%0 Journal Article
%@ 2561-326X
%I JMIR Publications
%V 8
%N 
%P e53550
%T Integrating Virtual Mindfulness-Based Stress Reduction Into Inflammatory Bowel Disease Care: Mixed Methods Feasibility Trial
%A Chappell,Kaitlyn Delaney
%A Meakins,Diana
%A Marsh-Joyal,Melanie
%A Bihari,Allison
%A Goodman,Karen J
%A Le Melledo,Jean-Michel
%A Lim,Allen
%A Peerani,Farhad
%A Kroeker,Karen Ivy
%+ Division of Gastroenterology, Department of Medicine, University of Alberta, 130 University Campus NW, Edmonton, AB, T6G 2X8, Canada, 1 780 492 4873, karen.kroeker@ualberta.ca
%K inflammatory bowel disease
%K psychosocial care
%K multidisciplinary care
%K quality of care
%K quality of life
%K mental health
%K adult
%K adults
%K anxiety
%K depression
%K IBD
%K virtual mindfulness
%K feasibility trial
%K clinic
%K health facility
%K Canada
%K semistructured interview
%K psychiatrist
%K psychiatrists
%K videoconferencing
%K effectiveness
%K v-MBSR
%K coping
%K coping strategy
%D 2024
%7 6.5.2024
%9 Original Paper
%J JMIR Form Res
%G English
%X Background: Individuals with inflammatory bowel disease (IBD) experience cycles of aggressive physical symptoms including abdominal pain, diarrhea, and fatigue. These acute symptoms regress and return, and chronic symptoms and complications often linger. The nature of the disease can also cause individuals to experience psychological distress including symptoms of anxiety and depression; however, unlike the physical symptoms of IBD, these psychological symptoms often remain untreated. Objective: This study aims to evaluate the feasibility, acceptability, and effectiveness of virtual mindfulness-based stress reduction (v-MBSR) for adults with IBD. Methods: IBD patients with self-reported anxiety or depression were recruited from clinics in Alberta, Canada to participate in an 8-week v-MSBR intervention. Eligible patients participated in v-MBSR delivered by psychiatrists using a videoconferencing platform. Primary feasibility outcomes included trial uptake, adherence, attendance, and attrition rates. Secondary effectiveness outcomes included measures of anxiety, depression, quality of life (QoL), and mindfulness. Effectiveness data were collected at 3 time points: baseline, at intervention completion, and 6 months after completion. To further assess feasibility and acceptability, participants were invited to participate in a semistructured interview after completing v-MBSR. Results: A total of 16 of the 64 (25%) referred patients agreed to participate in v-MBSR with the most common reason for decline being a lack of time while 7 of the 16 (43.8%) participants completed the program and experienced encouraging effects including decreased anxiety and depression symptoms and increased health-related QoL with both improvements persisting at 6-month follow-up. Participants described improved coping strategies and disease management techniques as benefits of v-MBSR. Conclusions: Patients with IBD were interested in a psychiatrist-led virtual anxiety management intervention, but results demonstrate v-MBSR may be too time intensive for some patients with IBD patients. v-MBSR was acceptable to those who completed the intervention, and improvements to anxiety, depression, and QoL were promising and sustainable. Future studies should attempt to characterize the patients with IBD who may benefit most from interventions like v-MBSR. 
%M 38709548
%R 10.2196/53550
%U https://formative.jmir.org/2024/1/e53550
%U https://doi.org/10.2196/53550
%U http://www.ncbi.nlm.nih.gov/pubmed/38709548