Impact of Online Versus In-Person Delivery of Mindfulness-Based Stress Reduction on Psychological Distress

Behavioral, psychosocial, and mental illness Pub Date : 2023-11-01 DOI:10.1370/afm.22.s1.5642

Brandon Auer, Jessica Parascando, Nevada Cox, Aleksandra Zgierska, Timothy Riley

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Abstract

Context: Management of psychological distress is a major challenge in healthcare settings. Mindfulness Based Stress Reduction (MBSR) has documented benefits for psychological distress and has been increasingly offered in health centers across the U.S. The COVID-19 pandemic has necessitated changes to many services, favoring remote delivery. Prior research has focused primarily on in-person delivery of MBSR. To date, the relative benefits of remote versus in-person delivery of MBSR remain to be elucidated. Objective: To evaluate relative changes in psychological distress (stress, anxiety, and depression) among online and in-person MBSR participants. Study Design: Retrospective cohort study. Setting: Large academic health center in Central Pennsylvania. Population Studied: Adult members of the general public enrolled in MBSR courses. Intervention: Standard eight-week MBSR curriculum was delivered live online or in-person by trained instructors. Outcome Measures: Psychological distress was assessed with measures of stress (Perceived Stress Scale-10), anxiety (Generalized Anxiety Disorder-7) and depression (Patient Health Questionnaire-9). Assessments were administered to MBSR participants before and after course completion. Results: Among MBSR participants (N=95), 25 completed MBSR training in-person (pre-pandemic) and 70 completed training remotely via video conferencing. The majority identified as white (77.9%), non-Hispanic (91.6%), female (76.8%), >40 years of age (62.1%), with an annual household income <$100,000 USD (45.3%), without between-group differences noted in demographic characteristics. Each group had significantly reduced their mean stress, anxiety and depression scores (all p<0.05) from baseline to post course; these pre-post changes did not differ statistically between the in-person and remote cohorts. Conclusions: The results of this pragmatic study leveraging real-life services and their impact evaluation,

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基于正念的减压疗法的在线与面授对心理压力的影响

背景：心理压力管理是医疗机构面临的一大挑战。根据记录，正念减压疗法（MBSR）对心理压力有好处，美国各地的医疗中心也越来越多地提供这种疗法。之前的研究主要集中在 MBSR 的面对面服务上。迄今为止，远程与面对面提供 MBSR 的相对优势仍有待阐明。研究目的评估在线和面对面 MBSR 参与者心理困扰（压力、焦虑和抑郁）的相对变化。研究设计：回顾性队列研究。研究地点宾夕法尼亚州中部的大型学术健康中心。研究人群参加 MBSR 课程的成年普通大众。干预：标准的八周 MBSR 课程由训练有素的讲师在线或面对面授课。结果测量：心理压力（感知压力量表-10）、焦虑（广泛性焦虑症-7）和抑郁（患者健康问卷-9）。在课程完成前后对 MBSR 参与者进行评估。结果在参加 MBSR 的学员（95 人）中，有 25 人亲自完成了 MBSR 培训（大流行前），70 人通过视频会议远程完成了培训。大多数参与者为白人（77.9%）、非西班牙裔（91.6%）、女性（76.8%）、年龄大于 40 岁（62.1%）、家庭年收入小于 10 万美元（45.3%），在人口统计学特征方面没有发现组间差异。从基线到课程结束后，每个小组的平均压力、焦虑和抑郁得分都有明显降低（均为 P<0.05）；这些前后变化在现场和远程小组之间没有统计学差异。结论：这项实用性研究利用了现实生活中的服务及其影响评估、

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Behavioral, psychosocial, and mental illness

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