TY - JOUR
T1 - Feasibility of integrating MEditatioN inTO heaRt disease (the MENTOR Study) : a phase II randomized controlled trial
AU - Rao, Angela
AU - Zecchin, Robert
AU - Newton, Phillip J.
AU - Read, Scott A.
AU - Phillips, Jane L.
AU - Digiacomo, Michelle
AU - Chang, Sungwon
AU - Denniss, Alan Robert
AU - Hickman, Louise D.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Background Comorbid depression and/or anxiety symptoms occur in 25% of patients attending cardiac rehabilitation (CR) programs and are associated with poorer prognosis. There is a need to evaluate psychological interventions, including meditation, that have potential to improve psychological health in CR programs. Aims The aim of this study was to determine the feasibility and acceptability of integrating a meditation intervention into an existing Australian CR program for the reduction of depression and anxiety symptoms. Methods This was a mixed-methods feasibility randomized controlled trial. Thirty-one patients with CVD and, at a minimum, mild depression and/or anxiety symptoms were randomized to meditation and standard CR or to standard CR alone. A 16-minute guided group meditation was delivered face-to-face once a week for 6 weeks, with daily self-guided meditation practice between sessions. Feasibility outcomes included screening, recruitment, and retention. Semistructured interviews of patients' (n = 10) and health professionals' (n = 18) perspectives of intervention participation and delivery were undertaken to assess acceptability. Between-group differences in depression, anxiety, stress, self-efficacy for mindfulness, and health status at 6 and 12 weeks were also assessed. Results and Conclusion Meditation was considered feasible, with 83% (12/15) of the intervention group completing an average of 3.13 (SD, 2.56) out of 6 group meditation sessions and 5.28 (SD, 8.50) self-guided sessions. Meditation was considered acceptable by patients, clinicians, and health managers. Between-group differences in the number of CR sessions completed favored the intervention group in per-protocol analyses (intervention group vs control group, 12 vs 9 sessions; P =.014), which suggests that meditation may be useful to improve patients' adherence to exercise-based CR program.
AB - Background Comorbid depression and/or anxiety symptoms occur in 25% of patients attending cardiac rehabilitation (CR) programs and are associated with poorer prognosis. There is a need to evaluate psychological interventions, including meditation, that have potential to improve psychological health in CR programs. Aims The aim of this study was to determine the feasibility and acceptability of integrating a meditation intervention into an existing Australian CR program for the reduction of depression and anxiety symptoms. Methods This was a mixed-methods feasibility randomized controlled trial. Thirty-one patients with CVD and, at a minimum, mild depression and/or anxiety symptoms were randomized to meditation and standard CR or to standard CR alone. A 16-minute guided group meditation was delivered face-to-face once a week for 6 weeks, with daily self-guided meditation practice between sessions. Feasibility outcomes included screening, recruitment, and retention. Semistructured interviews of patients' (n = 10) and health professionals' (n = 18) perspectives of intervention participation and delivery were undertaken to assess acceptability. Between-group differences in depression, anxiety, stress, self-efficacy for mindfulness, and health status at 6 and 12 weeks were also assessed. Results and Conclusion Meditation was considered feasible, with 83% (12/15) of the intervention group completing an average of 3.13 (SD, 2.56) out of 6 group meditation sessions and 5.28 (SD, 8.50) self-guided sessions. Meditation was considered acceptable by patients, clinicians, and health managers. Between-group differences in the number of CR sessions completed favored the intervention group in per-protocol analyses (intervention group vs control group, 12 vs 9 sessions; P =.014), which suggests that meditation may be useful to improve patients' adherence to exercise-based CR program.
KW - anxiety
KW - meditation
KW - self-efficacy
KW - cardiovascular diseases
KW - depression
KW - cardiac rehabilitation
UR - https://hdl.handle.net/1959.7/uws:73986
UR - http://www.scopus.com/inward/record.url?scp=85168934529&partnerID=8YFLogxK
U2 - 10.1097/JCN.0000000000000997
DO - 10.1097/JCN.0000000000000997
M3 - Article
SN - 0889-4655
VL - 38
SP - 492
EP - 510
JO - Journal of Cardiovascular Nursing
JF - Journal of Cardiovascular Nursing
IS - 5
ER -