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Iterative adaptation process for eHealth Mindful Movement and Breathing to improve gynecologic cancer surgery outcomes

Women diagnosed with gynecologic cancers regularly face abdominal surgery and experience considerable pain that is often inadequately managed. Acute perioperative pain is a risk factor for chronic pain. Thus, interventions to reduce postoperative pain could prevent the transition of acute to chronic pain. General guidelines for treating postoperative pain recommend a multimodal approach including nonpharmacologic interventions (eg, mind‐body interventions), yet the multimodal approach in guidelines specific to gynecologic cancer surgery exclusively focuses on analgesic medications. Pain is one reason mind‐body interventions such as yoga are commonly used in cancer patients, although limited evidence supports the efficacy of yoga for perioperative pain in this population. The multiple components of yoga (ie, mindfulness, movements, and breathing exercises) may also decrease the risk of postoperative deep venous thrombosis and pulmonary complications by facilitating mobility and deep slow breathing. The purpose of this study was to field‐test the usability of a Mindful Movement and Breathing (MMB) yoga intervention adapted to eHealth (eMMB) and to finalize the intervention manual.