Feasibility of a trial with Tibetan Singing Bowls, and suggested benefits in metastatic cancer patients. A pilot study in an Italian Oncology Unit

The feasibility endpoints (acceptance, attendance and compliance) were achieved; personalized programs should be offered to patients at risk of rapid worsening conditions and to subjects affected by bone metastases. A visual tool for subjective distress appears more appropriate than validated questionnaires. Useful tools for collection of objective data are SCL, HRV, and anterio-frontal EEG. Tibetan Bowls decrease anxiety, arousal, involuntary mental activity and stress. Larger trials should confirm these results.