Senthilnathan Vjura, Zahir Susan, Simpson Robert, Jaglal Susan, Craven Catharine, Fetterly Mary-Jo, Perrier Laure, Munce Sarah
Rehabilitation Sciences Institute, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
Toronto Rehabilitation Institute, Toronto, Ontario, Canada.
BMJ Open. 2025 Jul 18;15(7):e086287. doi: 10.1136/bmjopen-2024-086287.
With growing access to the internet, online mindfulness programmes have become more commonly used to manage physical and mental health conditions. This scoping review aims to determine the nature and extent of the literature, and key characteristics, of online mindfulness-based interventions (MBIs) for adults with physical or mental health conditions.
A scoping review guided by the Joanna Briggs Institute framework.
MEDLINE, CINAHL, Embase, PsycINFO, Allied and Complementary Medicine and the Cochrane Central Register of Controlled Trials.
Studies focusing on online MBIs, online mindfulness-based stress reduction and online mindfulness-based cognitive therapy (MBCT) in adults with a physical or mental health condition were included.
Study and participant characteristics, key intervention characteristics, outcome measures and results were abstracted.
84 studies were included. Online MBIs have been studied in many different physical and mental health conditions; however, 63 of the included studies were for physical health conditions. MBCT was the most common intervention type assessed, with 33 of the included studies assessing it. Regarding intervention characteristics, intervention duration was similar across intervention type at 8 weeks, with sessions led by therapists, clinicians or mindfulness instructors. Web-based and videoconferencing were the most common delivery formats. Intervention content generally remained similar to standardised MBIs, with the addition of psychoeducation and disease management. Many studies did not report on tailoring the intervention to the participant population. There was a lack of consistency in reporting intervention characteristics.
This review highlights some evidence for online mindfulness programmes for both physical and mental health conditions. However, intervention componentry remains somewhat obscure, and reporting on tailoring appears relatively sparse. Greater consistency in reporting intervention componentry will improve knowledge and study in this area and enhance the translation of these interventions to clinical settings.
随着互联网使用的日益普及，在线正念课程已越来越普遍地用于管理身心健康状况。本综述旨在确定针对患有身心健康问题的成年人的基于网络的正念干预措施（MBIs）的文献性质、范围及关键特征。
采用乔安娜·布里格斯研究所框架指导的综述。
MEDLINE、CINAHL、Embase、PsycINFO、补充与替代医学数据库以及Cochrane对照试验中央注册库。
纳入关注针对患有身心健康问题的成年人的在线MBIs、基于网络的正念减压疗法以及基于网络的正念认知疗法（MBCT）的研究。
提取研究及参与者特征、关键干预特征、结局指标和结果。
纳入84项研究。在线MBIs已在多种不同的身心健康状况中得到研究；然而，纳入的研究中有63项针对身体健康状况。MBCT是评估的最常见干预类型，纳入的研究中有33项对其进行了评估。关于干预特征，各干预类型的干预持续时间相似，均为8周，课程由治疗师、临床医生或正念导师授课。基于网络和视频会议是最常见的授课形式。干预内容通常与标准化MBIs相似，还增加了心理教育和疾病管理。许多研究未报告针对参与人群量身定制干预措施。干预特征的报告缺乏一致性。
本综述突出了在线正念课程对身心健康状况均有一定证据支持。然而，干预组成部分仍有些模糊，且关于量身定制的报告相对较少。干预组成部分报告的更大一致性将改善该领域的知识和研究，并促进这些干预措施向临床环境的转化。
