Feasibility and Acceptability of Mindfulness-based Stress Reduction and Prenatal Sleep Classes for Poor Prenatal Sleep Quality: Pilot Randomized Controlled Trial.

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Title: Feasibility and Acceptability of Mindfulness-based Stress Reduction and Prenatal Sleep Classes for Poor Prenatal Sleep Quality: Pilot Randomized Controlled Trial.
Authors: Felder, J. N. (AUTHOR), Mirchandaney, R. (AUTHOR), Manber, R. (AUTHOR), Cuneo, J. (AUTHOR), Krystal, A. (AUTHOR), Solomon, N. (AUTHOR), Janette, S. (AUTHOR), Zhang, L. (AUTHOR), Moran, P (AUTHOR), Mashash, M. (AUTHOR), Epel, E (AUTHOR), Hecht, F. M (AUTHOR)
Source: Behavioral Sleep Medicine. Sep/Oct2024, Vol. 22 Issue 5, p739-753. 15p.
Subjects: Sleep quality, Cognitive therapy, Client satisfaction, Perinatal period, Mindfulness
Abstract: Objectives: The main objectives of the current paper were to examine the feasibility, acceptability, and adherence of a remotely delivered intervention consisting of mindfulness-based stress reduction plus prenatal sleep classes (MBSR+PS) compared with treatment as usual (TAU). Method: In this pilot randomized controlled trial, 52 pregnant women with poor sleep quality were randomized to MBSR+PS or TAU. MBSR was delivered through eight weekly 2.5-hour sessions, and PS was delivered through eight weekly 30-minute sessions. PS content drew material from cognitive behavioral therapy for insomnia tailored for the perinatal period and from a mindfulness- and acceptance-based lens. Participants completed endpoint measures 10–12 weeks after randomization. Results: We surpassed all acceptability targets, including the percentage of eligible participants willing to be randomized (96%), percentage of participants who initiated treatment (88%), and satisfaction scores (Client Satisfaction Questionnaire-8 score M = 28.04, SD = 3.6). We surpassed all feasibility targets, including our enrollment target, retention rate (92%), and measure completion (96%). Finally, we surpassed adherence targets, including MBSR and PS session attendance (≥80%). Though sleep outcomes were exploratory, increases in sleep efficiency were greater in the MBSR+PS group relative to TAU (SMD=.68). Conclusions: Patient-reported poor sleep quality during pregnancy has high public health significance because it is common, consequential, and under-treated. The current feasibility and acceptability data for using remotely delivered MBSR and PS to improve prenatal sleep quality are encouraging and warranting future research that is sufficiently powered and designed to provide efficacy data. In addition, exploratory sleep outcomes offer preliminary evidence that this sleep program may improve sleep efficiency during pregnancy. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd 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.)
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  Data: Feasibility and Acceptability of Mindfulness-based Stress Reduction and Prenatal Sleep Classes for Poor Prenatal Sleep Quality: Pilot Randomized Controlled Trial.
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  Data: <searchLink fieldCode="AR" term="%22Felder%2C+J%2E+N%2E%22">Felder, J. N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mirchandaney%2C+R%2E%22">Mirchandaney, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manber%2C+R%2E%22">Manber, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cuneo%2C+J%2E%22">Cuneo, J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krystal%2C+A%2E%22">Krystal, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solomon%2C+N%2E%22">Solomon, N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Janette%2C+S%2E%22">Janette, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+L%2E%22">Zhang, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moran%2C+P%22">Moran, P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mashash%2C+M%2E%22">Mashash, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epel%2C+E%22">Epel, E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hecht%2C+F%2E+M%22">Hecht, F. M</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Sleep+Medicine%22">Behavioral Sleep Medicine</searchLink>. Sep/Oct2024, Vol. 22 Issue 5, p739-753. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Client+satisfaction%22">Client satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Perinatal+period%22">Perinatal period</searchLink><br /><searchLink fieldCode="DE" term="%22Mindfulness%22">Mindfulness</searchLink>
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  Label: Abstract
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  Data: Objectives: The main objectives of the current paper were to examine the feasibility, acceptability, and adherence of a remotely delivered intervention consisting of mindfulness-based stress reduction plus prenatal sleep classes (MBSR+PS) compared with treatment as usual (TAU). Method: In this pilot randomized controlled trial, 52 pregnant women with poor sleep quality were randomized to MBSR+PS or TAU. MBSR was delivered through eight weekly 2.5-hour sessions, and PS was delivered through eight weekly 30-minute sessions. PS content drew material from cognitive behavioral therapy for insomnia tailored for the perinatal period and from a mindfulness- and acceptance-based lens. Participants completed endpoint measures 10–12 weeks after randomization. Results: We surpassed all acceptability targets, including the percentage of eligible participants willing to be randomized (96%), percentage of participants who initiated treatment (88%), and satisfaction scores (Client Satisfaction Questionnaire-8 score M = 28.04, SD = 3.6). We surpassed all feasibility targets, including our enrollment target, retention rate (92%), and measure completion (96%). Finally, we surpassed adherence targets, including MBSR and PS session attendance (≥80%). Though sleep outcomes were exploratory, increases in sleep efficiency were greater in the MBSR+PS group relative to TAU (SMD=.68). Conclusions: Patient-reported poor sleep quality during pregnancy has high public health significance because it is common, consequential, and under-treated. The current feasibility and acceptability data for using remotely delivered MBSR and PS to improve prenatal sleep quality are encouraging and warranting future research that is sufficiently powered and designed to provide efficacy data. In addition, exploratory sleep outcomes offer preliminary evidence that this sleep program may improve sleep efficiency during pregnancy. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd 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.)
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        Value: 10.1080/15402002.2024.2359415
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