TY  - JOUR
AU  - Chappell, Kaitlyn Delaney
AU  - Meakins, Diana
AU  - Marsh-Joyal, Melanie
AU  - Bihari, Allison
AU  - Goodman, Karen J
AU  - Le Melledo, Jean-Michel
AU  - Lim, Allen
AU  - Peerani, Farhad
AU  - Kroeker, Karen Ivy
PY  - 2024
DA  - 2024/5/6
TI  - Integrating Virtual Mindfulness-Based Stress Reduction Into Inflammatory Bowel Disease Care: Mixed Methods Feasibility Trial
JO  - JMIR Form Res
SP  - e53550
VL  - 8
KW  - inflammatory bowel disease
KW  - psychosocial care
KW  - multidisciplinary care
KW  - quality of care
KW  - quality of life
KW  - mental health
KW  - adult
KW  - adults
KW  - anxiety
KW  - depression
KW  - IBD
KW  - virtual mindfulness
KW  - feasibility trial
KW  - clinic
KW  - health facility
KW  - Canada
KW  - semistructured interview
KW  - psychiatrist
KW  - psychiatrists
KW  - videoconferencing
KW  - effectiveness
KW  - v-MBSR
KW  - coping
KW  - coping strategy
AB  - 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. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2024/1/e53550
UR  - https://doi.org/10.2196/53550
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38709548
DO  - 10.2196/53550
ID  - info:doi/10.2196/53550
ER  -