracted the data. The results were interpreted using Watson's theory. Results: We included 16 records (2016-2025), mostly from the United States (n = 4; 25%) and China (n = 6; 37.5%). The CHMs mainly targeted persons with breast cancer. The CHMs were categorized into four groups: mindfulness-based, group-based, expressive, and educational. Common active ingredients included peer support and group discussions. Dedicated healing spaces facilitated CHMs delivery; mode of delivery and dose varied widely. Conclusions: This review provides a foundational understanding of CHMs as a caring-based, holistic approach to cancer survivorship. Findings identify CHMs' key components, including active ingredients, mode of delivery, and dose. Future studies should ensure diversity in terms of cancer type, as most existing studies focused on breast cancer.