Guided Imagery in the Perioperative Period in Gynecologic Oncology Patients

University of Michigan130 enrolled

Overview

The purpose of this study is to evaluate the effectiveness of self-administered perioperative guided imagery to reduce perioperative distress in gynecologic oncology patients undergoing surgical management for a presumed cancer diagnosis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

130

Conditions

Uterine Cervical Neoplasms Uterine Neoplasms Ovarian Neoplasms Urogenital Neoplasms Fallopian Tube Neoplasms

Interventions

Guided Imagery With Audio MediaBEHAVIORAL

Subjects assigned to the experimental arm will be asked to participate in meditation daily using the audio media provided for the 7 days prior to surgery, in the preoperative holding area, for the 7 days following surgery, and are encouraged to engage in affirmations module use at least weekly in the 6-8 week postoperative period.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Undergoing surgical management for a suspected diagnosis of Gynecologic Malignancy (Endometrial, Ovarian, Vulvar, Vaginal, Primary Peritoneal, Fallopian Tube) * Age 18 or greater * Receiving care at University of Michigan Comprehensive Cancer Center Gynecologic Oncology Clinic or at St. Joseph Mercy Hospital, Alexander Cancer Care Center * Able to understand and read English * Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 * Patients must have working telephone, mobile or land line Exclusion Criteria: * Severe hearing impairment that limits the ability to use audio-based guided imagery modules * Current documented alcohol abuse or illicit drug substance abuse * Planned outpatient surgery * Patients currently participating in a meditation practice for more than 1 hour per week prior to preoperative visit.

Locations (1)

University of Michigan Cancer Center

Ann Arbor, Michigan, United States

Outcomes

Primary Outcomes

Level of distress in the immediate postoperative period, measured by the numeric rating scale/ National Comprehensive Cancer Network (NCCN) Distress Thermometer screening instrument.

Time frame: postoperative day 1

Level of distress in the delayed postoperative period, measured by the numeric rating scale/ National Comprehensive Cancer Network (NCCN) Distress Thermometer screening instrument.

Time frame: 6-8 week postoperative exam

Secondary Outcomes

Level of distress, measured by questionnaire using the Hospital Anxiety and Depression Scale-total (HADS-T).