Group, blended and individual, unguided online delivery of mindfulness-based cognitive therapy for people with cancer: feasibility study

Description

Online mindfulness based cognitive therapy (eMBCT) has been shown to reduce psychological distress in people with cancer. However, this population has reported lack of support and asynchronous communication as barriers to eMBCT, resulting in higher nonadherence rates than with face-to-face MBCT. Using a co-creation process, we developed 2 formats of eMBCT: group, blended (combination of therapist-guided group and individual online sessions) and individual, unguided (individual, unguided online sessions only). Group, blended eMBCT offers peer support and guidance, whereas individual, unguided eMBCT offers flexibility and the possibility of large-scale implementation. The objective of this nonrandomized feasibility study was to assess aspects of feasibility of the group, blended and individual, unguided eMBCT interventions.

Principal Investigator

Nasim Badaghi

Other Collaborators

Mette van Kruijsbergen; Anne E Speckens; Joëlle Vilé; Judith Prins; Saskia Kelders; Linda Kwakkenbos

Publication Details

  • Doi: 38381493
  • Year Of Publication: 2024
  • Country: Netherlands

Study Info

  • Study Design: non-RCT,
  • Population Type: Clinical, cancer
  • Age Group: Adults (25-65)
  • Control Group: No control group
  • Total Sample Size: 24

Intervention Info

  • Intervention Type: Adapted / Non-Standard MBI
  • Intervention Details: Participants were people with cancer who chose between group, blended and individual, unguided eMBCT. Both intervention conditions followed the same 8-week eMBCT program, including an introductory session and a silent day (10 sessions total). All sessions for individual, unguided eMBCT occurred via the platform Minddistrict, whereas group, blended eMBCT consisted of 3 online videoconference sessions guided by a mindfulness teacher and 5 sessions via Minddistrict. We assessed the feasibility of the intervention quantitatively and qualitatively by evaluating its acceptability among participants. Additionally, we assessed limited efficacy by looking at the number of questionnaires participants completed pre- and postintervention.
  • Intervention Length: 8
  • Questionnaires: Hospital Anxiety and Depression Scale (HADS), Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF), Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF), Mental Health Continuum Scale-Short Form (MHC-SF), Checklist Individual Strength (FATIGUE SEVERITY SCALE ONLY), Checklist Individual Strength (SCS-SF), Rumination and Reflection Questionnaire (RUMINATION SUBSCALE ONLY), Twente Engagement with E-health Technologies Scale (TWEETS), EuroQol 5-Dimension 5-Level questionnaire (EuroQoL-5d-5L)

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