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Acceptability and Feasibility of a Mindfulness Intervention Delivered via Videoconferencing for People With Parkinson's.

Angeliki Bogosian, Catherine S. Hurt, John V Hindle, Lance M. McCracken, Debora A Vasconcelos E Sa, Sandra Axell, Katy Tapper, Jemima Stevens, P Shashi Hirani, Marya Salhab, Wenrong Ye, Patricia Cubi-Molla

Journal of geriatric psychiatry and neurology January 2022 DOI: 10.1177/0891988720988901 (opens in new tab)

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Study at a glance

AI-extracted from the abstract
Characteristics Feasibility randomized controlled trial with qualitative interviews Peer reviewed
Sample size 60
Population People with Parkinson's
Interventions Skype-delivered mindfulness group mindfulness manual CD with mindfulness meditations
Duration 20 weeks
Topics Anxiety Depression Meditation
Keywords Eq-5d Parkinson’s
Key findings The online mindfulness intervention produced no significant effects on primary or secondary outcomes, but quality of life increased significantly. The estimated incremental cost-effectiveness ratio was £27,107 per quality-adjusted life year gained. Qualitative interviews indicated the intervention was suitable, acceptable, and helpful, and delivering mindfulness via Skype appeared feasible.

Abstract

Mindfulness-based group therapy is a rapidly growing psychological approach that can potentially help people adjust to chronic illness and manage unpleasant symptoms. Emerging evidence suggests that mindfulness-based interventions may benefit people with Parkinson's. The objective of the paper is to examine the appropriateness, feasibility, and potential cost-effectiveness of an online mindfulness intervention, designed to reduce anxiety and depression for people with Parkinson's. We conducted a feasibility randomized control trial and qualitative interviews. Anxiety, depression, pain, insomnia, fatigue, impact on daily activities and health-related quality of life were measured at baseline, 4, 8, and 20 weeks. Semi-structured interviews were conducted at the end of the intervention. Participants were randomized to the Skype delivered mindfulness group (n = 30) or wait-list (n = 30). Participants in the mindfulness group were also given a mindfulness manual and a CD with mindfulness meditations. The intervention did not show any significant effects in the primary or secondary outcome measures. However, there was a significant increase in the quality of life measure. The incremental cost-effectiveness ratio was estimated to be £27,107 per Quality-Adjusted Life Year gained. Also, the qualitative study showed that mindfulness is a suitable and acceptable intervention. It appears feasible to run a trial delivering mindfulness through Skype, and people with Parkinson's found the sessions acceptable and helpful.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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Anxiety Depression Meditation