IDEAS home Printed from https://ideas.repec.org/a/spr/ariqol/v17y2022i2d10.1007_s11482-021-09944-4.html
   My bibliography  Save this article

Evaluation of a Brief Mindfulness Program for People with Multiple Sclerosis Delivered in the Community Over Five Years

Author

Listed:
  • Maddison Campbell

    (The University of Queensland)

  • Kenneth I. Pakenham

    (The University of Queensland)

Abstract

This study evaluated the effectiveness, change mechanisms, and sustainability of a brief mindfulness intervention for people with multiple sclerosis (PwMS) delivered in the community through a frontline service over five years. Participants were 126 PwMS. A single intervention condition design was used with pre-intervention, post-intervention and 2-month follow-up assessments. The primary outcome was distress. Secondary outcomes were perceived stress, quality of life (QoL) and fatigue, and the proposed change mechanisms: mindfulness, self-compassion, psychological inflexibility. Intention-to-treat analyses showed the primary outcome, distress (Cohen’s d = .25), and all secondary outcomes improved: perceived stress (d = .38), mental health QoL (d = .39), physical health QoL (d = .47), fatigue (d = .30), mindfulness (d = .29), self-compassion (d = .37), psychological flexibility (d = .44). Distress, stress and perceived stress continued to improve post-intervention to follow-up. Mindfulness emerged as a temporal mediator of perceived stress (BCa 95% CI). Self-compassion mediated concurrent improvements in distress, perceived stress, fatigue and physical health QoL, while greater psychological flexibility mediated concurrent reductions in distress (BCa 95% CI). Mindfulness home practice was unrelated to improvements on all outcomes except a marginal association with mindfulness. Of the socio-demographic and illness factors, lower disease severity predicted improvements in physical health QoL (p = .046). Improvements in outcomes were supported by qualitative feedback and participant satisfaction ratings. Twenty-one groups were offered with good participant engagement and wide geographical reach, suggesting sustained feasibility of the Mindfulness for MS program over five years. Findings support the delivery of the Mindfulness for MS program through a community-based service in partnership with a local university.

Suggested Citation

  • Maddison Campbell & Kenneth I. Pakenham, 2022. "Evaluation of a Brief Mindfulness Program for People with Multiple Sclerosis Delivered in the Community Over Five Years," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(2), pages 1019-1041, April.
    • Handle: RePEc:spr:ariqol:v:17:y:2022:i:2:d:10.1007_s11482-021-09944-4
    DOI: 10.1007/s11482-021-09944-4
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11482-021-09944-4
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s11482-021-09944-4?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Fledderus, M. & Bohlmeijer, E.T. & Smit, F. & Westerhof, G.J., 2010. "Mental health promotion as a new goal in public mental health care: A randomized controlled trial of an intervention enhancing psychological flexibility," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2372-2378.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Andrew J. Howell & Holli-Anne Passmore, 2019. "Acceptance and Commitment Training (ACT) as a Positive Psychological Intervention: A Systematic Review and Initial Meta-analysis Regarding ACT’s Role in Well-Being Promotion Among University Students," Journal of Happiness Studies, Springer, vol. 20(6), pages 1995-2010, August.
    2. Maame Afua Boatemaa & Kwaku Oppong Asante & Collins Badu Agyemang, 2019. "The Moderating Role of Psychological Flexibility in the Relationship Between Organizational Commitment, Workaholism, Job Security, and Corporate Entrepreneurship Among Information Technology Workers i," SAGE Open, , vol. 9(3), pages 21582440198, August.
    3. Jannis Kraiss & Kleinjan Redelinghuys & Laura. A. Weiss, 2022. "The effects of psychological interventions on well-being measured with the Mental Health Continuum: a meta-analysis," Journal of Happiness Studies, Springer, vol. 23(7), pages 3655-3689, October.
    4. Tom Hendriks & Tobi Graafsma & Aabidien Hassankhan & Ernst Bohlmeijer & Joop de Jong, 2018. "Strengths and virtues and the development of resilience: A qualitative study in Suriname during a time of economic crisis," International Journal of Social Psychiatry, , vol. 64(2), pages 180-188, March.
    5. Yu‐Ming Wang & Joy Johnson & Bih‐Ching Shu & Shih‐Ming Li, 2014. "Towards the development of a gender‐sensitive measure of women's mental health," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1227-1234, May.
    6. Rabya Mughal & Valerie DeMarinis & Maria Nordendahl & Hassan Lone & Veronica Phillips & Eolene Boyd-MacMillan, 2023. "Public Mental Health Approaches to Online Radicalisation: An Empty Systematic Review," IJERPH, MDPI, vol. 20(16), pages 1-28, August.
    7. Martha Okafor & Daniel F. Sarpong & Aneeqah Ferguson & David Satcher, 2013. "Improving Health Outcomes of Children through Effective Parenting: Model and Methods," IJERPH, MDPI, vol. 11(1), pages 1-16, December.
    8. Susan J. Ferguson & Alan J. Taylor & Catherine McMahon, 2017. "Hope for the Future and Avoidance of the Present: Associations with Well-being in Older Adults," Journal of Happiness Studies, Springer, vol. 18(5), pages 1485-1506, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ariqol:v:17:y:2022:i:2:d:10.1007_s11482-021-09944-4. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.