Assessment of oncology patient engagement and interest in virtual mind-body programming: Moving toward personalization of virtual care Journal Article


Authors: Hung, T. K. W.; Latte-Naor, S.; Li, Y.; Kuperman, G. J.; Seluzicki, C.; Pendleton, E.; Pfister, D. G.; Mao, J. J.
Article Title: Assessment of oncology patient engagement and interest in virtual mind-body programming: Moving toward personalization of virtual care
Abstract: PURPOSE: Accelerated by the COVID-19 pandemic, the virtual platform has become a prominent medium to deliver mind-body therapies, but the extent to which patients engage in virtual mind-body programming remains unclear. This study aims to assess oncology patient engagement in a virtual mind-body program. METHODS: We surveyed oncology patients enrolled in a live-streamed (synchronous) virtual mind-body program in May 2021. Patients self-reported engagement by weekly attendance. We applied multivariate regression to identify associations of engagement with sociodemographic and clinical factors. As an exploratory analysis, we used machine learning to partition engagement subgroups to determine preferential interest in prerecorded (asynchronous) mind-body therapy videos. RESULTS: Among 148 patients surveyed (response rate: 21.4%), majority were female (94.5%), White (83.1%), age 65 years or older (64.9%), retired (64.2%), and in survivorship (61.8%). Patient engagement ranged from 1 to 13 classes/week (mean [standard deviation]: 4.23 [2.56]) and was higher for female (β, .82; 95% CI, 0.01 to 1.62), non-White (β, .63; 95% CI, 0.13 to 1.13), and retired patients (β, .50; 95% CI, 0.12 to 0.88). The partition model identified three engagement subgroups: employed (low engagers), retired White (intermediate engagers), and retired non-White (high engagers). Particularly, low engagers had preferential interest in meditation videos (odds ratio, 2.85; 95% CI, 1.24 to 6.54), and both low and high engagers had preferential interest in Tai Chi videos (odds ratio, 2.26; 95% CI, 1.06 to 4.82). CONCLUSION: In this cross-sectional study among oncology patients, engagement in virtual mind-body programming was higher for female, non-White, and retired patients. Our findings suggest the need for both synchronous and asynchronous mind-body programming to meet the diverse needs of oncology patients.
Keywords: aged; neoplasm; neoplasms; questionnaire; patient participation; cross-sectional study; cross-sectional studies; epidemiology; pandemic; humans; human; male; female; surveys and questionnaires; pandemics; covid-19
Journal Title: JCO Oncology Practice
Volume: 19
Issue: 2
ISSN: 2688-1527
Publisher: American Society of Clinical Oncology  
Date Published: 2023-02-01
Start Page: e185
End Page: e196
Language: English
DOI: 10.1200/op.22.00424
PUBMED: 36399698
PROVIDER: scopus
PMCID: PMC9970275
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF - MSK corresponding author is Tony Hung -- Export Date: 1 March 2023 -- Source: Scopus
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MSK Authors
  1. Yuelin Li
    222 Li
  2. David G Pfister
    389 Pfister
  3. Jun J Mao
    247 Mao
  4. Tony K.W. Hung
    32 Hung