A Feasibility Study of a One-to-One Mindfulness-based Intervention for Improving Mood in Stroke Survivors
Date
Authors
Wrapson, Wendy
Dorrestein, M
Wrapson, J
Theadom, A
Kayes, NM
Snell, DL
Rutherford, S
Roche, M
Babbage, DR
Taylor, S
Supervisor
Item type
Journal Article
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Journal Title
Journal ISSN
Volume Title
Publisher
Springer
Abstract
Objectives: Mindfulness is an evidence-based treatment for depression but has never been rigorously tested with stroke survivors with depression. This feasibility study examined several issues relevant to a potential trial of a mindfulness-based intervention (MBI) for improving mood after stroke. Methods: In 2017–2019 in New Zealand, we recruited 20 stroke survivors with low mood to undergo a 6-week, one-on-one MBI course delivered by an occupational therapist experienced in MBIs. Pre, post, and 4-week follow-up assessments were completed. Results: Fifteen participants completed all six sessions and a 4-week “booster” or top-up session. The 1-hour session duration was considered appropriate by participants and all enjoyed the face-to-face individualized format. Mean Beck Depression Inventory-II scores improved by more than one standard deviation and this was maintained at follow-up. However, the baseline assessment package was too long for some participants due to the cognitive component. Three participants indicated feeling emotionally challenged by some of the practices. These effects were managed by the mindfulness facilitator by adjusting the practice, so participants maintained their sense of agency, well-being, and overall benefit from the program. Conclusions: MBI training delivered individually over six weekly sessions was acceptable to stroke survivors with 14/15 participants reporting improved mood. Three participants reported feeling emotionally challenged by some of the practices and we recommend MBIs for stroke survivors be provided by practitioners experienced in mindfulness, working with stroke, and trauma-informed therapy. It is important now to conduct rigorous randomized controlled trials to test the effectiveness and efficacy of MBIs for stroke survivors.Description
Keywords
Mindfulness, Stroke, Anxiety, Depression, Feasibility, Social Sciences, Science & Technology, Life Sciences & Biomedicine, Psychology, Clinical, Psychiatry, Psychology, Dependence Questionnaire LDQ, Cognitive therapy, Validation, Epilepsy, Scale, 5203 Clinical and Health Psychology, 52 Psychology, Mind and Body, Neurosciences, Brain Disorders, Complementary and Integrative Health, Comparative Effectiveness Research, Mental Illness, Clinical Research, Clinical Trials and Supportive Activities, Mental Health, Behavioral and Social Science, Cerebrovascular, Prevention, 6.6 Psychological and behavioural, 6.7 Physical, Stroke, 3 Good Health and Well Being, 1103 Clinical Sciences, 1608 Sociology, 1701 Psychology, 5201 Applied and developmental psychology, 5203 Clinical and health psychology, 5205 Social and personality psychology
Source
Mindfulness, ISSN: 1868-8527 (Print); 1868-8535 (Online), SPRINGER, 12(5), 1148-1158. doi: 10.1007/s12671-020-01583-4
Mindfulness (2021) 12:1148–1158
Mindfulness (2021) 12:1148–1158
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