Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA.
Penn State College of Medicine, Hershey, PA, USA.
J Integr Complement Med. 2022 Jun;28(6):497-506. doi: 10.1089/jicm.2021.0415. Epub 2022 Apr 1.
To assess the feasibility, acceptability, and effects of Mindfulness Based Stress Reduction (MBSR) live online during the COVID-19 shutdown. Mixed-methods study using a sequential explanatory design. Cohorts 1-4 took place in-person and Cohorts 5-6 took place over Zoom following the onset of the COVID-19 pandemic. Participants were paying members of the general public enrolled in one of six live MBSR courses. All MBSR courses followed the standard 8-week MBSR curriculum, led by experienced instructors. Feasibility measured via class attendance, acceptability measured via the adapted Treatment Satisfaction Survey, and MBSR course effects measured by a focus group with Cohort 5, and the following assessments completed by all cohorts: Perceived Stress Scale-10, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 and the 36-item Short Form Survey. 73 adults participated in six live MBSR courses (48 in the four in-person courses; 25 in the two online courses). Most of the participants identified as white, non-Hispanic, middle-aged females, with annual household income >$100,000. Course completion, defined as at least 6/8 classes attended, did not differ between in-person and online cohorts (84.1% versus 67.6%, respectively, = 0.327). Participants in Cohort 5 who completed the course ( = 10) rated it as very important and useful for stress coping, and reported high likelihood of continuing their mindfulness practice (all ratings: between 8 and 10 on a 1-10 Likert scale), with open-ended responses corroborating their numerical ratings. Focus group ( = 6) responses indicated that online MBSR was positively received, reduced perceived loss of control, and improved quality of life and morale during the pandemic. Delivering MBSR live online can be feasible and acceptable for the general public, and is potentially beneficial, including during the social upheaval of the COVID-19 pandemic. Online delivery could help expand access to MBSR and address health inequities.
评估正念减压疗法（MBSR）在 COVID-19 封锁期间在线直播的可行性、可接受性和效果。 混合方法研究采用顺序解释设计。 队列 1-4 在现场进行，而队列 5-6 在 COVID-19 大流行开始后通过 Zoom 进行。 参与者是支付公共成员的一般公众参加了六个现场 MBSR 课程之一。 所有 MBSR 课程都遵循标准的 8 周 MBSR 课程，由经验丰富的讲师授课。 通过课堂出勤率衡量可行性，通过适应的治疗满意度调查衡量可接受性，通过队列 5 的焦点小组和所有队列完成的以下评估衡量 MBSR 课程效果：压力感知量表-10、广泛性焦虑症-7、患者健康问卷-9 和 36 项简短形式调查。 73 名成年人参加了六个现场 MBSR 课程（48 人参加了四个现场课程；25 人参加了两个在线课程）。 大多数参与者被认定为白人、非西班牙裔、中年女性，家庭年收入超过 100,000 美元。 课堂出勤率，定义为至少参加 6/8 节课，在现场和在线队列之间没有差异（分别为 84.1%和 67.6%，=0.327）。 完成课程的队列 5（=10）参与者认为它对应对压力非常重要和有用，并报告说很有可能继续他们的正念练习（所有评分：在 1-10 分的李克特量表上介于 8 到 10 分），开放性回应证实了他们的数字评分。 焦点小组（=6）的回应表明，在线 MBSR 受到积极欢迎，减少了感知到的失控感，并在大流行期间提高了生活质量和士气。 现场直播在线提供 MBSR 是可行且可接受的，对于普通大众来说是有益的，包括在 COVID-19 社会动荡期间。 在线交付可以帮助扩大 MBSR 的可及性并解决健康不平等问题。
