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FAQ

What is the "ENVISION Behavioral Medicine Intervention (EBMI)?

How much time is involved in completing the full Intervention?

What is the cost to take part in the Intervention?

How is the ENVISION Intervention different from other mind-body or behavioral medicine therapies?

What are the specific symptoms and quality of life issues that the Intervention addresses?

What makes the Intervention "work?"

Who created this Intervention?

What do I do if I want to participate in the Intervention?

Who is eligible to take part in the Intervention?

What if I want my organization to offer the Intervention to its employees?

What if I have more questions?


What is the "ENVISION Behavioral Medicine Intervention (EBMI)?

The Intervention consists of three components: (1) an in-depth behavioral medicine evaluation of your individual symptoms and needs during a formal intake and history process; (2) medical education related to the symptoms caused by your diagnosis and treatment for cancer; (3) implementation of the behavioral medicine intervention, personalized to your symptoms, and consisting of evaluation, practice and feedback as you incorporate research-based imagery and brain plasticity exercises into your daily life. Some portable biofeedback devices are utilized to evaluate the effectiveness of the imagery you create to modify your physiology. Other assessment approaches address mood state issues (anxiety, depression, stress, disease-related PTSD), disruption of circadian and/or ultradian rhythms that interfere with sleep, and health-related behavior change. The Intervention is based on scientific findings; on the outcomes produced in our NCI-funded study (Phase I and II); on the ongoing evaluative data gathered during your participation in the intervention; and on your responses to treatment. The Intervention represents the best of two worlds: evidence-based research (the NCI-funded study) and personalized medicine (the therapeutic assessment and adaptation of the cognitive-behavioral medicine methods to your individual symptoms, interests, and schedule).

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How much time is involved in completing the full intervention?

Beginning with intake, and ending with the finalized plan, the Intervention is typically delivered over a 10 week period, with one psychoeducational and one therapy session a week. However, individuals who are highly dedicated to implementing what they learn, and who have enough time to move the process along at a heightened pace may be able to complete it more quickly. Similarly, those traveling or with very busy schedules who need to stretch out the process can proceed at their own pace. This, of course, applies to individuals taking part in individual therapy. Those taking part in group therapy sessions must complete the Intervention on a schedule, with their group. The group therapy sessions are once a week, for ten weeks.

THE PROCESS: At a minimum, there will be 1.5 hours of individual intake and history; 10 two-hour or less psychoeducational sessions concerning your symptoms and methods for addressing them (delivered as individual, group or distant sessions); 10 individual therapy sessions (varying in length from 20 minutes to 1 hour, depending on your need and the symptom being addressed) and one or more 'final' therapy sessions to fine tune and trouble shoot the methods you will continue to implement into your daily life, after treatment has ended. So, on average, 40 hours will be needed for completion of the intervention. PLEASE NOTE: This does NOT include the practice you will be expected to perform outside of your EBMI sessions. You should be committed to practice outside of sessions before asking to take part in this Intervention. In fact, individuals not committed to implementation and practice outside of the sessions will not be accepted for treatment.

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What is the cost to take part in the Intervention?

Cost varies, depending on your insurance; the method of delivery (individual, group, local or distant location); the length of time required to complete all components of the Intervention; and whether or not your Company or another organization has agreed to pay for your participation. Occasionally, cancer organizations provide grants for persons who are unable to pay and oncologists refer recommended patients to us to participate as part of grant funding. This question cannot be answered in detail without a direct conversation with the Office Manager at Mind Matters Research LLC.

The Office Manager will arrange for pre-certification with your insurance company and also provide you with an estimate of costs. Mind Matters Research LLC is a preferred provider with Blue Cross. Other insurances may also be accepted. In all cases, those participating in the Intervention who rely on insurance to fund their participation must be pre-certified by their insurance company so that the participant and our Corporation can know what will be covered, and make arrangements for payment of the remaining amount. Individuals with no insurance but who wish to self-pay may also receive the Intervention. It is not unusual for family members to 'gift' a portion of the Intervention costs as birthday or holiday presents.

Please Note: The required biofeedback equipment and educational materials ARE NOT covered by insurance. We will discuss this with you before you participate in the Intervention.

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How is the ENVISION Behavioral Medicine Intervention different from other mind-body or behavioral medicine therapies?

First and foremost, this Intervention has been clinically tested and improved, based on clinical outcomes and patient feedback, at several points across a six year period. Second, this Intervention is quality controlled and kept current. The scientific and medical information is updated as the science and research change and the therapeutic approach is consistent across the systematic behavioral medicine process. Third, this Intervention was designed, created and tested to improve the specific symptoms caused by a diagnosis of and treatment for cancer.

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What are the specific symptoms and quality of life issues that the Intervention addresses?

According to the Institute of Medicine (IOM) of the National Academy of Sciences, many breast cancer survivors (and survivors with many other forms of cancer) suffer late-term and long-term effects caused by the cancer treatments that saved their lives. Those symptoms include cognitive deficits (chemobrain), fatigue, sleep deprivation, stress, anxiety, depression, and in some cases, post-traumatic stress disorder (PTSD). This Intervention addresses those exact symptoms. Symptoms can vary widely from survivor to survivor, and some persons have all these symptoms, while others have only one symptom, or no symptoms. Survivors with no symptoms are fortunate, and this Intervention was not created for them.

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What makes the Intervention "work"?

The Intervention is based on the integration of cutting edge scientific research, pulled from a broad spectrum of scientific, behavioral medicine, and mind-body disciplines. For example, research-based assessment and exercises, gleaned from the psychoneuroimmunology research, are woven throughout the Intervention, as are assessments and exercises based on the body's ability to condition itself to behave in different ways. We know, for example, that immune cells can become conditioned to respond in particular ways, based on what we experience and are exposed to; our immune cells are also effected by our stress levels. You can 'train' and 'condition' your heart to improve its flexibility and train your brain to produce more focused brainwaves. Improved focus and stimulation of neuronal growth is accomplished by practices based on brain plasticity research. Research-based practices of relaxation, imagery, and breath are also woven throughout the Intervention. The underlying thread of the Intervention is always imagery - the ability to identify and assess your thoughts, behaviors and emotions. Based on that assessment, you then engage your imagination, utilizing a method demonstrated to modify specific physiological, mood state and health outcomes.

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Who created this Intervention?

The ENVISION Behavioral Medicine Intervention is the final product of a lifetime of work and research by Lyn Freeman, Ph.D.

Dr. Freeman has authored college textbooks and medical manuals to educate health and medical providers on mind-body and complementary medicine research, practice, and therapy. Her Mosby's textbook was nominated for health sciences book of the year. Dr. Freeman has taught mind-body medicine at different universities, for degree and continuing education credit. You can read more about Dr. Freeman in the About Us section.

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What do I do if I want to take part in the ENVISION Behavioral Medicine Intervention?

You begin by having a pre-screening phone conversation with a staff member at Mind Matters Research LLC. This allows your most basic questions to be answered to see if the Intervention is a good 'fit' for you. It also allows MMR LLC to determine your need and level of commitment to follow through, once you begin the Intervention. If both you and the MMR staff find that you would benefit from taking part in the Intervention, certain forms will be completed (a medical release, informed consent, etc) and insurance pre-certification and payment estimates and agreements will be completed. Credit cards are accepted for payment, if you have no insurance or if you are not 100% covered by your insurance company

Then, your first appointment for intake and history will be scheduled. NOTE: All persons must be referred by a physician familiar with their medical history and preferably your current oncologist or physician. We can help you with the referral.

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Who is eligible to take part in the Intervention?

First and foremost, you must have had a diagnosis of cancer and report at least one of the cancer treatment-related symptoms explained earlier. Second, you must be referred by a physician. Third, you must be committed to evaluating your health behaviors and to making behavior change, including implementing the health-promoting strategies that you will select, based on your symptoms. You can still be in treatment for cancer, or out of treatment. If still in treatment, your physician will help us determine if you have the energy to participate in the Intervention at this time. You can talk to Mind Matters Research LLC staff for more specific information.

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What if I want my organization to make this Intervention available to me and to others in the organization where I work?

Mind Matters Research LLC collaborates with a variety of organizations to deliver the Intervention to their employees as well as to the public at large. In some cases, the organization may simply contract with our Corporation to offer the Intervention as a group session, with individual follow-up therapy sessions, and it may not be necessary to file insurance in those circumstances. Have someone from your organization contact us, if they would be interested in this approach.

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What if I have more questions?

Contact the Office Manager at Mind Matters Research LLC for a phone pre-screening appointment. You can reach MMR LLC at (907) 868-7737 or (toll free) 1-866-266-7633 or by e-mail at lfreeman@mindmattersresearch.com.

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