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Mindfulness-Based Virtual Reality Intervention for Children and Young Adults with Inflammatory Bowel Disease: A Pilot Feasibility and Acceptability Study.

Anava A Wren, Nicole Neiman, Thomas J Caruso, Samuel Rodriguez, Katherine Taylor, Martine Madill, Hal Rives, Linda Nguyen

Children May 5, 2021 DOI: 10.3390/children8050368 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pilot study Randomized Qualitative Peer reviewed
Sample size 62
Population Children and young adults with inflammatory bowel disease (mean age 15.6 years; 69.4% Crohn's disease; 58% male) recruited from an outpatient pediatric IBD clinic
Intervention Mindfulness-Based Virtual Reality (MBVR)
Duration Single 6-minute session
Topics Meditation
Keywords Virtual reality Inflammatory bowel disease Mindfulness-based interventions
Key points The authors report that a single 6-minute MBVR session was feasible and acceptable, with high enjoyment (mean 4.38/5) and relaxation (mean 4.35/5). Preliminary analyses showed improvements in anxiety and pain after the intervention. Participants expressed interest in using MBVR in medical settings and daily life. The authors suggest MBVR may improve anxiety and pain but call for a randomized controlled trial.

Abstract

The aim of this pilot study was to assess: (1) the feasibility and acceptability of a Mindfulness-Based Virtual Reality (MBVR) intervention among children and young adults with Inflammatory Bowel Disease (IBD), and (2) the preliminary efficacy of MBVR on key psychological (anxiety) and physical (pain) outcomes. Participants were 62 children to young adults with IBD (M = 15.6 years; 69.4% Crohn's disease; 58% male) recruited from an outpatient pediatric IBD clinic. Participants completed a baseline assessment, underwent the 6-min MBVR intervention, completed a post-intervention assessment and study satisfaction survey, and provided qualitative feedback. Results suggest strong feasibility and acceptability. Participants reported high levels of satisfaction with MBVR including high levels of enjoyment (M = 4.38; range 1-5) and relaxation (M = 4.35; range 1-5). Qualitative data revealed several key themes including participants interest in using MBVR in IBD medical settings (e.g., hospitalizations, IBD procedures, IBD treatments), as well as in their daily lives to support stress and symptom management. Preliminary analyses demonstrated improvements in anxiety (t = 4.79, p = 0.001) and pain (t = 3.72, p < 0.001) following MBVR. These findings provide initial support for the feasibility and acceptability of MBVR among children and young adults with IBD. Results also suggest MBVR may improve key IBD outcomes (e.g., anxiety, pain) and highlight the importance of conducting a randomized controlled trial and more rigorous research to determine intervention efficacy.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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