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Implementation considerations of key knowledge users for building online mindfulness-based interventions for people with multiple sclerosis.

Ashvene Sureshkumar, Dorothy Luong, Sarah Munce, Mark Bayley, Monika Kastner, Jillian Scandiffio, Nanette Lai, Gregory Feng, Jiwon Oh, Andrea D Furlan, Abhimanyu Sud, Anthony Feinstein, Robert Simpson

Disability and Rehabilitation April 16, 2025 DOI: 10.1080/09638288.2025.2492312 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative descriptive study with integrated knowledge translation approach Peer reviewed
Sample size 29
Population People with multiple sclerosis, care partners, MS clinicians, and MBI instructors
Topics Meditation
Keywords Implementation Multiple sclerosis Online
Citations 1
Key findings Four themes emerged for implementing online MBIs for PwMS: daily mindfulness integration, clinician awareness and advocacy, validating group experiences, and sustained engagement resources.

Abstract

Mindfulness-based interventions (MBIs) can effectively reduce stress in people with multiple sclerosis (PwMS). Online MBIs address access barriers, but large-scale implementation from the perspectives of key knowledge users remains understudied. This study explored the implementation considerations of PwMS, care partners, MS clinicians and MBI instructors for building online MBIs for PwMS. A qualitative descriptive design with an integrated knowledge translation (iKT) approach. Virtual semi-structured interviews explored the perspectives of PwMS (n = 10), care partners (n = 3), MS clinicians (n = 8), and MBI instructors (n = 8). An inductive thematic analysis approach was used. Four themes were identified: (1) daily mindfulness: structuring and conceptualizing mindfulness for PwMS, (2) unlocking access through enhanced clinician awareness and advocacy: building pathways to MBIs for PwMS, (3) validating mindfulness experiences: the importance of MBI group composition and instructor interactions for PwMS, and (4) sustained engagement: resources to create and navigate MBIs for PwMS. PwMS valued diverse participant groups and control over tailoring MBIs to their needs. However, guidance from a clinician may be needed to foster self-agency for PwMS. MBIs serve a multifaceted role for PwMS, extending beyond the diagnosis. Shared decision-making amongst knowledge users can enhance flexible programming of online MBIs.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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