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643-P: Perceived Usefulness of Mindfulness-Based Stress Reduction in Persons with Type 2 Diabetes

Lucille Ferrara, Sophie R. Kaufman

Diabetes June 1, 2022 DOI: 10.2337/db22-643-p (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 13
Population Adults over 18 years with type 2 diabetes mellitus and a recent A1C greater than 7%
Intervention Mindfulness-Based Stress Reduction (MBSR)
Duration 8-week MBSR course with follow-up at 6 and 12 months post-intervention
Measures Mindfulness Attention Awareness Scale (MAAS)
Topics Meditation
Key findings Participants with type 2 diabetes who completed an 8-week MBSR course reported greater awareness of stress, less reactive responses, and increased self-compassion. They continued using mindfulness practices at 6 and 12 months post-intervention, and Mindfulness Attention Awareness Scale scores increased over time.

Abstract

Diabetes management can be burdensome and stressful. Mindfulness-based Stress Reduction (MBSR) is a method that has shown to help mitigate stress. This qualitative study, as part of a larger study, examined the effects of MBSR on stress in persons with DM2 participating in an 8-week MBSR course and explored how

Participants: Gained insight regarding their stress Identified aspects of MBSR perceived as useful for stress management Continued to incorporate mindfulness practice in their daily lives as a method of stress management (6 months and 1 year post-intervention) Study Population: 13 adults > 18 years with DM2 having a recent A1C >7% who committed to participate in an 8-week MBSR course. Study

Design: Qualitative study exploring the effects of MBSR on stress in persons with DM2. Participants enrolled in an 8-week MBSR course completed open-ended questionnaires at orientation, mid-way, and upon completion of the course to assess learning and attitude towards stress. Video recordings of the classes were transcribed and analyzed. Participants completed the Mindfulness Attention Awareness Scale (MAAS) at the start and end of the course. Participants received follow-up at 6 and 12 months post intervention, including completing the MAAS and were surveyed about the incorporation of mindfulness into their daily lives.

Results: Participants shared their realization of the effect of stress on their body and mind, and reported noticing patterns of reactivity, and learning to let go and respond rather than react to stressors. Participants’ reflections and observed behaviors illustrated increased self-awareness, curiosity, patience, less self-judgment, and compassion and kindness toward their experience. Participants reported incorporating mindfulness in their daily routine at 6 month and 12 month post intervention, including meditation, yoga, mindful eating, different response to stressful situations, and better focus. MAAS: Results indicated an increase in MAAS scores over time. Disclosure: L.Ferrara: None. S.R.Kaufman: None.

Funding: Josiah Macy Foundation (P19014)

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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