Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis

Abstract BackgroundMany cancer survivors experience a wide range of symptoms closely linked to psychological problems, highlighting the need for psychological treatment, one of the most popular being mindfulness. The use of the internet has greatly increased in the last decade...

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Main Authors: Maria Komariah, Sidik Maulana, Shakira Amirah, Hesti Platini, Laili Rahayuwati, Ah Yusuf, Mohd Khairul Zul Hasymi Firdaus
Format: Article
Language:English
Published: JMIR Publications 2025-01-01
Series:JMIR Cancer
Online Access:https://cancer.jmir.org/2025/1/e54154
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author Maria Komariah
Sidik Maulana
Shakira Amirah
Hesti Platini
Laili Rahayuwati
Ah Yusuf
Mohd Khairul Zul Hasymi Firdaus
author_facet Maria Komariah
Sidik Maulana
Shakira Amirah
Hesti Platini
Laili Rahayuwati
Ah Yusuf
Mohd Khairul Zul Hasymi Firdaus
author_sort Maria Komariah
collection DOAJ
description Abstract BackgroundMany cancer survivors experience a wide range of symptoms closely linked to psychological problems, highlighting the need for psychological treatment, one of the most popular being mindfulness. The use of the internet has greatly increased in the last decade, and has encouraged the use of remote-based interventions to help people living with cancer access treatment remotely via devices. ObjectiveThe primary aim of this study was to explore the efficacy of internet-based mindfulness interventions on the physical symptoms of people living with cancer, where physical symptoms are defined as distressing somatic experiences (eg fatigue, insomnia, and pain) regardless of the underlying cause. The secondary aim was to investigate interventions for the quality of life (QoL). MethodsThis study followed the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Relevant articles were systematically searched using electronic databases, namely Scopus, Medline through PubMed, Cumulated Index in Nursing and Allied Health Literature (CINAHL) through EBSCOhost, and Cochrane Central Database. Randomized controlled and pilot trials involving adults and/or older adults with cancer and using remote-based mindfulness interventions compared to usual care were included. The quality of the trials included in this study was assessed using the revised Cochrane risk of bias, version 2.0. This study estimated the standardized mean difference (SMD) and mean difference (MD) with 95% CI. The I2 ResultsThe initial search yielded 1985 records, of which 13 studies were ultimately included. After treatment, remote-based mindfulness significantly reduced fatigue (SMD −0.94; 95% CI: −1.56 to −0.33; PPPP ConclusionsRemote-based mindfulness shows promise in reducing sleep disturbances; however, its impact on fatigue, pain, and physical function may be limited.
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spelling doaj-art-89d5376d0ab1479eb7f8632b3f4c38af2025-08-20T02:55:09ZengJMIR PublicationsJMIR Cancer2369-19992025-01-0111e54154e5415410.2196/54154Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-AnalysisMaria Komariahhttp://orcid.org/0000-0003-1648-4882Sidik Maulanahttp://orcid.org/0000-0003-4520-1650Shakira Amirahhttp://orcid.org/0000-0003-1480-6155Hesti Platinihttp://orcid.org/0000-0002-5145-0605Laili Rahayuwatihttp://orcid.org/0000-0002-2732-3534Ah Yusufhttp://orcid.org/0000-0002-6669-0767Mohd Khairul Zul Hasymi Firdaushttp://orcid.org/0000-0002-2549-3265 Abstract BackgroundMany cancer survivors experience a wide range of symptoms closely linked to psychological problems, highlighting the need for psychological treatment, one of the most popular being mindfulness. The use of the internet has greatly increased in the last decade, and has encouraged the use of remote-based interventions to help people living with cancer access treatment remotely via devices. ObjectiveThe primary aim of this study was to explore the efficacy of internet-based mindfulness interventions on the physical symptoms of people living with cancer, where physical symptoms are defined as distressing somatic experiences (eg fatigue, insomnia, and pain) regardless of the underlying cause. The secondary aim was to investigate interventions for the quality of life (QoL). MethodsThis study followed the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Relevant articles were systematically searched using electronic databases, namely Scopus, Medline through PubMed, Cumulated Index in Nursing and Allied Health Literature (CINAHL) through EBSCOhost, and Cochrane Central Database. Randomized controlled and pilot trials involving adults and/or older adults with cancer and using remote-based mindfulness interventions compared to usual care were included. The quality of the trials included in this study was assessed using the revised Cochrane risk of bias, version 2.0. This study estimated the standardized mean difference (SMD) and mean difference (MD) with 95% CI. The I2 ResultsThe initial search yielded 1985 records, of which 13 studies were ultimately included. After treatment, remote-based mindfulness significantly reduced fatigue (SMD −0.94; 95% CI: −1.56 to −0.33; PPPP ConclusionsRemote-based mindfulness shows promise in reducing sleep disturbances; however, its impact on fatigue, pain, and physical function may be limited.https://cancer.jmir.org/2025/1/e54154
spellingShingle Maria Komariah
Sidik Maulana
Shakira Amirah
Hesti Platini
Laili Rahayuwati
Ah Yusuf
Mohd Khairul Zul Hasymi Firdaus
Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis
JMIR Cancer
title Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis
title_full Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis
title_fullStr Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis
title_full_unstemmed Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis
title_short Benefits of Remote-Based Mindfulness on Physical Symptom Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis
title_sort benefits of remote based mindfulness on physical symptom outcomes in cancer survivors systematic review and meta analysis
url https://cancer.jmir.org/2025/1/e54154
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