Live Video MBSR is a Feasible and Acceptable Adjunctive Therapy for Youth With Inflammatory Bowel Disease

Srisindu Vellanki1, Christina Holbein2, Adoma Boateng3

  • 1Division of Pediatric, Gastroenterology, Hepatology and Nutrition, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Abstract

Insights

Mindfulness-Based Stress Reduction (MBSR) delivered via live video is feasible and acceptable for adolescents with Inflammatory Bowel Disease (IBD). The program improved quality of life and reduced stress, suggesting it as a potential adjunctive therapy for pediatric IBD.

Area of Science:

  • Pediatric gastroenterology
  • Mental health interventions
  • Digital health

Background:

  • Mindfulness-Based Stress Reduction (MBSR) is effective for adults with Inflammatory Bowel Disease (IBD).
  • Limited research exists on MBSR's application in pediatric IBD populations.
  • The COVID-19 pandemic necessitated remote delivery of health interventions.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of a live-video MBSR program for youth with IBD.
  • To assess the impact of virtual MBSR on health-related quality of life (HRQOL) and perceived stress.
  • To explore participant experiences and identify potential benefits and challenges.

Main Methods:

  • An 8-session MBSR program was delivered via HIPAA-compliant video conferencing to four cohorts of pediatric IBD patients.
  • Mixed-methods data collection included focus groups, surveys, attendance records, and HRQOL measures.
  • Pre- and post-program data were analyzed to determine changes in HRQOL and stress.

Main Results:

  • Forty-six participants (mean age 14.1 years) enrolled, with high attendance (7.6/8 sessions) and satisfaction (77%).
  • Qualitative themes included IBD-specific benefits (stress reduction, peer connection), mental health improvements, and feasibility of virtual delivery.
  • Significant improvements were observed in overall HRQOL (P=0.04), social functioning (P=0.03), and perceived stress (P<0.01).

Conclusions:

  • Live-video MBSR is a feasible and acceptable intervention for youth with IBD.
  • The program demonstrated potential to enhance quality of life and reduce stress in this population.
  • MBSR may serve as a valuable adjunctive therapy for pediatric IBD management.

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