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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.
Background:
Mindfulness-based stress reduction (MBSR) has been shown to be beneficial for adults with inflammatory bowel disease (IBD), but little is known about its use in pediatric IBD.
Objective:
This pilot study aimed to assess the feasibility and acceptability of an MBSR program delivered by live-video during the COVID-19 pandemic for youth with IBD.
Methods:
Four cohorts of an 8-session MBSR program were conducted via a HIPAA-compliant, video-conferencing platform from winter 2021 to spring 2022. Mixed-methods data were collected through semi-structured focus groups, study-specific surveys, attendance data, and self-reported health-related quality of life (HRQOL) measures.
Results:
Forty-six participants enrolled across 4 cohorts. Participants were 64% female, Mage=14.1 years, 36% non-Latinx White; most had Crohn's disease (81%). Participants attended an average of 7.6 of 8 classes, with 69% attending all 8 classes. Majority of participants (77%) were satisfied or very satisfied with the program. Three themes emerged from the focus groups (n=27): (1) IBD-specific benefits: reduced stress (which some identified as an IBD trigger) and connecting with IBD peers; (2) mental health benefits; and (3) virtual MBSR was feasible and well-liked, but challenges were present. Pre- vs post-program data (n = 30) showed statistically significant improvements in HRQOL (P = 0.04), HRQOL social functioning (P = 0.03), and perceived stress (P < 0.01).
Conclusion:
This pilot study of live-video MBSR for youth with IBD shows feasibility and acceptability, high rates of attendance and satisfaction, and potential benefits in quality of life and stress. MBSR is a potential adjunctive therapy in pediatric IBD.
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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