{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:29:08Z","timestamp":1777645748735,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA082103"],"award-info":[{"award-number":["P30CA082103"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["K01MD015766"],"award-info":[{"award-number":["K01MD015766"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Advances in Integrative Medicine and Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mindfulness-based interventions (MBIs) are supported by clinical practice guidelines as effective non-pharmacologic interventions for common symptoms experienced by cancer patients, including anxiety, depression, and fatigue. However, the evidence predominately derives from White breast cancer survivors. Racial and ethnic minority patients have less access to integrative oncology care and worse cancer outcomes. To address these gaps, we designed and piloted a series of mindfulness-based group medical visits (MB-GMVs), embedded into comprehensive cancer care, for racially and ethnically diverse patients in cancer treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>As a quality improvement project, we launched a telehealth MB-GMV series for patients undergoing cancer treatment, delivered as four weekly 2-hour visits billable to insurance. Content was concordant with evidence-based guidelines and established MBIs and adapted to improve cultural relevance and fit (eg, access-centered, trauma-informed, with inclusive communication practices). Program structure was adapted to address barriers to participation, with \u226550% slots per series reserved for racial and ethnic minority patients. Intake surveys incorporated a demographic questionnaire and symptom assessments. Evaluations were sent following the visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In our first ten cohorts (n = 78), 80% of referred patients enrolled. Participants were: 22% Asian, 14% Black, 17% Latino, 45% non-Latino White; 65% female; with a median age of 54\u00a0years (range 27-79); and 80% had metastatic cancer. Common baseline symptoms included lack of energy, difficulty sleeping, and worrying. Most patients (90%) attended \u22653 visits. On final evaluations, 87% patients rated the series as \u201cexcellent\u201d; 81% \u201cstrongly agreed\u201d that they liked the GMV format; and 92% would \u201cdefinitely\u201d recommend the series to others. Qualitative themes included empowerment and connectedness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Telehealth GMVs are a feasible, acceptable, and financially sustainable model for increasing access to MBIs. Diverse patients in active cancer treatment were able to participate and reported high levels of satisfaction with this series that was tailored to center health equity and inclusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27536130241263486","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T04:21:10Z","timestamp":1718598070000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Mindfulness-Based Group Medical Visits: Strategies to Improve Equitable Access and Inclusion for Diverse Patients in Cancer Treatment"],"prefix":"10.1177","volume":"13","author":[{"given":"Kavita K.","family":"Mishra","sequence":"first","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Department of Radiation Oncology, San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3560-9593","authenticated-orcid":false,"given":"Ivan C.","family":"Leung","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"},{"name":"UCSF Department of Medicine, San Francisco, CA, USA"},{"name":"Zuckerberg San Francisco General Hospital, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9846-7044","authenticated-orcid":false,"given":"Maria T.","family":"Chao","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Department of Medicine, San Francisco, CA, USA"},{"name":"Zuckerberg San Francisco General Hospital, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4880-1371","authenticated-orcid":false,"given":"Ariana","family":"Thompson-Lastad","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Department of Family and Community Medicine, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Pollak","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5552-7131","authenticated-orcid":false,"given":"Anand","family":"Dhruva","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"},{"name":"UCSF Department of Medicine, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Hartogensis","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lister","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2194-1796","authenticated-orcid":false,"given":"Stephanie W.","family":"Cheng","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"},{"name":"UCSF Department of Medicine, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2954-1727","authenticated-orcid":false,"given":"Chloe E.","family":"Atreya","sequence":"additional","affiliation":[{"name":"University of California, San Francisco (UCSF), San Francisco, CA, USA"},{"name":"UCSF Osher Center for Integrative Health, San Francisco, CA, USA"},{"name":"UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA"},{"name":"UCSF Department of Medicine, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"bibr1-27536130241263486","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601887"},{"key":"bibr2-27536130241263486","doi-asserted-by":"publisher","DOI":"10.1002\/pon.2068"},{"key":"bibr3-27536130241263486","volume-title":"Racial Disparities in Diagnosis and Treatment of Major Depression","author":"Blue Cross Blue Shield 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