Skip to content

Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study.

Bhautesh Dinesh Jani, Robert Simpson, Maggie Lawrence, Sharon Simpson, Stewart W Mercer

Pilot and Feasibility Studies 2018 DOI: 10.1186/s40814-018-0244-1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 28
Population Stroke survivors and their caregivers in an urban community in Scotland (UK); 21 stroke survivors (11 females) and 7 caregivers (5 females), median age 60 years
Intervention Mindfulness-Based Stress Reduction (MBSR)
Duration 2-hour MBSR taster session, followed by focus group sessions; participants suggested an orientation session prior to an 8-week course
Topics Meditation
Keywords Post-stroke depression Stroke survivors
Key findings Most participants described the 2-hour MBSR taster session as a positive experience, though the main challenge reported was maintaining focus and concentration. Participants suggested shortening standard MBSR sessions and adding an orientation session before an 8-week course; the authors conclude it was feasible to recruit 21 stroke survivors and 7 caregivers for community MBSR taster sessions and that these modifications need further research and evaluation.

Abstract

Depression is very common among stroke survivors with estimated prevalence rates of approximately 33% among stroke survivors, but treatment options are limited. Mindfulness-Based Stress Reduction (MBSR) is an effective treatment for depression generally, but benefits in stroke patients are unclear. The aim of this study was to determine the feasibility of delivering MBSR to stroke survivors and their caregivers in the community. We conducted a study to gain views of MBSR as a potential treatment option among stroke survivors and their caregivers in the community. Participants were recruited from an urban community in Scotland (UK) using newspaper adverts, social media and support groups run by health charities. A 2-h MBSR taster session was delivered by two experienced mindfulness instructors, followed by focus group sessions with all participants on their user experience and suggestions for MBSR modifications for stroke survivors. The focus group sessions were audio recorded and transcribed verbatim. Transcript data were analysed thematically using the framework approach. The study sample consisted of 28 participants (16 females); there were 21 stroke survivors (11 females) and 7 caregivers (5 females). The median age for participants was 60 years.Most participants described the MBSR taster session as a positive experience. The main challenge reported was trying to maintain focus and concentration throughout the MBSR session. Some participants expressed reservations about the duration of standard mindfulness course sessions, suggesting a preference for shorter sessions. The potential for achieving better control over negative thoughts and emotions was viewed as a potential facilitator for future MBSR participation. Participants suggested having an orientation session prior to starting an 8-week course as a means of developing familiarity with the MBSR instructor and other participants. It was feasible to recruit 21 stroke survivors and 7 caregivers for MBSR taster sessions in the community. A shorter MBSR session and an orientation session prior to the full course are suggestions for potential MBSR modifications for stroke survivors, which needs further research and evaluation.

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

Citations in the library

Cited by 13

and 8 more in the library

Cites 11

and 6 more in the library

Explore topics