Journal of sport psychology in action, May 1, 2013
The accuracy of the Content should not be relied upon and should be independently verified with p... more The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.
Context. Many breast cancer survivors live with chronic neuropathic pain (CNP) after breast cance... more Context. Many breast cancer survivors live with chronic neuropathic pain (CNP) after breast cancer treatment. Despite pharmacological management of CNP, many women continue to report disabling pain and reduced quality of life. Addressing pain with psychosocial interventions as an adjunct to pharmacological treatment is often recommended for CNP. Objectives. The purpose of this study was to compare the effects of group-delivered mindfulness-based stress reduction as compared to a waitlist control group among breast cancer survivors living with CNP. Methods. A randomized controlled trial design was applied, and outcomes collected included pain, emotional function, quality of life, and global impression of change. Results. A total of 98 women were randomized and included in analyses. The sample included 49 women in the mindfulness-based stress reduction group, and 49 women in the waitlist control group. The intervention group participants (mean age 51.3 years, standard deviation = 11.4...
in the School of Human Kinetics at the University of Ottawa. She is completing her final year of ... more in the School of Human Kinetics at the University of Ottawa. She is completing her final year of studies under the supervision of Dr. Terry Orlick. Her research interests include examining positive emotional experiences (i.e., joy) within physical activity and movement, as well as better understanding the role of focus and the use of psychological skills in unique sports such as Adventure Racing.
Objective Chronic neuropathic pain (CNP) is a common condition cancer survivors experience. Mindf... more Objective Chronic neuropathic pain (CNP) is a common condition cancer survivors experience. Mindfulness training may be one approach to address the psychosocial factors associated with CNP. The purpose of this study was to understand patients’ experiences in an 8-week online mindfulness-based program (MBP), including techniques and skills learned and applied, barriers to practice, and research experiences. Methods Nineteen participants who were part of a randomized controlled trial consented to participate in a telephone interview or submit written responses via email post-course. Interviews were transcribed and analyzed using the principles of Applied Thematic Analysis (ATA). Results Predominant themes identified in participant interviews included (1) common humanity, (2) convenience, (3) teacher resonance, (4) perceived relaxation and calm, (5) pain and stress management, (6) half-day session, and (7) mindful breathing. Participants also identified helpful strategies learned and i...
Introduction: Chronic pain (CP) is a common driver of emergency department (ED) visits despite th... more Introduction: Chronic pain (CP) is a common driver of emergency department (ED) visits despite the ED not being the ideal setting for CP because of increased risk of adverse events and high costs. Purpose: The purpose of this study is to understand factors contributing to CP-related ED visits, patients' care experiences, and patients' perspectives on alternatives to the ED. Methods: We used a mixed-methods design combining semi-structured interviews and questionnaires with 12 patients with CP who had 12 or more ED visits over 1 year. We analyzed test scores using descriptive statistics and interviews using applied thematic analysis. Results: Four themes emerged. Factors contributing to ED visits included the following: fear (e.g., pain and its impact); inability to cope with pain; family suggestions to go to the ED; and access to other services and resources. Patients had validating and invalidating experiences in the ED: needs were met or not met; and feeling acknowledged or unacknowledged. Patients' experiences with their family physician included feeling supported or unsupported. Alternatives to the ED included working with an interdisciplinary team, developing personalized care plans, and increased community-based resources. Conclusions: Patients with CP and frequent ED use present with complex pain and care experiences, requiring careful attention to management strategies and the patient-provider relationship.
The accuracy of the Content should not be relied upon and should be independently verified with p... more The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.
66 Background: Aim: To prospectively evaluate cost avoidance during routine conduct of cancer cli... more 66 Background: Aim: To prospectively evaluate cost avoidance during routine conduct of cancer clinical trials in a community based integrated delivery network (IDN) consisting of a health services provider group, a health insurance plan and a hospital system. Only 2%–7% of adult cancer patients participate in clinical trials nationwide [1]. Inadequate funding and concerns about financial viability have been identified as factors that impede clinical trial accrual in the community oncology setting. ‘Cost-avoidance’, defined as dollars that would have been spent to purchase medications but were not spent because of study-related interventions [3] has been proposed as one mechanism to overcome this. Methods: Anti-cancer and hematology drugs provided by intergroup as well as pharmaceutical industry-based trial sponsors to patients enrolled in oncology clinical research were tabulated. Analysis of cost avoidance was restricted to patients covered by the IDNs health plan. Additionally, dr...
The purpose of this doctoral dissertation was to explore the experiences of joy during Zumba exer... more The purpose of this doctoral dissertation was to explore the experiences of joy during Zumba exercise. A hermeneutic phenomenological methodology was employed to explore the essential structures or essence(s) of joy. Seven long-term Zumba patrons (one male, six females) participated in this study. Each participant engaged in three phenomenological interviews, Wow, I can't believe I am in the final stages and writing the Acknowledgements section. Talk about experiencing joy! This has been quite the journey over the last six and a half years and I would not have made it this far without the support, care, and guidance of so many people along the way. First, I would like to extend deep gratitude to the participants in this study. It is a gift to be in the presence of such joyful people, who not only took the time to share their experiences with me, but they also welcomed me into the Zumba community with open arms and great enthusiasm. I would also like to thank my supervisors Drs. Terry Orlick and Rebecca Lloyd. Terry, thank you for always reminding me to embrace the 'simple joys' along the way. Rebecca, thank you for jumping on board to help this project move forward. The many, many hours you spent revising the articles is very much appreciated and I am grateful for your teachings, enthusiasm, and expertise. Special thanks to Team Phenom for the incredible social support and opportunities to learn from one another. Thank you to my friends and family members who offered so much encouragement and support to keep going. A big heart felt thank you to my partner, Marco, who has provided so many hugs, chocolates, laughs, and love when the road became especially bumpy. And of course, I have to acknowledge my pups Roxy and Marley. They sat with me, literally, throughout this entire journey and offered so much relief and love every day. Finally, I have to extend a special thanks to my Dad. He has always been my biggest supporter and taught me very early on to dream big. Some of my most joyful movement experiences were our rollerblading adventures in California and Minnesota. With all of my heart, thank you.
QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural t... more QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.Study selection and analysisOvid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale.FindingsTwenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depressio...
QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural t... more QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.Study selection and analysisOvid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale.FindingsTwenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depressio...
There is fast growing interest in and demands for mindfulness-based interventions and trained pro... more There is fast growing interest in and demands for mindfulness-based interventions and trained professionals. The process of training competent mindfulness therapists is known to be a lengthy and extensive one. The combination of high demands with the need for thorough training raises many questions about the training process itself; should it be revised or changed in ways that would allow for greater number of trained therapists?
Journal of sport psychology in action, May 1, 2013
The accuracy of the Content should not be relied upon and should be independently verified with p... more The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.
Context. Many breast cancer survivors live with chronic neuropathic pain (CNP) after breast cance... more Context. Many breast cancer survivors live with chronic neuropathic pain (CNP) after breast cancer treatment. Despite pharmacological management of CNP, many women continue to report disabling pain and reduced quality of life. Addressing pain with psychosocial interventions as an adjunct to pharmacological treatment is often recommended for CNP. Objectives. The purpose of this study was to compare the effects of group-delivered mindfulness-based stress reduction as compared to a waitlist control group among breast cancer survivors living with CNP. Methods. A randomized controlled trial design was applied, and outcomes collected included pain, emotional function, quality of life, and global impression of change. Results. A total of 98 women were randomized and included in analyses. The sample included 49 women in the mindfulness-based stress reduction group, and 49 women in the waitlist control group. The intervention group participants (mean age 51.3 years, standard deviation = 11.4...
in the School of Human Kinetics at the University of Ottawa. She is completing her final year of ... more in the School of Human Kinetics at the University of Ottawa. She is completing her final year of studies under the supervision of Dr. Terry Orlick. Her research interests include examining positive emotional experiences (i.e., joy) within physical activity and movement, as well as better understanding the role of focus and the use of psychological skills in unique sports such as Adventure Racing.
Objective Chronic neuropathic pain (CNP) is a common condition cancer survivors experience. Mindf... more Objective Chronic neuropathic pain (CNP) is a common condition cancer survivors experience. Mindfulness training may be one approach to address the psychosocial factors associated with CNP. The purpose of this study was to understand patients’ experiences in an 8-week online mindfulness-based program (MBP), including techniques and skills learned and applied, barriers to practice, and research experiences. Methods Nineteen participants who were part of a randomized controlled trial consented to participate in a telephone interview or submit written responses via email post-course. Interviews were transcribed and analyzed using the principles of Applied Thematic Analysis (ATA). Results Predominant themes identified in participant interviews included (1) common humanity, (2) convenience, (3) teacher resonance, (4) perceived relaxation and calm, (5) pain and stress management, (6) half-day session, and (7) mindful breathing. Participants also identified helpful strategies learned and i...
Introduction: Chronic pain (CP) is a common driver of emergency department (ED) visits despite th... more Introduction: Chronic pain (CP) is a common driver of emergency department (ED) visits despite the ED not being the ideal setting for CP because of increased risk of adverse events and high costs. Purpose: The purpose of this study is to understand factors contributing to CP-related ED visits, patients' care experiences, and patients' perspectives on alternatives to the ED. Methods: We used a mixed-methods design combining semi-structured interviews and questionnaires with 12 patients with CP who had 12 or more ED visits over 1 year. We analyzed test scores using descriptive statistics and interviews using applied thematic analysis. Results: Four themes emerged. Factors contributing to ED visits included the following: fear (e.g., pain and its impact); inability to cope with pain; family suggestions to go to the ED; and access to other services and resources. Patients had validating and invalidating experiences in the ED: needs were met or not met; and feeling acknowledged or unacknowledged. Patients' experiences with their family physician included feeling supported or unsupported. Alternatives to the ED included working with an interdisciplinary team, developing personalized care plans, and increased community-based resources. Conclusions: Patients with CP and frequent ED use present with complex pain and care experiences, requiring careful attention to management strategies and the patient-provider relationship.
The accuracy of the Content should not be relied upon and should be independently verified with p... more The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.
66 Background: Aim: To prospectively evaluate cost avoidance during routine conduct of cancer cli... more 66 Background: Aim: To prospectively evaluate cost avoidance during routine conduct of cancer clinical trials in a community based integrated delivery network (IDN) consisting of a health services provider group, a health insurance plan and a hospital system. Only 2%–7% of adult cancer patients participate in clinical trials nationwide [1]. Inadequate funding and concerns about financial viability have been identified as factors that impede clinical trial accrual in the community oncology setting. ‘Cost-avoidance’, defined as dollars that would have been spent to purchase medications but were not spent because of study-related interventions [3] has been proposed as one mechanism to overcome this. Methods: Anti-cancer and hematology drugs provided by intergroup as well as pharmaceutical industry-based trial sponsors to patients enrolled in oncology clinical research were tabulated. Analysis of cost avoidance was restricted to patients covered by the IDNs health plan. Additionally, dr...
The purpose of this doctoral dissertation was to explore the experiences of joy during Zumba exer... more The purpose of this doctoral dissertation was to explore the experiences of joy during Zumba exercise. A hermeneutic phenomenological methodology was employed to explore the essential structures or essence(s) of joy. Seven long-term Zumba patrons (one male, six females) participated in this study. Each participant engaged in three phenomenological interviews, Wow, I can't believe I am in the final stages and writing the Acknowledgements section. Talk about experiencing joy! This has been quite the journey over the last six and a half years and I would not have made it this far without the support, care, and guidance of so many people along the way. First, I would like to extend deep gratitude to the participants in this study. It is a gift to be in the presence of such joyful people, who not only took the time to share their experiences with me, but they also welcomed me into the Zumba community with open arms and great enthusiasm. I would also like to thank my supervisors Drs. Terry Orlick and Rebecca Lloyd. Terry, thank you for always reminding me to embrace the 'simple joys' along the way. Rebecca, thank you for jumping on board to help this project move forward. The many, many hours you spent revising the articles is very much appreciated and I am grateful for your teachings, enthusiasm, and expertise. Special thanks to Team Phenom for the incredible social support and opportunities to learn from one another. Thank you to my friends and family members who offered so much encouragement and support to keep going. A big heart felt thank you to my partner, Marco, who has provided so many hugs, chocolates, laughs, and love when the road became especially bumpy. And of course, I have to acknowledge my pups Roxy and Marley. They sat with me, literally, throughout this entire journey and offered so much relief and love every day. Finally, I have to extend a special thanks to my Dad. He has always been my biggest supporter and taught me very early on to dream big. Some of my most joyful movement experiences were our rollerblading adventures in California and Minnesota. With all of my heart, thank you.
QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural t... more QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.Study selection and analysisOvid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale.FindingsTwenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depressio...
QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural t... more QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.Study selection and analysisOvid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale.FindingsTwenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depressio...
There is fast growing interest in and demands for mindfulness-based interventions and trained pro... more There is fast growing interest in and demands for mindfulness-based interventions and trained professionals. The process of training competent mindfulness therapists is known to be a lengthy and extensive one. The combination of high demands with the need for thorough training raises many questions about the training process itself; should it be revised or changed in ways that would allow for greater number of trained therapists?
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