{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:27:24Z","timestamp":1760149644709,"version":"build-2065373602"},"reference-count":54,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:00:00Z","timestamp":1693267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Dalhousie Medical Research Foundation Soillse Research Fund"},{"name":"Mach-Gaensslen Foundation of Canada"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Prostate cancer (PCa) survivors often experience post-treatment challenges that impact their well-being and mental health. The Prostate Cancer Patient Empowerment Program (PC-PEP) aims to address these issues through a comprehensive intervention, involving daily meditation\/breathing exercises, physical activity, pelvic floor exercises, emotional connection strategies, and peer support. This study presents a secondary analysis of a Phase 2 feasibility study that evaluated the effects of a 28-day PC-PEP intervention on stress reduction. Thirty patients with PCa from the Maritimes, Canada, underwent pre- and post-intervention assessments to measure brainwave activity (delta, theta, alpha, beta, and gamma) using the Muse\u2122 headband, and heart rate variability (HRV) using the HeartMath\u00ae Inner Balance\u2122 as indicators of stress reduction. A statistically significant Time \u00d7 Sensor Scalp Assessment Time interaction emerged for all brain waves. Amplitudes were generally higher during the first half of the meditation assessment time but became comparable afterward. A statistically significant Time \u00d7 Sensor Scalp Location \u00d7 Sensor Scalp Assessment Time interaction also emerged for alpha waves, indicating higher prefrontal lobe amplitudes than temporal lobe amplitudes from pre- to post-assessment. There were no statistically significant differences in HRV metrics from pre- to post-intervention, except for a marginally significant achievement score, indicating increased HRV coherence post-intervention. The findings suggest that the stress reduction component of PC-PEP successfully improved outcomes related to decreased stress. These results have implications for the development of future iterations of PC-PEP interventions, aiming to optimize participant benefits.<\/jats:p>","DOI":"10.3390\/curroncol30090577","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T10:33:56Z","timestamp":1693391636000},"page":"7936-7949","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Changes in Stress Reduction Following a 28-Day Prostate Cancer Patient Empowerment Program (PC-PEP) among Prostate Cancer Survivors"],"prefix":"10.3390","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6673-3925","authenticated-orcid":false,"given":"Laura","family":"Burge","sequence":"first","affiliation":[{"name":"Undergraduate Medical Education, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1602-6374","authenticated-orcid":false,"given":"Gabriela","family":"Ilie","sequence":"additional","affiliation":[{"name":"Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 1V7, Canada"},{"name":"Department of Urology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2Y9, Canada"},{"name":"Department of Radiation Oncology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 1V7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1962-6635","authenticated-orcid":false,"given":"Cody","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 1V7, Canada"},{"name":"Department of Urology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2Y9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayley","family":"Riel","sequence":"additional","affiliation":[{"name":"College of Pharmacy, University of Manitoba, Winnipeg, MB R3E 0T5, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob David Harold","family":"Rutledge","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 1V7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,29]]},"reference":[{"key":"ref_1","unstructured":"(2023, March 10). 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