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Mindfulness-Based Stress Reduction Live Online During the COVID-19 Pandemic: A Mixed Methods Feasibility Study.

Timothy D Riley, Siddhartha Roy, Jessica A Parascando, Kevin Wile, Christina T LaGamma, Huamei Dong, Aleksandra Zgierska

Journal of Integrative and Complementary Medicine June 2022 DOI: 10.1089/jicm.2021.0415 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-methods study using a sequential explanatory design Peer reviewed
Sample size 73
Population Paying members of the general public enrolled in one of six live MBSR courses; mostly white, non-Hispanic, middle-aged females with annual household income over $100,000
Intervention Mindfulness Based Stress Reduction (MBSR)
Duration 8-week MBSR curriculum
Measures Treatment Satisfaction Survey, Perceived Stress Scale-10, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, 36-item Short Form Survey
Topics Meditation
Keywords Covid-19 Mixed methods
Key points Online MBSR was feasible and acceptable, with course completion of 67.6% online versus 84.1% in-person (a difference reported as not statistically significant). Online participants rated the course highly for stress coping and reported a high likelihood of continuing mindfulness practice; focus group responses indicated reduced perceived loss of control and improved quality of life and morale during the pandemic. The authors conclude online delivery could expand access to MBSR and address health inequities.

Abstract

Objectives: To assess the feasibility, acceptability, and effects of Mindfulness Based Stress Reduction (MBSR) live online during the COVID-19 shutdown.

Design: Mixed-methods study using a sequential explanatory design. Settings/location: Cohorts 1-4 took place in-person and Cohorts 5-6 took place over Zoom following the onset of the COVID-19 pandemic. Subjects: Participants were paying members of the general public enrolled in one of six live MBSR courses.

Interventions: All MBSR courses followed the standard 8-week MBSR curriculum, led by experienced instructors. Outcome measures: Feasibility measured via class attendance, acceptability measured via the adapted Treatment Satisfaction Survey, and MBSR course effects measured by a focus group with Cohort 5, and the following assessments completed by all cohorts: Perceived Stress Scale-10, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 and the 36-item Short Form Survey.

Results: 73 adults participated in six live MBSR courses (48 in the four in-person courses; 25 in the two online courses). Most of the participants identified as white, non-Hispanic, middle-aged females, with annual household income >$100,000. Course completion, defined as at least 6/8 classes attended, did not differ between in-person and online cohorts (84.1% versus 67.6%, respectively, p = 0.327). Participants in Cohort 5 who completed the course (n = 10) rated it as very important and useful for stress coping, and reported high likelihood of continuing their mindfulness practice (all ratings: between 8 and 10 on a 1-10 Likert scale), with open-ended responses corroborating their numerical ratings. Focus group (n = 6) responses indicated that online MBSR was positively received, reduced perceived loss of control, and improved quality of life and morale during the pandemic.

Conclusions: Delivering MBSR live online can be feasible and acceptable for the general public, and is potentially beneficial, including during the social upheaval of the COVID-19 pandemic. Online delivery could help expand access to MBSR and address health inequities.

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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