Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study

Bhautesh Dinesh Jani, Robert Simpson, Maggie Lawrence, Sharon Simpson, Stewart W. Mercer

Research output: Contribution to journalArticle

20 Downloads (Pure)

Abstract

Background
Depression is very common among stroke survivors with estimated prevalence rates of approximately 33% among stroke survivors, but treatment options are limited. Mindfulness-Based Stress Reduction (MBSR) is an effective treatment for depression generally, but benefits in stroke patients are unclear. The aim of this study was to determine the feasibility of delivering MBSR to stroke survivors and their caregivers in the community. We conducted a study to gain views of MBSR as a potential treatment option among stroke survivors and their caregivers in the community.

Methods
Participants were recruited from an urban community in Scotland (UK) using newspaper adverts, social media and support groups run by health charities. A 2-h MBSR taster session was delivered by two experienced mindfulness instructors, followed by focus group sessions with all participants on their user experience and suggestions for MBSR modifications for stroke survivors. The focus group sessions were audio recorded and transcribed verbatim. Transcript data were analysed thematically using the framework approach.

Results
The study sample consisted of 28 participants (16 females); there were 21 stroke survivors (11 females) and 7 caregivers (5 females). The median age for participants was 60 years.

Most participants described the MBSR taster session as a positive experience. The main challenge reported was trying to maintain focus and concentration throughout the MBSR session. Some participants expressed reservations about the duration of standard mindfulness course sessions, suggesting a preference for shorter sessions. The potential for achieving better control over negative thoughts and emotions was viewed as a potential facilitator for future MBSR participation. Participants suggested having an orientation session prior to starting an 8-week course as a means of developing familiarity with the MBSR instructor and other participants.

Conclusion
It was feasible to recruit 21 stroke survivors and 7 caregivers for MBSR taster sessions in the community. A shorter MBSR session and an orientation session prior to the full course are suggestions for potential MBSR modifications for stroke survivors, which needs further research and evaluation.
Original languageEnglish
JournalBMC Trials and Feasibility Studies
Volume4
Issue number57
DOIs
Publication statusPublished - 26 Feb 2018

Fingerprint

Mindfulness
Caregivers
Survivors
Stroke
Focus Groups
Social Media
Charities
Newspapers
Self-Help Groups
Scotland
Social Support

Keywords

  • stroke
  • Mindfulness Based Stress Reduction
  • qualitative
  • stroke survivors
  • caregivers

Cite this

Jani, B. D., Simpson, R., Lawrence, M., Simpson, S., & Mercer , S. W. (2018). Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study. BMC Trials and Feasibility Studies, 4(57). https://doi.org/10.1186/s40814-018-0244-1
Jani, Bhautesh Dinesh ; Simpson, Robert ; Lawrence, Maggie ; Simpson, Sharon ; Mercer , Stewart W. / Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study. In: BMC Trials and Feasibility Studies. 2018 ; Vol. 4, No. 57.
@article{f76a12192255461d9cf9b1db3428ccb3,
title = "Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study",
abstract = "BackgroundDepression is very common among stroke survivors with estimated prevalence rates of approximately 33{\%} among stroke survivors, but treatment options are limited. Mindfulness-Based Stress Reduction (MBSR) is an effective treatment for depression generally, but benefits in stroke patients are unclear. The aim of this study was to determine the feasibility of delivering MBSR to stroke survivors and their caregivers in the community. We conducted a study to gain views of MBSR as a potential treatment option among stroke survivors and their caregivers in the community.MethodsParticipants were recruited from an urban community in Scotland (UK) using newspaper adverts, social media and support groups run by health charities. A 2-h MBSR taster session was delivered by two experienced mindfulness instructors, followed by focus group sessions with all participants on their user experience and suggestions for MBSR modifications for stroke survivors. The focus group sessions were audio recorded and transcribed verbatim. Transcript data were analysed thematically using the framework approach.ResultsThe study sample consisted of 28 participants (16 females); there were 21 stroke survivors (11 females) and 7 caregivers (5 females). The median age for participants was 60 years.Most participants described the MBSR taster session as a positive experience. The main challenge reported was trying to maintain focus and concentration throughout the MBSR session. Some participants expressed reservations about the duration of standard mindfulness course sessions, suggesting a preference for shorter sessions. The potential for achieving better control over negative thoughts and emotions was viewed as a potential facilitator for future MBSR participation. Participants suggested having an orientation session prior to starting an 8-week course as a means of developing familiarity with the MBSR instructor and other participants.ConclusionIt was feasible to recruit 21 stroke survivors and 7 caregivers for MBSR taster sessions in the community. A shorter MBSR session and an orientation session prior to the full course are suggestions for potential MBSR modifications for stroke survivors, which needs further research and evaluation.",
keywords = "stroke, Mindfulness Based Stress Reduction, qualitative, stroke survivors, caregivers",
author = "Jani, {Bhautesh Dinesh} and Robert Simpson and Maggie Lawrence and Sharon Simpson and Mercer, {Stewart W.}",
note = "Acceptance from webpage OA Funding: not RCUK etc.",
year = "2018",
month = "2",
day = "26",
doi = "10.1186/s40814-018-0244-1",
language = "English",
volume = "4",
number = "57",

}

Jani, BD, Simpson, R, Lawrence, M, Simpson, S & Mercer , SW 2018, 'Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study', BMC Trials and Feasibility Studies, vol. 4, no. 57. https://doi.org/10.1186/s40814-018-0244-1

Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study. / Jani, Bhautesh Dinesh; Simpson, Robert; Lawrence, Maggie; Simpson, Sharon; Mercer , Stewart W.

In: BMC Trials and Feasibility Studies, Vol. 4, No. 57, 26.02.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study

AU - Jani, Bhautesh Dinesh

AU - Simpson, Robert

AU - Lawrence, Maggie

AU - Simpson, Sharon

AU - Mercer , Stewart W.

N1 - Acceptance from webpage OA Funding: not RCUK etc.

PY - 2018/2/26

Y1 - 2018/2/26

N2 - BackgroundDepression is very common among stroke survivors with estimated prevalence rates of approximately 33% among stroke survivors, but treatment options are limited. Mindfulness-Based Stress Reduction (MBSR) is an effective treatment for depression generally, but benefits in stroke patients are unclear. The aim of this study was to determine the feasibility of delivering MBSR to stroke survivors and their caregivers in the community. We conducted a study to gain views of MBSR as a potential treatment option among stroke survivors and their caregivers in the community.MethodsParticipants were recruited from an urban community in Scotland (UK) using newspaper adverts, social media and support groups run by health charities. A 2-h MBSR taster session was delivered by two experienced mindfulness instructors, followed by focus group sessions with all participants on their user experience and suggestions for MBSR modifications for stroke survivors. The focus group sessions were audio recorded and transcribed verbatim. Transcript data were analysed thematically using the framework approach.ResultsThe study sample consisted of 28 participants (16 females); there were 21 stroke survivors (11 females) and 7 caregivers (5 females). The median age for participants was 60 years.Most participants described the MBSR taster session as a positive experience. The main challenge reported was trying to maintain focus and concentration throughout the MBSR session. Some participants expressed reservations about the duration of standard mindfulness course sessions, suggesting a preference for shorter sessions. The potential for achieving better control over negative thoughts and emotions was viewed as a potential facilitator for future MBSR participation. Participants suggested having an orientation session prior to starting an 8-week course as a means of developing familiarity with the MBSR instructor and other participants.ConclusionIt was feasible to recruit 21 stroke survivors and 7 caregivers for MBSR taster sessions in the community. A shorter MBSR session and an orientation session prior to the full course are suggestions for potential MBSR modifications for stroke survivors, which needs further research and evaluation.

AB - BackgroundDepression is very common among stroke survivors with estimated prevalence rates of approximately 33% among stroke survivors, but treatment options are limited. Mindfulness-Based Stress Reduction (MBSR) is an effective treatment for depression generally, but benefits in stroke patients are unclear. The aim of this study was to determine the feasibility of delivering MBSR to stroke survivors and their caregivers in the community. We conducted a study to gain views of MBSR as a potential treatment option among stroke survivors and their caregivers in the community.MethodsParticipants were recruited from an urban community in Scotland (UK) using newspaper adverts, social media and support groups run by health charities. A 2-h MBSR taster session was delivered by two experienced mindfulness instructors, followed by focus group sessions with all participants on their user experience and suggestions for MBSR modifications for stroke survivors. The focus group sessions were audio recorded and transcribed verbatim. Transcript data were analysed thematically using the framework approach.ResultsThe study sample consisted of 28 participants (16 females); there were 21 stroke survivors (11 females) and 7 caregivers (5 females). The median age for participants was 60 years.Most participants described the MBSR taster session as a positive experience. The main challenge reported was trying to maintain focus and concentration throughout the MBSR session. Some participants expressed reservations about the duration of standard mindfulness course sessions, suggesting a preference for shorter sessions. The potential for achieving better control over negative thoughts and emotions was viewed as a potential facilitator for future MBSR participation. Participants suggested having an orientation session prior to starting an 8-week course as a means of developing familiarity with the MBSR instructor and other participants.ConclusionIt was feasible to recruit 21 stroke survivors and 7 caregivers for MBSR taster sessions in the community. A shorter MBSR session and an orientation session prior to the full course are suggestions for potential MBSR modifications for stroke survivors, which needs further research and evaluation.

KW - stroke

KW - Mindfulness Based Stress Reduction

KW - qualitative

KW - stroke survivors

KW - caregivers

U2 - 10.1186/s40814-018-0244-1

DO - 10.1186/s40814-018-0244-1

M3 - Article

VL - 4

IS - 57

ER -