Our specific aims in the proposed study are to:
1. Pilot-test a Qigong program to determine the acceptability and feasibility of teaching Qigong to patients with rectal and/or anal cancer undergoing chemoradiotherapy. This will be accomplished by evaluating patient interest during the recruitment period, study attrition, patient satisfaction, Qigong session attendance, frequency of practicing the exercises outside the hospital, and completion of questionnaires.
2. Conduct an initial evaluation of whether participation in the Qigong program improves patients' fatigue and sleep disturbances. Secondary endpoints will include examining other aspects of quality of life (QOL) and mental health, and objective physiological outcomes (saliva samples for cortisol levels). Exploratory analyses will examine some plausible mediators of the Qigong program, including cognitive processing, spirituality, and finding meaning in the cancer experience. |