Acceptability and Feasibility of a Mindfulness Intervention Delivered via Videoconferencing for People With Parkinson's. (January 2022)

• Record Type: Journal Article
• Authors: Bogosian, Angeliki; Hurt, Catherine S.; Hindle, John V.; McCracken, Lance M.; Vasconcelos e Sa, Debora A.; Axell, Sandra; Tapper, Katy; Stevens, Jemima; Hirani, P. Shashi; Salhab, Marya; Ye, Wenrong; Cubi-Molla, Patricia
• Is Part Of: Journal of geriatric psychiatry and neurology. Volume 35:Number 1(2022)
• Page Start: 155
• Page End: 167
• Publication Date: 2022-01
• Subjects: Parkinson's -- mindfulness -- anxiety -- depression -- EQ-5D; Geriatric neurology -- Periodicals; Geriatric neuropsychiatry -- Periodicals; Geriatric psychiatry -- Periodicals; Nervous system -- Diseases -- Periodicals; 618.97689
• DOI: 10.1177/0891988720988901
• Languages: English
• ISSNs: 0891-9887

Abstract

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.