"Implementing a group based online mental wellbeing program for breast cancer survivors - a mixed methods pilot study"

Abstract

Purpose: There is a gap in the mental wellbeing services in Australia available to breast cancer survivors, which can reduce distress and help to navigate a new sense of normality beyond a cancer diagnosis. This mixed-methods uncontrolled pilot study aimed to explore the effectiveness of an online mental wellbeing intervention, the Be Well Plan (BWP), and explore the experiences of women with breast cancer. Methods: Women diagnosed with stages 1-IV breast cancer were recruited to participate in the BWP, a 5-week group-based mental health program designed to help people develop a personalised wellbeing strategy. Multivariate analysis of variance (MANOVA) and effect sizes were calculated on pre- and post psychological measures. Following completion, interviews were conducted and qualitative content analysis was undertaken to address research aims. Results: Nineteen women (mean age 45.7, SD=7.74) were included in the study. Large effect sizes were reported for mental wellbeing, self-compassion, depressive symptoms and anxiety. Resilience and quality of life results were not statistically significant. Qualitative content analysis resulted in six categories: Program Delivery Experience, Application of the BWP, Mental Health Improvements, Supporter Involvement, Adopted Interventions and Recruitment, and 44 subcategories. Participants reported benefits in mindfulness, grounding techniques and physical activities. Improved social connectivity and post program follow up were recommended for future groups. Conclusion: This study supports the potential of the BWP as an effective intervention to support people living with breast cancer to improve mental wellbeing and alleviate distress. This study supports the need for flexible interventions that accommodate the diverse needs of consumers. Key words: mental wellbeing, breast cancer, survivorship