Feasibility and Acceptability of a Community-Based Modified Mindfulness-Based Stress Reduction Program for the Under- and Unemployed.
Feasibility and Acceptability of a Community-Based Modified Mindfulness-Based Stress Reduction Program for the Under- and Unemployed.
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DOI：
10.1177/2164956120973636
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发表时间：
2020
影响因子：
--
通讯作者：
Cotton S
中科院分区：
文献类型：
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作者：
Wasson RS;Luberto CM;Murthi M;McDonald SB;Pallerla H;Novak BK;Cotton S
基于正念的减压（MBSR）通常可以改善健康状况，尽管文献主要集中在中产阶级，就业人员。在过去一年，估计平均有600万人失业，而最近由于COVID-19大流行导致失业率上升，因此必须找到方法来减轻和减少通常与失业不足和失业相关的负面健康结果。我们的目标是：1）概述与社区组织合作，为失业和失业的个人实施修改后的MBSR计划的过程，以及2）提供初步结果的试点数据。修改后的MBSR计划分两个阶段实施，在就业培训计划下和失业的个人。在第一阶段，第一组接受了为期八周的计划。根据反馈，正念减压疗法计划被缩短到六周，并在第二和第三组（第二阶段）实施。采用混合方法评价可行性和可接受性。正念，感知压力，疼痛干扰，焦虑，抑郁和睡眠障碍的变化进行了评估前后的修改MBSR计划。33名参与者完成了29个调查后的答复程序。修订后的正念减压治疗方案的入组率（96%）、留存率（72%）和定性反馈证明是可行和可接受的。百分之五十的参与者自我报告每周在家实践的合规性。感知压力和正念表现出显着的中度改善（d = .69，p = .005; d = .46，p = .001）。抑郁、焦虑和疼痛干预结果表明，小的非显著效应量改善（d = .27，p = .19; d = .23，p = .31; d = .25，p = .07）。对疲劳和睡眠障碍的影响可忽略不计。修改后的正念减压疗法是可行的，并为组织和参与者所接受。观察到心理健康和疼痛干预结果有小到中度的改善。使用更大的样本量和随机设计的研究是必要的。
Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals. With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment. We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results. The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals. In Phase I, group one received an eight-week program. Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II). Feasibility and acceptability were evaluated utilizing a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program. Thirty-three participants completed the program with twenty-nine post-survey responses. The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback. Fifty-percent of participants self-reported weekly home practice compliance. Perceived stress and mindfulness demonstrated significant moderate improvements (d = .69, p = .005; d = .46, p = .001). Depression, anxiety, and pain interference results suggested small non-significant effect size improvements (d = .27, p = .19; d = .23, p = .31; d = .25, p = .07). Effects on fatigue and sleep disturbance were negligible. The modified MBSR program was feasible and acceptable to the organization and participants. Small to moderate improvements in mental health and pain interference outcomes were observed. Research using larger sample sizes and randomized designs is warranted.