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Acceptability and Feasibility of a Mindfulness Intervention Delivered via Videoconferencing for People With Parkinson’s
Journal of Geriatric Psychiatry and Neurology ( IF 2.6 ) Pub Date : 2021-01-28 , DOI: 10.1177/0891988720988901
Angeliki Bogosian 1 , Catherine S Hurt 1 , John V Hindle 2 , Lance M McCracken 3 , Debora A Vasconcelos E Sa 1 , Sandra Axell 1 , Katy Tapper 4 , Jemima Stevens 4 , P Shashi Hirani 1 , Marya Salhab 1 , Wenrong Ye 5 , Patricia Cubi-Molla 6
Affiliation  

Mindfulness-based group therapy is a rapidly growing psychological approach that can potentially help people adjust to chronic illness and manage unpleasant symptoms. Emerging evidence suggests that mindfulness-based interventions may benefit people with Parkinson’s. The objective of the paper is to examine the appropriateness, feasibility, and potential cost-effectiveness of an online mindfulness intervention, designed to reduce anxiety and depression for people with Parkinson’s. We conducted a feasibility randomized control trial and qualitative interviews. Anxiety, depression, pain, insomnia, fatigue, impact on daily activities and health-related quality of life were measured at baseline, 4, 8, and 20 weeks. Semi-structured interviews were conducted at the end of the intervention. Participants were randomized to the Skype delivered mindfulness group (n = 30) or wait-list (n = 30). Participants in the mindfulness group were also given a mindfulness manual and a CD with mindfulness meditations. The intervention did not show any significant effects in the primary or secondary outcome measures. However, there was a significant increase in the quality of life measure. The incremental cost-effectiveness ratio was estimated to be £27,107 per Quality-Adjusted Life Year gained. Also, the qualitative study showed that mindfulness is a suitable and acceptable intervention. It appears feasible to run a trial delivering mindfulness through Skype, and people with Parkinson’s found the sessions acceptable and helpful.



中文翻译:

通过视频会议为帕金森氏症患者提供正念干预的可接受性和可行性

基于正念的团体治疗是一种快速发展的心理方法,可以潜在地帮助人们适应慢性疾病并控制不愉快的症状。新出现的证据表明,基于正念的干预措施可能会使帕金森氏症患者受益。本文的目的是检查在线正念干预的适当性、可行性和潜在的成本效益,旨在减少帕金森氏症患者的焦虑和抑郁。我们进行了可行性随机对照试验和定性访谈。在基线、4、8 和 20 周测量焦虑、抑郁、疼痛、失眠、疲劳、对日常活动的影响和与健康相关的生活质量。在干预结束时进行半结构化访谈。参与者被随机分配到 Skype 提供的正念组 (n = 30) 或等待名单 (n = 30)。正念小组的参与者还获得了正念手册和正念冥想CD。干预在主要或次要结果测量中没有显示出任何显着影响。然而,生活质量指标显着提高。每个质量调整生命年增加的成本效益比估计为 27,107 英镑。此外,定性研究表明,正念是一种合适且可接受的干预措施。通过 Skype 进行正念传递试验似乎是可行的,帕金森氏症患者发现这些课程可以接受且有帮助。正念小组的参与者还获得了正念手册和正念冥想CD。干预在主要或次要结果测量中没有显示出任何显着影响。然而,生活质量指标显着提高。每个质量调整生命年增加的成本效益比估计为 27,107 英镑。此外,定性研究表明,正念是一种合适且可接受的干预措施。通过 Skype 进行正念传递试验似乎是可行的,帕金森氏症患者发现这些课程可以接受且有帮助。正念小组的参与者还获得了正念手册和正念冥想CD。干预在主要或次要结果测量中没有显示出任何显着影响。然而,生活质量指标显着提高。每个质量调整生命年增加的成本效益比估计为 27,107 英镑。此外,定性研究表明,正念是一种合适且可接受的干预措施。通过 Skype 进行正念传递试验似乎是可行的,帕金森氏症患者发现这些课程可以接受且有帮助。每个质量调整生命年增加的成本效益比估计为 27,107 英镑。此外,定性研究表明,正念是一种合适且可接受的干预措施。通过 Skype 进行正念传递试验似乎是可行的,帕金森氏症患者发现这些课程可以接受且有帮助。每个质量调整生命年增加的成本效益比估计为 27,107 英镑。此外,定性研究表明,正念是一种合适且可接受的干预措施。通过 Skype 进行正念传递试验似乎是可行的,帕金森氏症患者发现这些课程可以接受且有帮助。

更新日期:2021-01-28
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