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Tele-delivered mindfulness-based cognitive therapy in chronic obstructive pulmonary disease: A mixed-methods
Ingeborg Farver-Vestergaard1, Maja O'Connor1, Nina C Smith1
11 Unit for Psychooncology and Health Psychology, Aarhus University and Aarhus University Hospital, Denmark.
Home-based tele-delivered mindfulness therapy is a feasible intervention for chronic obstructive pulmonary disease (COPD), showing good attendance and patient engagement. Further trials are needed to confirm its efficacy in reducing psychological distress and improving physical health.
Area of Science:
- Pulmonology
- Psychiatry
- Digital Health
Background:
- Mindfulness-based cognitive therapy (MBCT) reduces psychological distress in COPD patients.
- Hospital-based MBCT has low uptake and attendance rates.
- Home-based, tele-delivered MBCT is explored for COPD feasibility.
Purpose of the Study:
- Evaluate the clinical feasibility of home-based, tele-delivered MBCT in COPD patients.
- Assess clinical change, attendance, and working alliance.
- Determine if tele-delivered MBCT is a viable alternative to traditional delivery methods.
Main Methods:
- Eight COPD patients (mean age 72.6) participated in an 8-week tele-delivered MBCT program.
- Intervention delivered via home-based video conferences in groups of four.
- Feasibility assessed using questionnaires and semi-structured interviews focusing on clinical change, attendance, and working alliance.
Main Results:
- Non-significant reductions in psychological distress (d=0.504, p=0.399) and physical health impairment (d=0.743, p=0.156).
- Average attendance was 7.5/8 sessions with no dropouts; tele-format accommodated patient needs.
- Participant narratives indicated challenges in forming a therapeutic alliance via tele-health, yet questionnaire scores were comparable to face-to-face MBCT.
Conclusions:
- Tele-delivered MBCT appears clinically feasible for COPD patients.
- Future large-scale RCTs should investigate efficacy, mediators, moderators, attendance, and adverse events.
- Home-based tele-delivery may improve accessibility and adherence for COPD patients needing psychological support.
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