Online Mindfulness with Care Partnerships Experiencing Anxiety and Depression Symptoms after Stroke: Mixed Methods Case Study Research
Ben Parkinson, Maggie Lawrence, Evelyn McElhinney, Jo Booth
Journal of Holistic Nursing November 9, 2022 DOI: 10.1177/08980101221135723 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Explanatory sequential mixed methods case study Case report Peer reviewed |
|---|---|
| Sample size | 10 |
| Population | Care partnerships (e.g., spouses, caregivers) in which one partner had post-stroke anxiety and/or depression symptoms |
| Intervention | Online mindfulness-based intervention (MBI) |
| Duration | 8 weeks, with data collected at weeks 0, 4, and 8 |
| Measures | Hospital Anxiety Depression Scale, Mutuality Scale, Mindful Attention Awareness Scale |
| Topics | Anxiety Depression Meditation |
| Citations | 17 |
| Key findings | Care partnerships using an online mindfulness-based intervention together showed improvement in mindfulness (80% of participants) and mutuality (30%), with clinically important improvements in anxiety symptoms (50%) and depression symptoms (20%). The authors report that interview accounts were conflicting and contradictory, and conclude that online mindfulness-based interventions may hold potential value for some care partnerships living with stroke. |
Abstract
Purpose: To investigate the experience and outcomes for care partnerships (e.g., spouses, caregivers) who have post-stroke anxiety and/or depression symptoms and used an online mindfulness-based intervention (MBI) together.
Design: Explanatory sequential mixed methods case study research.
Methods: 5 care partnerships (10 participants) received online MBI, and data was collected in weeks 0, 4, and 8. Data collection involved the Hospital Anxiety Depression Scale, the Mutuality Scale, the Mindful Attention Awareness Scale, and post-intervention interviews. Clinical effectiveness was evaluated using minimal clinically important difference (MCID).
Findings: Participants improved mindfulness (80%) and mutuality (30%). MCID was achieved for anxiety symptoms (50%) and depression symptoms (20%). IPA found evidence of conflicting and contradictory experiences so dialectical tension was used to articulate the continuum of perspectives and themes produced in the analysis.
Conclusion: Care partnerships using online MBIs can experience improvements in mindfulness, mutuality, anxiety symptoms, and depression symptoms. The findings are complex but show the potential value of online MBI for some care partnerships living with stroke.
Comparable studies
Other case reports and case series on anxiety, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Persistent Palinopsia Following Ingestion of Lysergic Acid Diethylamide (LSD) Patients who developed persistent palinopsia after LSD ingestion | 1996 | Case series | n = 3 |
| Cannabis‐induced Koro in Americans American men aged 22-26 with years of cannabis experience who reported negative... | 2001 | Case series | n = 3 |
| Psilocybin and Obsessive Compulsive Disorder Individual with Obsessive Compulsive Disorder | 2014 | Case study | n = 1 |
| LSD-Like Panic From Risperidone in Post-LSD Visual Disorder Patients with hallucinogen-persisting perception disorder (HPPD) | 1996 | Case study | n = 3 |
| Ketamine-Enhanced Psychotherapy: Preliminary Clinical Observations on its Effects in Treating Death Anxiety Terminally-ill people suffering death anxiety | 2007 | Review and case study | n = 2 |
Citations in the library
Cited by 4
- Implementation considerations of key knowledge users for building online mindfulness-based interventions for people with multiple sclerosis. Disability and Rehabilitation April 16, 2025
- Solution-focused brief therapy combined with mindfulness-based cognitive therapy for post-stroke depression: a randomized controlled trial. Topics in stroke rehabilitation March 1, 2026
- Feasibility and Acceptability of a Remote, Asynchronous, Stroke-Tailored Mindfulness Intervention for Stroke Survivors and Support Persons. Journal of Neuroscience Nursing February 11, 2026
- A Pilot Randomized Controlled Trial Testing the Feasibility and Acceptability of Helping Ease Anxiety and Depression after Stroke (HEADS: UP): An Online Mindfulness-Based Intervention for Stroke Survivors Mindfulness July 1, 2025
Cites 12
- The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology 2003
- Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 2000
- What defines mindfulness-based programs? The warp and the weft Psychological Medicine December 29, 2016
- Mindfulness online: a preliminary evaluation of the feasibility of a web-based mindfulness course and the impact on stress BMJ Open 2012
- Group, One-on-One, or Internet? Preferences for Mindfulness Meditation Delivery Format and their Predictors Open Medicine Journal November 28, 2014
and 7 more in the library