title: The experience of imagery as a post-treatment intervention in patients with breast cancer: program, process, and patient recommendations.
abstract: OBJECTIVE
  To better understand the common themes of women participating in an imagery program designed to improve quality of life (QOL).
  
  
  METHODS
  Qualitative.
  
  
  METHODS
  Classroom setting at Alaska Regional Hospital in Anchorage.
  
  
  METHODS
  10 women with a confirmed diagnosis of breast cancer who had completed conventional care participated in a six-class, eight-week-long imagery program titled Envision the Rhythms of Life (ERL).
  
  
  METHODS
  Focus group audio recordings and notes were interpreted with the Krueger focus group method and confirmed by an outside evaluator.
  
  
  METHODS
  Breast cancer survivors' descriptions of imagery practice and experience as they created passive, active, and targeted imagery.
  
  
  RESULTS
  Participants reported the importance of engaging passive and active imagery, letting targeted imagery take on a life of its own, performing homework, understanding the science, practicing, hearing imagery stories, engaging all the senses, trusting imagery, and group interaction. Imagery practice improved mood state.
  
  
  CONCLUSIONS
  When delivered by expert imagery trainers in collaboration with oncology nurses, ERL can improve breast cancer survivors' QOL. The present study is one of few reports that evaluated survivors' imagery experiences from a clinical trial and produced significant QOL improvements.
  
  
  CONCLUSIONS
  The present study provides oncology nurses understanding of the psychological risks faced by breast cancer survivors after completion of primary care and explains the critical need for post-treatment programs for survivors dealing with post-traumatic stress disorder, depression, anxiety, or high levels of stress.
authors.affiliation: Saybrook Graduate School, San Francisco, CA, USA. lfreeman@gci.net
authors.forename: Lyn
authors.initials: L
authors.lastname: Freeman
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Cohen
authors.forename: Mary
authors.initials: M
authors.lastname: Stewart
authors.forename: Rebecca
authors.initials: R
authors.lastname: White
authors.forename: Judith
authors.initials: J
authors.lastname: Link
authors.forename: J Lynn
authors.initials: JL
authors.lastname: Palmer
authors.forename: Derek
authors.initials: D
authors.lastname: Welton
authors.forename: Lisa
authors.initials: L
authors.lastname: McBride
authors.forename: Carl M
authors.initials: CM
authors.lastname: Hild
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D017144:Focus Groups; D006801:Humans; D019018:Imagery, Psychotherapy; D008875:Middle Aged; D009859:Oncology Nursing / Q000379:methods*; D017060:Patient Satisfaction; D015397:Program Evaluation; D011788:Quality of Life; D017741:Survivors / Q000523:psychology*