Mindfulness Meditation or Survivorship Education in Improving Behavioral Symptoms in Younger Stage 0-III Breast Cancer Survivors (Pathways to Wellness) (PTW)
Cancer Survivor, Early-Stage Breast Carcinoma, Stage 0 Breast Cancer
About this trial
This is an interventional supportive care trial for Cancer Survivor focused on measuring breast cancer, younger women, education, mindfulness meditation, depression, cancer survivor
Eligibility Criteria
Inclusion Criteria:
- Women diagnosed with early stage, resectable breast cancer (Stage 0, I, II, or III) prior to age 50, and are within 5 years of diagnosis
- Have completed all surgery, radiation, and/or chemotherapy treatments at least 6 months previously; may still be receiving trastuzumab or endocrine adjuvant therapy
- Ability to complete evaluation surveys in English
- Have evidence of at least mild clinical depression on a standardized screening questionnaire
Exclusion Criteria:
- Has a breast cancer recurrence, metastasis, or another interval cancer diagnosis following the breast cancer (excluding non-melanoma skin cancer)
- Unable to commit to intervention schedule (6 weekly group meetings)
- Actively practicing mindfulness meditation
- Has another serious or chronic medical or psychiatric condition that contributes to substantial physical or emotional disability that would detract from participating in either of the intervention programs or from the measurement of intervention outcomes
Sites / Locations
- UCLA / Jonsson Comprehensive Cancer Center
- Johns Hopkins University/Sidney Kimmel Cancer Center
- Dana-Farber Cancer Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Arm A (MAPs)
Arm B (SE)
Arm C (USUAL CARE/DELAYED TREATMENT CONTROL GROUP)
Patients attend a mindfulness meditation class over 2 hours once weekly for 6 weeks. Patients then attend in person booster sessions that include guided meditation, questions, and discussion of how to maintain a mindfulness practice over 1 hour once monthly for 2 months.
Patients attend a survivorship education class over 2 hours once weekly for 6 weeks. Patients also receive monthly electronic newsletters with tailored information about topics of interest to younger survivors, including cancer-related events in the community and tips about following through on recommendations for healthy living.
Patients receive usual care for 9 months. Patients are then offered a choice of participating in Arm A or Arm B.