Mindful Movement and Breathing to Improve Outcomes of Gynecologic Surgery

Study Overview
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Brief Summary
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The purpose of this clinical trial is to understand if women undergoing surgery for a suspected gynecologic malignancy are interested in participating in a Mindful Movement and Breathing program and what the effects of this program are on women and the surgery-related symptoms they experience. Mindful Movement and Breathing programs may be effective for easing distress, post-surgical pain, and other symptoms of surgical procedures.

Official Title
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Mindful Movement and Breathing to Improve Outcomes of Gynecologic Surgery

Conditions
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Gynecologic Malignancy, Abdominal Surgery by Laparotomy, Pain, Psychological Distress, Lung Function, Surgical Complications

Intervention / Treatment
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* Other: Mindful Movement and Breathing program
* Other: Questionnaire administration
* Procedure: The Observer Mobility Scale
* Procedure: Volumetric Incentive Spirometry


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Signed protocol specific informed consent 18 years of age or older Scheduled for a major abdominal gynecological surgery to remove a mass that is suspected to be malignant Exclusion Criteria: Unable to read or understand English Cognitively impaired and/or cannot complete interviews as judged by the referring physician, nurse, or study staff

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mindful Movement and Breathing program<br>Mindful Movement and Breathing program implemented in a hospital room or clinic room three times by a yoga instructor: prior to surgery, one day and two days after surgery. | Other: Mindful Movement and Breathing program<br>* Participate Mindful Movement and Breathing program with an experienced yoga instructor. All movements can be done while in a bed (e.g. turning head, shrugging shoulders, bending knees, etc). Each session lasts approximately 15 minutes.<br>Other: Questionnaire administration<br>* Collected at baseline (before surgery), before and after each YST session, and at follow-up (two days after surgery).<br>Procedure: The Observer Mobility Scale<br>* Conducted by nurse and study coordinator prior to surgery and two days after surgery to assess mobility. Will ask patient to turn, sit, stand and walk as they are able.<br>Procedure: Volumetric Incentive Spirometry<br>* Conducted twice before and after each Mindful Movement and Breathing program to measure lung function. Mean of the two readings used.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of implementing and evaluating a Mindful Movement and Breathing Program among women undergoing gynecologic surgery for a suspected malignancy (recruitment, retention, adherence, and program evaluation and acceptability rates) | The proportion of participants who participated in all YST sessions and those who completed all assessments will be computed and compared to those with incomplete data by demographic characteristics. We will model the relationship between adherence and baseline scores of the measures, as well as change in scores. We will also calculate the proportions and 95% confidence intervals of the items that measure program evaluation and intervention to the Clinical Studies Coordinator, nurses and yoga instructor. | 4-5 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Immediate effects of the Mindful Movement and Breathing program on reducing postsurgical pain, psychological distress and lung function | Measured using Immediate Effect Visual Analog Scales (VAS) of pain and distress and percent change in inspiratory capacity as assessed with a Volumetric Incentive Spirometer. Assessed for each measure by day using a paired t-test and overall using a mixed effects model on the pre-post change in the measure over time. | 4-5 days | 
| Collect data on measures that will be used to evaluate the efficacy of the Mindful Movement and Breathing program in a future larger randomized controlled trial | means and standard deviations of the measures will be calculated to inform sample size calculations for a future study, and to provide descriptive statistics of the sample population. | 4-5 days |