AutomedicationFrancoV1, Main, Exploration, bibRecord, 000504

Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study.

Identifieur interne : 000504 ( Main/Exploration ); précédent : 000503; suivant : 000505

Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study.

Auteurs : Stefano Poletti [France] ; Giorgia Razzini [Italie] ; Roberto Ferrari [Italie] ; Maria Pia Ricchieri [Italie] ; Giorgio Alfredo Spedicato [Italie] ; Antonella Pasqualini [Italie] ; Cristina Buzzega [Italie] ; Fabrizio Artioli [Italie] ; Kyriakoula Petropulacos [Italie] ; Mario Luppi [Italie] ; Elena Bandieri [Italie]

Source :

Complementary therapies in medicine [ 1873-6963 ] ; 2019.

RBID : pubmed:31780005

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Arts martiaux (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Méditation (MeSH), Métastase tumorale (thérapie), Pleine conscience (méthodes), Soins palliatifs (MeSH), Stress psychologique (thérapie), Sujet âgé (MeSH), Thérapies corps-esprit (méthodes), Tumeurs (psychologie), Yoga (MeSH).
MESH :
- méthodes : Pleine conscience, Thérapies corps-esprit.
- psychologie : Tumeurs.
- thérapie : Métastase tumorale, Stress psychologique.
- Adulte, Adulte d'âge moyen, Arts martiaux, Femelle, Humains, Mâle, Méditation, Soins palliatifs, Sujet âgé, Yoga.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Martial Arts (MeSH), Meditation (MeSH), Middle Aged (MeSH), Mind-Body Therapies (methods), Mindfulness (methods), Neoplasm Metastasis (therapy), Neoplasms (psychology), Palliative Care (MeSH), Stress, Psychological (therapy), Yoga (MeSH).
MESH :
- methods : Mind-Body Therapies, Mindfulness.
- psychology : Neoplasms.
- therapy : Neoplasm Metastasis, Stress, Psychological.
- Adult, Aged, Female, Humans, Male, Martial Arts, Meditation, Middle Aged, Palliative Care, Yoga.

Abstract

OBJECTIVES

To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC).

DESIGN

Mixed-method study.

SETTINGS/LOCATION

EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital.

SUBJECTS

Study participation was offered to 25 consecutive people referred to the EPC service.

INCLUSION CRITERIA

people with metastatic cancer between 18 and 75 years old; informed consent.

EXCLUSION CRITERIA

Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study.

INTERVENTION

The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators.

OUTCOME MEASURES

Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach.

RESULTS

MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs.

CONCLUSIONS

A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.

DOI: 10.1016/j.ctim.2019.102218
PubMed: 31780005

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
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<term>Mindfulness (methods)</term>
<term>Neoplasm Metastasis (therapy)</term>
<term>Neoplasms (psychology)</term>
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<term>Arts martiaux (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Méditation (MeSH)</term>
<term>Métastase tumorale (thérapie)</term>
<term>Pleine conscience (méthodes)</term>
<term>Soins palliatifs (MeSH)</term>
<term>Stress psychologique (thérapie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Thérapies corps-esprit (méthodes)</term>
<term>Tumeurs (psychologie)</term>
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<term>Female</term>
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<term>Adulte d'âge moyen</term>
<term>Arts martiaux</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Mixed-method study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTINGS/LOCATION</b>
</p>
<p>EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SUBJECTS</b>
</p>
<p>Study participation was offered to 25 consecutive people referred to the EPC service.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INCLUSION CRITERIA</b>
</p>
<p>people with metastatic cancer between 18 and 75 years old; informed consent.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>EXCLUSION CRITERIA</b>
</p>
<p>Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTION</b>
</p>
<p>The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OUTCOME MEASURES</b>
</p>
<p>Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>04</Month>
<Day>10</Day>
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<Month>04</Month>
<Day>10</Day>
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<JournalIssue CitedMedium="Internet"><Volume>47</Volume>
<PubDate><Year>2019</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Complementary therapies in medicine</Title>
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<ArticleTitle>Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC).</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Mixed-method study.</AbstractText>
<AbstractText Label="SETTINGS/LOCATION" NlmCategory="METHODS">EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital.</AbstractText>
<AbstractText Label="SUBJECTS" NlmCategory="METHODS">Study participation was offered to 25 consecutive people referred to the EPC service.</AbstractText>
<AbstractText Label="INCLUSION CRITERIA" NlmCategory="METHODS">people with metastatic cancer between 18 and 75 years old; informed consent.</AbstractText>
<AbstractText Label="EXCLUSION CRITERIA" NlmCategory="METHODS">Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators.</AbstractText>
<AbstractText Label="OUTCOME MEASURES" NlmCategory="METHODS">Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.</AbstractText>
<CopyrightInformation>Copyright © 2019 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Poletti</LastName>
<ForeName>Stefano</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>INSERM U1028, CRNL-DYCOG, Lyon, France. Electronic address: stefano.poletti@phd.unipd.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Razzini</LastName>
<ForeName>Giorgia</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Unit of Medical Oncology, Carpi Civil Hospital, Italy. Electronic address: g.razzini-ext@ausl.mo.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ferrari</LastName>
<ForeName>Roberto</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>"Mente&Vita" Mindfulness Center, Italy. Electronic address: roberto.ferrari1@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ricchieri</LastName>
<ForeName>Maria Pia</ForeName>
<Initials>MP</Initials>
<AffiliationInfo><Affiliation>Local Health Unit of Modena, MBSR Instructor, Italy. Electronic address: m.ricchieri@ausl.mo.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Spedicato</LastName>
<ForeName>Giorgio Alfredo</ForeName>
<Initials>GA</Initials>
<AffiliationInfo><Affiliation>FCAS, FSA, C. Stat. Unipol Group, Bologna, Italy. Electronic address: spedygiorgio@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pasqualini</LastName>
<ForeName>Antonella</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Unit of Medical Oncology, Carpi Civil Hospital, Italy. Electronic address: a.pasqualini@ausl.mo.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Buzzega</LastName>
<ForeName>Cristina</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Unit of Early Palliative Care, Carpi Civil Hospital, Italy. Electronic address: c.buzzega@ausl.mo.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Artioli</LastName>
<ForeName>Fabrizio</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Unit of Medical Oncology, Carpi Civil Hospital, Italy. Electronic address: f.artioli@ausl.mo.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Petropulacos</LastName>
<ForeName>Kyriakoula</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>General Director Health Councillorship Emilia Romagna Region, Bologna, Italy. Electronic address: Kyriakoula.Petropulacos@regione.emilia-romagna.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Luppi</LastName>
<ForeName>Mario</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Medical and Surgical Sciences, AOU, UNIMORE, Italy. Electronic address: mario.luppi@unimore.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bandieri</LastName>
<ForeName>Elena</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Unit of Early Palliative Care, Carpi Civil Hospital, Italy. Electronic address: e.bandieri@ausl.mo.it.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>10</Month>
<Day>19</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Scotland</Country>
<MedlineTA>Complement Ther Med</MedlineTA>
<NlmUniqueID>9308777</NlmUniqueID>
<ISSNLinking>0965-2299</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016139" MajorTopicYN="N">Martial Arts</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019122" MajorTopicYN="N">Meditation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D026441" MajorTopicYN="N">Mind-Body Therapies</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D064866" MajorTopicYN="N">Mindfulness</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009362" MajorTopicYN="N">Neoplasm Metastasis</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010166" MajorTopicYN="Y">Palliative Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015013" MajorTopicYN="N">Yoga</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Early palliative care</Keyword>
<Keyword MajorTopicYN="N">Integrative healthcare</Keyword>
<Keyword MajorTopicYN="N">Interpretive-phenomenological analysis</Keyword>
<Keyword MajorTopicYN="N">Metastatic cancer</Keyword>
<Keyword MajorTopicYN="N">Mindfulness-based stress reduction</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year>
<Month>05</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2019</Year>
<Month>10</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>10</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>11</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>11</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>4</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31780005</ArticleId>
<ArticleId IdType="pii">S0965-2299(19)30658-2</ArticleId>
<ArticleId IdType="doi">10.1016/j.ctim.2019.102218</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
<li>Italie</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement><li>Lyon</li>
</settlement>
</list>
<tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Poletti, Stefano" sort="Poletti, Stefano" uniqKey="Poletti S" first="Stefano" last="Poletti">Stefano Poletti</name>
</region>
</country>
<country name="Italie"><noRegion><name sortKey="Razzini, Giorgia" sort="Razzini, Giorgia" uniqKey="Razzini G" first="Giorgia" last="Razzini">Giorgia Razzini</name>
</noRegion>
<name sortKey="Artioli, Fabrizio" sort="Artioli, Fabrizio" uniqKey="Artioli F" first="Fabrizio" last="Artioli">Fabrizio Artioli</name>
<name sortKey="Bandieri, Elena" sort="Bandieri, Elena" uniqKey="Bandieri E" first="Elena" last="Bandieri">Elena Bandieri</name>
<name sortKey="Buzzega, Cristina" sort="Buzzega, Cristina" uniqKey="Buzzega C" first="Cristina" last="Buzzega">Cristina Buzzega</name>
<name sortKey="Ferrari, Roberto" sort="Ferrari, Roberto" uniqKey="Ferrari R" first="Roberto" last="Ferrari">Roberto Ferrari</name>
<name sortKey="Luppi, Mario" sort="Luppi, Mario" uniqKey="Luppi M" first="Mario" last="Luppi">Mario Luppi</name>
<name sortKey="Pasqualini, Antonella" sort="Pasqualini, Antonella" uniqKey="Pasqualini A" first="Antonella" last="Pasqualini">Antonella Pasqualini</name>
<name sortKey="Petropulacos, Kyriakoula" sort="Petropulacos, Kyriakoula" uniqKey="Petropulacos K" first="Kyriakoula" last="Petropulacos">Kyriakoula Petropulacos</name>
<name sortKey="Ricchieri, Maria Pia" sort="Ricchieri, Maria Pia" uniqKey="Ricchieri M" first="Maria Pia" last="Ricchieri">Maria Pia Ricchieri</name>
<name sortKey="Spedicato, Giorgio Alfredo" sort="Spedicato, Giorgio Alfredo" uniqKey="Spedicato G" first="Giorgio Alfredo" last="Spedicato">Giorgio Alfredo Spedicato</name>
</country>
</tree>
</affiliations>
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Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study.

Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study.

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