Feasibility and Acceptability of a Remote, Asynchronous, Stroke-Tailored Mindfulness Intervention for Stroke Survivors and Support Persons.

Abstract:

Background: Stress impacts the quality of life for stroke survivors (SS) and support persons (SPs) during recovery, negatively affecting both individuals in the stroke dyad (SD). While mindfulness-based interventions (MBIs) can improve well-being, their complexity and time demands are significant barriers for implementation in the stroke community. Tailoring MBI to the needs of SS and SP (modified-MBI) shows promise in improving stress and quality of life for both members of the SD throughout long-term recovery.

Methods: The A Mindful Approach to Managing Stress (A-MAMS) intervention enrolled 58 participants to assess the feasibility and acceptability of an 8-week virtual asynchronous m-MBI. Enrollment, retention, lesson, and homework completion rates were measured. End-of-study feedback survey (EOS) data was also collected.

Results: The A-MAMS intervention demonstrated high feasibility (enrollment rate=96.7%; attendance rate=98.3%) and acceptability (lesson and homework completion rates=97.8% and 98.8%, retention rate=89.7%). A total of 52 participants (30 SS and 22 SP; 15 SD members) completed all course components and EOS. The EOS feedback indicated 96.2% found the intervention helpful for stress management and would recommend it. No significant dyadic effect was identified.

Conclusion: This remotely delivered m-MBI was feasible and acceptable for adult SS and SP. These findings support the utility of tailored, accessible mindfulness interventions for the SD, laying a foundation for future research on their implementation and impact.