Journal Article

Home practice and quality of life among patients with neurofibromatosis randomized to a mind-body intervention

Luberto, C.M., Vranceanu, A.M., Zale, E.L., Funes, C.J.

2019

Overview

•A significant association was observed between frequency of RR-eliciting skills home practice and physical quality of life at the 6-month follow-up.•There were no significant associations between RR eliciting skills or appreciation skills with any other domain of quality of life at any time point. The purpose of this study was to summarize home practice in patients with neurofibromatosis (NF) randomized to an 8-week group mind-body intervention, the Relaxation Response Resiliency Program for NF (3RP-NF). We further examined the association between home practice and changes in four domains of quality of life (QoL). Data are derived from a single-blind RCT of the 3RP-NF (N = 31) delivered via videoconferencing versus an attention placebo control. 3RP-NF participants submitted weekly home practice logs to the group leader prior to each weekly session, which included information regarding their engagement of relaxation response (RR)-eliciting skills and appreciation skills. Physical, psychological, social and environmental QoL were measured at baseline, post-intervention and at a 6-months follow up. Participants reported engaging in home practice of RR-eliciting skills on average 28.55 days (SD = 10.79) and appreciation skills on average 24.39 days (SD = 13.48) over the 49-day treatment period. Participants reported an average of 383.42 (SD = 274.38) minutes of RR-eliciting skills home practice and an average of 49.13 (SD = 41.90) appreciations skills home practice. A significant association was observed between frequency of RR-eliciting skills home practice and physical QoL at the 6-month follow-up (r = .383, p = .034). Participants with NF are able and willing to practice RR-eliciting skills and appreciation skills outside of treatment sessions. Frequency of RR-eliciting skills home practice may be associated with improvement in physical QoL. Future research should replicate these efforts with larger samples, and attempt to identify additional factors that predict optimal response to mind-body interventions other than home practice.

• Publisher: Elsevier Ltd,Elsevier Limited
• Subject: Adaptation, Psychological - physiology / Adult / Appreciation / Behavior modification / Clinical outcomes / Cognitive therapy / Female / Genetic disorders / Home practice / Humans / Intervention / Male / Middle Aged / Mind body relationship / Mind-body intervention / Mindfulness - methods / Neurofibromatoses - psychology / Neurofibromatosis / Neurological disorders / Patients / Psychophysiology - methods / Quality of Life / Relaxation - psychology / Relaxation response / Relaxation Therapy - psychology / Single-Blind Method / Skills / Statistical analysis / Stress / Tumors / Young Adult