Depression Clinical Trial
Official title:
Influence of Meditation-Based Breathing Training on Target Motion Management and Distress During Radiation for Abdominal and Lung Malignancies
This randomized pilot clinical trial studies the effects of meditation-based breathing training on patients' control of their breathing patterns and breathing-related movement, as well as on their psychological distress and treatment experience during radiation therapy. Meditation-based breathing training may decrease breathing-related movement and the amount of stress by improving breathing patterns in patients with abdominal or lung cancer undergoing radiation therapy.
PRIMARY OBJECTIVES:
I. To evaluate the influence of regular breathing cycles using breathing relaxation
techniques on efficacy of the respiratory-gated treatment as measured by: (1) real-time
position management (RPM) parameters; (2) end inspiration or expiration length; (3) changes
in gate width.
SECONDARY OBJECTIVES:
I. To evaluate the effect of breathing relaxation techniques on: (1) psychosocial outcomes;
(2) treatment compliance.
OUTLINE:
PHASE I: Patients and staff members complete structured interviews at baseline.
PHASE II: Patients are randomized to 1 of 2 arms.
ARM I: Patients participate in 3 50-minute breathing training sessions, including a
psycho-educational component and meditation-based breathing training, over 10 days. Patients
then undergo four dimensional computed tomography (4D-CT) on day 14 and undergo image-guided
stereotactic body radiation therapy (SBRT) or standard radiation therapy 5 times a week for
up to 5 fractions or 25 fractions, respectively.
ARM II: Patients receive standard care over 10 days. Patients then undergo 4D-CT on day 14
and undergo image-guided SBRT or standard radiation therapy 5 times a week for up to 5
fractions or 25 fractions, respectively.
After completion of study treatment, patients are followed up at 2 or 5 weeks.
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