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A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma.

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Title: A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma.
Authors: Ainsworth, Ben, Stanescu, Sabina, Stuart, Beth, Russell, Daniel, Liddiard, Megan, Djukanovic, Ratko, Thomas, Mike
Source: Journal of Behavioral Medicine. Feb2022, Vol. 45 Issue 1, p133-147. 15p. 1 Diagram, 5 Charts, 1 Graph.
Subjects: Prevention of mental depression, Anxiety prevention, Asthma prevention, Mindfulness, Pilot projects, Evaluation of human services programs, Asthma, Confidence intervals, Self-management (Psychology), Internet, Primary health care, Randomized controlled trials, Quality of life, Questionnaires, Descriptive statistics, Statistical sampling, Odds ratio, Symptoms
Abstract: Asthma outcomes remain suboptimal, despite effective pharmacotherapy. Psychological dysfunction (such as anxiety) is common, and associated with poorer outcomes. We evaluated a digital mindfulness programme as an intervention to improve asthma-related quality of life for primary care patients, in a prospectively registered randomized-controlled feasibility study. We offered 'Headspace', a widely-used digital mindfulness intervention, to adults with asthma through 16 UK GP practices. Participants were randomized on a 2:1 basis to the mindfulness intervention, or waitlist control. Participants completed questionnaires (including asthma symptom control, asthma-related quality of life, anxiety, depression) at baseline, 6-week and 3-month follow-up. 116 participants completed primary outcomes at 3-month follow-up: intervention 73 (79%), control 43 (84%). Compared to baseline, the intervention group but not the control group reported significantly improved asthma-related quality of life, with a between-group difference favoring the intervention group that was not significant (Mean difference = 0.15, 95%CI − 0.13 to 0.42). Intervention use varied (ranging from 0 to 192 times) but was generally high. Digital mindfulness interventions are feasible and acceptable adjunct treatments for mild and moderate asthma to target quality of life. Further research should adapt 'generic' mindfulness-based stress-reduction to maximize effectiveness for asthma, and validate our findings in a fully-powered randomized controlled trial. Trial registration Prospectively registered: ISRCTN52212323. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma.
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  Data: <searchLink fieldCode="AR" term="%22Ainsworth%2C+Ben%22">Ainsworth, Ben</searchLink><br /><searchLink fieldCode="AR" term="%22Stanescu%2C+Sabina%22">Stanescu, Sabina</searchLink><br /><searchLink fieldCode="AR" term="%22Stuart%2C+Beth%22">Stuart, Beth</searchLink><br /><searchLink fieldCode="AR" term="%22Russell%2C+Daniel%22">Russell, Daniel</searchLink><br /><searchLink fieldCode="AR" term="%22Liddiard%2C+Megan%22">Liddiard, Megan</searchLink><br /><searchLink fieldCode="AR" term="%22Djukanovic%2C+Ratko%22">Djukanovic, Ratko</searchLink><br /><searchLink fieldCode="AR" term="%22Thomas%2C+Mike%22">Thomas, Mike</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Feb2022, Vol. 45 Issue 1, p133-147. 15p. 1 Diagram, 5 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+mental+depression%22">Prevention of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+prevention%22">Anxiety prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Asthma+prevention%22">Asthma prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Mindfulness%22">Mindfulness</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Asthma%22">Asthma</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Self-management+%28Psychology%29%22">Self-management (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink>
– Name: Abstract
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  Data: Asthma outcomes remain suboptimal, despite effective pharmacotherapy. Psychological dysfunction (such as anxiety) is common, and associated with poorer outcomes. We evaluated a digital mindfulness programme as an intervention to improve asthma-related quality of life for primary care patients, in a prospectively registered randomized-controlled feasibility study. We offered 'Headspace', a widely-used digital mindfulness intervention, to adults with asthma through 16 UK GP practices. Participants were randomized on a 2:1 basis to the mindfulness intervention, or waitlist control. Participants completed questionnaires (including asthma symptom control, asthma-related quality of life, anxiety, depression) at baseline, 6-week and 3-month follow-up. 116 participants completed primary outcomes at 3-month follow-up: intervention 73 (79%), control 43 (84%). Compared to baseline, the intervention group but not the control group reported significantly improved asthma-related quality of life, with a between-group difference favoring the intervention group that was not significant (Mean difference = 0.15, 95%CI − 0.13 to 0.42). Intervention use varied (ranging from 0 to 192 times) but was generally high. Digital mindfulness interventions are feasible and acceptable adjunct treatments for mild and moderate asthma to target quality of life. Further research should adapt 'generic' mindfulness-based stress-reduction to maximize effectiveness for asthma, and validate our findings in a fully-powered randomized controlled trial. Trial registration Prospectively registered: ISRCTN52212323. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=155077704
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      – Type: doi
        Value: 10.1007/s10865-021-00249-3
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      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 133
    Subjects:
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Anxiety prevention
        Type: general
      – SubjectFull: Asthma prevention
        Type: general
      – SubjectFull: Mindfulness
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Asthma
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Self-management (Psychology)
        Type: general
      – SubjectFull: Internet
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      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Quality of life
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Odds ratio
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      – SubjectFull: Symptoms
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    Titles:
      – TitleFull: A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma.
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              Text: Feb2022
              Type: published
              Y: 2022
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