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Telephone-adapted mindfulness-based stress reduction (tMBSR) for patients awaiting kidney transplantation: Trial design, rationale and feasibility
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- 자료유형학술지논문
- 저자명Reilly-Spong, M.,Reibel, D.,Pearson, T.,Koppa, P.,Gross, C. R.
- 학회/출판사/기관명ELSEVIER SCIENCE B.V. AMSTERDAM
- 출판년도2015
- 언어영어
- 학술지명/학위논문주기CONTEMPORARY CLINICAL TRIALS
- 발행사항Vol.42No.-[2015]_x000D_
- ISBN/ISSN1551-7144
- 소개/요약Mindfulness-based stress reduction (MBSR) has demonstrated benefits for stress-related symptoms; however, for patients with burdensome treatment regimens, multiple co-morbidities and mobility impairment, time and travel requirements pose barriers to MBSR training. To describe the design, rationale and feasibility results of Journeys to Wellness, a clinical trial of mindfulness training delivered in a novel workshop and teleconference format. The trial aim is to reduce symptoms and improve quality of life in people waiting for a kidney transplant. The standard 8-week MBSR program was reconfigured for delivery as two in-person workshops separated in time by six weekly teleconferences (tMBSR). A time and attention comparison condition (tSupport) was created using the workshop-telephone format. Kidney transplant candidates (N=63) were randomly assigned to tMBSR or tSupport: 87% (n=55) attended >1 class, and for these, attendance was high (6.6 + 1.8 tMBSR and 7.0 + 1.4 tSupport sessions). Fidelity monitoring found all treatment elements were delivered as planned and few technical problems occurred. Patients in both groups reported high treatment satisfaction, but more tMBSR (83%) than tSupport (43%) participants expected their intervention to be quite a bit or extremely useful for managing their health. Symptoms and quality of life outcomes collected before (baseline, 8 weeks and 6 months) and after kidney transplantation (2, 6 and 12 months) will be analyzed for efficacy. tMBSR is an accessible intervention that may be useful to people with a wide spectrum of health conditions. Clinicaltrials.gov: NCT01254214. Copyright © 2015. Published by Elsevier Inc.
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