Protocol, Results, & Secondary Analysis
We designed the study, which was a PhD project for Dr. Kristin Zernicke as a randomized waitlist controlled trial with primarily feasibility outcomes – would people actually be able and willing to attend an 8-week online, interactive, synchronous group mindfulness program from all over our province?
The protocol paper was published in 2013, only shortly before the main results paper:
Zernicke, K., Campbell, T., Speca, M., McCabe-Ruff, K., Flowers, S., Dirkse, D., & Carlson, L.E. (2013). The eCALM Trial - eTherapy for cancer appLying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial. BMC Complementary and Alternative Medicine, 2013, 13:34. doi:10.1186/1472-6882-13-34.
The results were very promising, and not only did people attend, the online program resulted in better attendance than in person, and attracted more men, which has always been a drawback of the in-person program which mainly attracts women. Not only was it feasible, effects on mood and stress were similar to those seen after the in-person version.
Zernicke, K.A., Carlson, L.E. , Campell, T.S., Speca, M., Mccabe-Ruff , M., Flowers, S. (2014). A Randomized Wait-List Controlled Trial of Feasibility and Efficacy of an Online Mindfulness-Based Cancer Recovery Program: The eTherapy for Cancer Applying Mindfulness Trial. Psychosomatic Medicine 76(4):257-67. doi: 10.1097/PSY.000000000000005
In a secondary analysis paper, we further explored positive psychology outcomes such as spirituality and post-traumatic growth, showing effects of the online MBCR in these areas as well:
Zernicke, K.A., Campbell, T.S., Speca, M., Ruff, K.M., Flowers, S., Tamagawa, R., Carlson, L.E. (2016).The eCALM Trial: eTherapy for Cancer Applying Mindfulness. Exploratory Analyses of the Associations Between Online Mindfulness-Based Cancer Recovery Participation and Changes in Mood, Stress Symptoms, Mindfulness, Posttraumatic Growth, and Spirituality. Mindfulness, DOI 10.1007/s12671-016-0545-5. 2016