A Mixed-Methods Study Exploring the Impact of MBSR in an Integrative Healthcare Clinical Setting During COVID Pandemic
Global Advances in Health and Medicine
; 11:80, 2022.
Article
in English
| EMBASE | ID: covidwho-1916566
ABSTRACT
Methods:
Veterans completed the 8-week MBSR incorporated with Integrative Health interventions, including health coaching and other wellbeing services at a VA Medical center. Participants received objective assessments at baseline and after the 8-week course for PHQ-9,GAD-7, PSS, and SF-36. At the end of the program, participants completed a qualitative survey to evaluate their motivation and program experiences.Results:
Among the fifty-seven participants who completed the MBSR between 2019 and 2020, thirty-nine participants completed the course in traditional face-to-face format, and seventeen enrolled throughWebEx platformduring pandemic. Across all MBSR participants, statistically significant changes were found at completion, including lower levels of perceived stress (d = 1.018 [0.672, 1.357]), improvements to anxiety (d = 1.161 [0.818, 1.498]), and depression (d = 0.926, [0.609, 1.237]) symptoms. Similarly, perceptions of health also showed meaningful improvements in the categories of SF-General Health (d = -0.692, [-1.015, -0.363]), SF-Vitality (d = -0.549, [-0.860, -0.233]), SF-Social Functioning (d = -0.766, [-1.095, -0.429]), SF-Role Emotional (d = -0.657, [-0.976, -0.331]), SFMental Health (d = -1.740, [-1.067, -0.406]). There was no statistical difference between outcomes for participants who utilized telehealth and face-to-face format, suggesting that Telehealth MBSR within an IHC setting is plausible. Four major clusters of themes were identified improve isolation and loneliness, improve stress from pandemic, endorse course content and structure, and technical challenging of telehealth.Background:
Determine if mindfulness-based stress reduction (MBSR) in an integrative healthcare (IHC) clinical setting can improve patients' depression, stress, anxiety, quality of life, and other wellbeing during COVID 19 pandemic.Conclusion:
Participating in the MBSR within an integrative healthcare setting can be successfully delivered through telehealth and in person, resulting in clinical improvements of depression, anxiety, perceptions of stress, and quality-of-life. Face-to-face and Telehealth MBSR with IHC focus have promising potential to improve Veterans' mental health burden and overall wellbeing.
adult; anxiety; conference abstract; controlled study; coronavirus disease 2019; course content; depression; female; human; human tissue; immunohistochemistry; loneliness; major clinical study; male; mental health; mindfulness-based stress reduction; motivation; pandemic; Patient Health Questionnaire 9; Perceived Stress Scale; perception; quality of life; Short Form 36; social interaction; telehealth; veteran; wellbeing
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
/
Prognostic study
Language:
English
Journal:
Global Advances in Health and Medicine
Year:
2022
Document Type:
Article
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