Islamic caring mindfulness-based program on spiritual well-being and fatigue in Indonesian women with advanced breast cancer

ISRCTN ISRCTN88773236
DOI https://doi.org/10.1186/ISRCTN88773236
Submission date
24/08/2019
Registration date
11/09/2019
Last edited
07/09/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
There has been limited research on Islamic caring mindfulness-based program for enhancing spiritual well-being and fatigue for women with advanced breast cancer in Indonesia. Since spiritual practice including mindfulness practice through prayer and dhikr meditation are part of Muslims’ daily life practice, therefore, it is feasible and worth promoting this program.
The aim of this study was to evaluate the effects of the Islamic caring mindfulness-based program on spiritual well-being and fatigue on Indonesian women with advanced breast cancer undergoing chemotherapy.

Who can participate?
All Muslim patients with advanced breast cancer either new or recurrent cases that came for chemotherapy treatment were the target for this study.

What does the study involve?
A program based on Islamic philosophy (the True Faith and the Five Pillars) for enhancing spiritual well-being and alleviating the fatigue of Indonesian women with advanced breast cancer undergoing chemotherapy. The program follows the standard care during chemotherapy with the adjunct of specific ICMB activities attached, namely, Islamic prayer, breath dzikr meditation, and Islamic caring. The duration of the program was six weeks.

What are the possible benefits and risks of participating?
By becoming a participant, the participants will get knowledge about breast cancer, the side effects of chemotherapy and its management, as well as get information about how to do prayer and dhikr meditation properly, so that it is beneficial for health. In addition, the program did not have a negative side effect.

Where is the study run from?
The chemotherapy unit at the Teaching Hospital, Bandung West Java Province, Indonesia

When is the study starting and how long is it expected to run for?
January 2018 to July 2018

Who is funding the study?
Graduate School, Prince of Songkla University, Thailand

Who is the main contact?
Maria Komariah
maria.komariah@unpad.ac.id

Contact information

Mrs Maria Komariah
Scientific

Bumi Panyileukan Citra culdesac No. 12
A RT/RW 004/013 Kel. Cipadung Kidul
Panyileukan
Soekarno Hattha
Bandung
40614
Indonesia

ORCiD logoORCID ID 0000-0003-1648-4882
Phone +62227795596/+6289611556007
Email maria.komariah@gmail.com

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleIslamic caring mindfulness-based program on spiritual well-being and fatigue in Indonesian women with advanced breast cancer
Study acronymICMB
Study objectives1. The mean scores of the intervention group on days 2-3 (Time-2), on days 23-24 (Time-3), and days 44-45 (Time-4) will be higher than those of the control group.
2. The mean scores of fatigue of the intervention group after receiving the program on days 2-3 (Time-2), on days 23-24 (Time-3), and day 44-45 (Time-4) will be higher than those of the control group.
3. The mean scores of spiritual well-being of the intervention group after receiving the program on days 2-3 (Time-2), on days 23-24 (Time-3), and days 44-45 (Time-4) will be higher than at baseline.
4. The mean scores of fatigue of the intervention group after receiving the program on days 2-3 (Time-2), on days 23-24 (Time-3), and days 44-45 (Time-4) will be higher than at baseline.
Ethics approval(s)Approved 15/01/2018, The Institutional Review Board of the Faculty of Nursing (Center for Social and Behavioral Sciences, Institutional Review Board, Faculty of Nursing, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkla 90110, Thailand; +66 74 286 422; sasitorn.ph@psu.ac.id), ref:2017 NSt-Qn 054
Health condition(s) or problem(s) studiedAdvanced breast cancer undergoing chemotherapy
InterventionThis nursing intervention program refers to a program based on Islamic philosophy (the True Faith and the Five Pillars) for enhancing spiritual well-being and alleviating fatigue of Indonesian women with advanced breast cancer undergoing chemotherapy. The program follows the standard care during chemotherapy with the adjunct of specific ICMB activities attached, namely, Islamic prayer, breath dzikr meditation, and Islamic caring. The duration of the program was six weeks.
The researcher assigned randomly the eligible participants by using the software i.e. the minimized randomization software (version 2.01) into two intervention arms.

First Group (experimental group) was given ICMB program
Second Group (control group) was given usual care

Contents of ICMB program session:
Provision of knowledge about the disease and complications (i.e., what is the breast cancer, stages of breast cancer, causes and risk factors, treatment and its side effect, symptoms management).
Training, coaching & practicing prayer and breath dzikr meditation (i.e., what Quran says about prayer and dzikr meditation, benefits of prayer and dzikr meditation, how to perform prayer and dzikr meditation, how prayer and dzikr meditation is useful for advanced breast cancer)
Reflection
Preparation (15 min):
-Forming a caring relationship by greeting, touching, respecting and blessing in Islamic way.
-Praying together for healing and asking help from Allah.
-Encouraging the patient and the families to be patient with the illness
Individual practice(the participants):
-Prayer (10 min)
-Breath dzikr meditation (30 min)
-Reflection (5 min)
Intervention typeBehavioural
Primary outcome measure1. Spiritual well-being measured using the Functional Assessment of Chronic Illness Therapy (Spiritual) (FACIT-Sp) at baseline (Time-1), on day 3-4 (Time-2), on day 23-24 (Time-3), and day 44-45 (Time-4)
2. Fatigue measured using the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT- Fatigue) at baseline (Time-1), on day 3-4 (Time-2), on day 23-24 (Time-3), and day 44-45 (Time-4)
Secondary outcome measureslevel of Islamic mindfulness (khushu prayer) measured using the Khushu Prayer Questionnaire, at baseline
Overall study start date17/01/2018
Completion date03/07/2018

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants120
Total final enrolment120
Key inclusion criteria1. Muslim
2. Aged over 18 years
3. Diagnosis of stage III breast cancer
4. Can perform basic daily activities with the Eastern Cooperative Oncology Group (ECOG) with a Performance Score of 0 – 2, 0 refers to fully active, no performance restrictions, 2 refers to able to carry out all self-care but incapable to perform any work activities, up and about >50% of waking hours, it was important for screening the patient’s ability to perform prayer perfectly
5. Cognitively intact and without a documented diagnosis of mental illness
6. Speak and understand Bahasa Indonesian
7. Access to a telephone
8) Received chemotherapy treatments every 21 days at any cycle ≤ 4 cycles including the current cycle
Key exclusion criteria1. Regularly used complementary alternative medicine (e.g., reflexology, foot massage, pedicure with massage)
2. Could not completely follow the program
Date of first enrolment17/01/2018
Date of final enrolment03/05/2018

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Bandung Teaching Hospital
Jl. Pasteur No. 38
Bandung
-
Indonesia

Sponsor information

Universitas Padjadjaran
University/education

Jl Raya Bandung-Sumedang KM 21
Jatinangor
Sumedang
West Java
Bandung
40614
Indonesia

Phone +62227795596/+6289611556007
Email maria.komariah@gmail.com
ROR logo "ROR" https://ror.org/00xqf8t64

Funders

Funder type

University/education

Graduate School, Prince of Songkla University, Thailand

No information available

Results and Publications

Intention to publish date05/09/2020
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planCurrent publication and dissemination plan as of 19/03/2020:
Opcion

Previous publication and dissemination plan:
Nursing & Health Sciences journal
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 16/07/2020 07/09/2021 Yes No

Editorial Notes

07/09/2021: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.
19/03/2020: The following changes have been made:
1. The intention to publish date has been changed from 05/09/2019 to 05/09/2020.
2. The publication and dissemination plan has been updated.
09/09/2019: Trial’s existence confirmed by The Institutional Review Board of the Faculty of Nursing (Prince of Songkhla University, Thailand)