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A randomized controlled pilot study of a brief web-based mindfulness training.

BMC psychiatry
January 1, 1970
Tobias M Glück et al. (2 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the feasibility and effectiveness of a brief web-based mindfulness intervention in reducing distress, perceived stress, and negative affect.

Results Summary

The study found trends with medium effect sizes for perceived stress (PSQ) and negative affect (PANASneg) but no significant improvements for most measures under intention-to-treat analysis. Per-protocol analyses showed significant effects for PSQ and PANASneg, with highly distressed participants benefiting more.

Population

50 adults with varying distress levels, excluding those under 18 or with psychotic/suicidal ideation.

Effective Dosage

Not specified

Duration

2 weeks

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
brief web-based mindfulness training
no change
most measures
treatment group
no significant improvement
revealed no significant improvement
#1
brief web-based mindfulness training
decrease
PSQ
treatment group
d=0.46
trends with medium effect sizes
#2
brief web-based mindfulness training
decrease
PANASneg
treatment group
d=0.50
trends with medium effect sizes
#3
brief web-based mindfulness training
increase
FMI
treatment group
d=0.29
small, non-significant effect
#4
brief web-based mindfulness training
decrease
PSQ
persons who participated over 50% of the time
d=0.72
significant treatment effects
#5
brief web-based mindfulness training
decrease
PANASneg
persons who participated over 50% of the time
d=0.77
significant treatment effects
#6
brief web-based mindfulness training
decrease
distress reduction (GSI)
higher distressed participants
d=0.85
seemed to profit more
#7
brief web-based mindfulness training
decrease
PSQ
treatment condition
OR=9
Real change (RCI) occurred
#8
brief web-based mindfulness training
neutral
-
participants
-
continued to benefit
#9
brief web-based mindfulness training
decrease
distress
regular users
-
may improve
#10
brief web-based mindfulness training
decrease
perceived stress
regular users
-
may improve
#11
brief web-based mindfulness training
decrease
negative affect
regular users
-
may improve
#12
Abstract

BACKGROUND: Mindfulness has been shown to be effective in treating various medical and mental problems. Especially its incorporation in cognitive-behavioural interventions has improved long-term outcomes of those treatments. It has also been shown, that brief mindfulness-based trainings are effective in reducing distress. There have been few web-based interventions incorporating mindfulness techniques in their manual and it remains unclear whether a brief web-based mindfulness intervention is feasible. METHODS: Out of 50 adults (different distress levels; exclusion criteria: <18 years, indication of psychotic or suicidal ideation in screening) who were recruited via e-mail and screened online, 49 were randomized into an immediate 2-weeks-treatment group (N=28) or a waitlist-control group (N=21), starting with a 2-week delay. Distress (BSI), perceived stress (PSQ), mindfulness (FMI), as well as mood and emotion regulation (PANAS/SEK-27) were measured at pre-, post- and 3-month follow-up (3MFU). Intention-to-treat analyses using MI for missing data and per-protocol analyses (≥50% attendance) were performed. RESULTS: 26 participants of the treatment group completed post-measures. Most measures under ITT-analysis revealed no significant improvement for the treatment group, but trends with medium effect sizes for PSQ (d=0.46) and PANASneg (d=0.50) and a small, non-significant effect for FMI (d=0.29). Per-protocol analyses for persons who participated over 50% of the time revealed significant treatment effects for PSQ (d=0.72) and PANASneg (d=0.77). Comparing higher distressed participants with lower distressed participants, highly distressed participants seemed to profit more of the training in terms of distress reduction (GSI, d=0.85). Real change (RCI) occurred for PSQ in the treatment condition (OR=9). Results also suggest that participants continued to benefit from the training at 3MFU. CONCLUSION: This study of a brief web-based mindfulness training indicates that mindfulness can be taught online and may improve distress, perceived stress and negative affect for regular users. Although there were no significant improvements, but trends, for most measures under ITT, feasibility of such a program was demonstrated and also that persons continued to use techniques of the training in daily life. TRIAL REGISTRATION: German Clinical Trials Register (DRKS): DRKS00003209.

Medical Subject Headings (MeSH)
AdultAgedBehavior TherapyFemaleFollow-Up StudiesHumansInternetMaleMiddle AgedPilot ProjectsPsychotherapy, BriefStress, PsychologicalTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations91
Citations/Year6.5
Relative Citation Ratio3.90
NIH Percentile89.8%
Research Impact Scores
APT Score0.75
Weight Score1.86
Normalized Score0.61
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