The National Palliative Care Research Center

Curing suffering through palliative care research.

Milbury

Kathrin Milbury PhD

Assistant Professor

University of Texas, MD Anderson Cancer Center

Grant Year
2015
Grant Term
2
Grant Type
Pilot Project Support Grant

Project Description
Couple-Based Meditation for Lung Cancer Patients and Partners

Given the incurable nature of metastatic lung cancer, quality of life is a primary concern; yet, patients experience more debilitating physical and psychological sequelae than patients with other solid tumors and thus, have a high need for care and support.   Spouses/partners are patients’ most important source of support and care. Yet, caregiving is physically and emotionally taxing. Partners report high rates of distress, fatigue, and sleep disturbances, which may compromise the quality of care they are able to provide to the patient. Notably, partner quality of life can influence patient quality of life and vice versa. Moreover, due to limited life expectancy, both patients and their partners are vulnerable to spiritual/ existential concerns (i.e., lack of meaning and peace, despair, alienation) and report unmet spiritual needs. Although urgently needed, couple-oriented psychosocial interventions for patients with metastatic disease and their partners are generally lacking.  Moreover, while spiritual distress in advanced cancer patients is prevalent, interventions addressing spiritual/existential concerns are scarce. Thus, the goal of this exploratory research is to pilot test a couple-based meditation program for stage IV lung cancer patients and their partners.  In the “Heart-2-Heart” program, mindfulness and compassion-based meditation training is used to facilitate emotional disclosures of cancer-related concerns targeting psycho-spiritual outcomes.  We first examine the acceptability of this 4-session program via focus groups and then feasibility with a single-arm trial prior to launching a randomized controlled trial involving an attention control group.  

Bio

Kathrin Milbury, PhD is an Assistant Professor in Department of Palliative, Rehabilitative & Integrative Medicine at MD Anderson Cancer Center. She received a PhD in Social Psychology from the University of Houston and completed postdoctoral fellowships in Psycho-Oncology and Integrative Medicine at MD Anderson.  Since her postdoctoral training, her research has examined how dyadic processes influence cancer adjustment and cancer outcomes.  Dr. Milbury’s current work focuses on examining dyadic mind-body interventions as a supportive care strategy for cancer patients facing a poor prognosis and their family caregivers.  

Email: KMilbury@mdanderson.org