The Effect of 5-Minute Mindfulness of Peace on Suffering and Spiritual Well-Being Among Palliative Care Patients: A Randomized Controlled Study


Author: Lim Liang Yik1, Look Mei Ling1, Lim Min Ai1, Ang Bin Ting1, David Paul Capelle1, Sheriza Izwa Zainuddin1, Tan Seng Beng1, Loh Ee Chin1, Lam Chee Loong1

Affiliation: <sup>1</sup> Palliative Care Unit, Faculty of Medicine, Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Conference/Journal: Am J Hosp Palliat Care
Date published: 2020 Oct 20
Other:
  Special Notes: doi: 10.1177/1049909120965944.   ,  Word Count: 227  
    Background:

Mindfulness practices may have a role in reducing suffering and improving spiritual well-being among patients with serious illness. The efficacy, feasibility and acceptability of such interventions warrant further exploration in the palliative care population.



Objective:

To investigate the effect of a brief mindfulness practice, the 5-minute mindfulness of peace intervention, on suffering and spiritual well-being among palliative care patients.



Methods:

A randomized controlled study was conducted on adult palliative care patients with moderate to severe levels of suffering. Participants in the intervention arm were guided through a 5-minute mindfulness of peace exercise while participants in the control arm received 5 minutes of active listening. Pre- and post-intervention suffering and spiritual well-being were measured using the Suffering Pictogram and the FACIT-Sp-12 questionnaire, respectively.



Results:

40 participants completed the study. 5-minute mindfulness of peace significantly reduced suffering (median = -3.00, IQR = 2.00) more than 5 minutes of active listening (median = -1.00, IQR = 1.75), U = 73.50, z = -3.48, p = 0.001, η2 = 0.31. FACIT-Sp-12 score also significantly improved in the intervention arm (median = +5.00, IQR = 2.75) compared with the control arm after 5 minutes (median = +1.00, IQR = 3.00), U = 95.50, z = -2.85, p = 0.004, η2 = 0.21.



Conclusions:

A brief 5-minute mindfulness of peace exercise is effective in providing immediate relief of suffering and improving spiritual well-being. It is a useful and feasible intervention among patients receiving palliative care for rapidly and momentarily reducing spiritual suffering.



Keywords: brief mindfulness exercise; mindfulness; mindfulness of peace; palliative care; spirituality; suffering.



PMID: 33078627 DOI: 10.1177/1049909120965944