Christina M Luberto, Maria Lopes, Joanna G Cloutier, Daniel L Hall, Malissa Wood, Zev Schuman-Olivier, Bettina B Hoeppner, Elyse R Park
{"title":"Remotely delivered mindfulness-based cognitive therapy for spontaneous coronary artery dissection survivors.","authors":"Christina M Luberto, Maria Lopes, Joanna G Cloutier, Daniel L Hall, Malissa Wood, Zev Schuman-Olivier, Bettina B Hoeppner, Elyse R Park","doi":"10.1093/tbm/ibaf064","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>After spontaneous coronary artery dissection (SCAD), 80% of survivor's experience fear of recurrence (FOR) which contributes to poorer clinical outcomes. Although FOR interventions (i.e. mindfulness-based cognitive therapy; MBCT) exist, none have been targeted to SCAD survivors.</p><p><strong>Purpose: </strong>To assess the feasibility, acceptability, and preliminary FOR effects of MBCT for SCAD survivors (UpBeat-MBCT).</p><p><strong>Methods: </strong>In this single-arm feasibility study, SCAD survivors were recruited from a hospital clinic to participate in UpBeat-MBCT, an 8-week group intervention combining cognitive-behavioral therapy, mindfulness meditation, and health behavior promotion. Participants completed surveys of psychological and behavioral variables pre-post intervention, actigraphy, and daily diaries of sleep and physical activity for 7 days pre-post intervention. The primary outcomes were feasibility and acceptability. Exploratory outcomes included changes in psychological and behavioral variables.</p><p><strong>Results: </strong>SCAD survivors (N = 19) were enrolled across two sequential group cohorts (94% female, 95% non-Hispanic White, Mage = 51). In Cohort 1, results indicated that hearing about SCAD from others was emotionally activating and associated with high attrition (33% retained). Refinements for Cohort 2 included placing boundaries around group discussion, and 90% of participants were retained. Among retained participants across both cohorts (n = 12), program satisfaction was M = 8.3/10 (SD = 1.8), 91% (10/11) would recommend the program, and changes in FOR showed a medium-large effect size for improvement (d = 0.72).</p><p><strong>Conclusion: </strong>UpBeat-MBCT is the first FOR intervention for SCAD survivors. When boundaries are set to guide discussion of SCAD, results support the feasibility, acceptability, and benefits of an MBCT group approach and the need for expanded testing.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #: NCT04983680.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Translational Behavioral Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/tbm/ibaf064","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: After spontaneous coronary artery dissection (SCAD), 80% of survivor's experience fear of recurrence (FOR) which contributes to poorer clinical outcomes. Although FOR interventions (i.e. mindfulness-based cognitive therapy; MBCT) exist, none have been targeted to SCAD survivors.
Purpose: To assess the feasibility, acceptability, and preliminary FOR effects of MBCT for SCAD survivors (UpBeat-MBCT).
Methods: In this single-arm feasibility study, SCAD survivors were recruited from a hospital clinic to participate in UpBeat-MBCT, an 8-week group intervention combining cognitive-behavioral therapy, mindfulness meditation, and health behavior promotion. Participants completed surveys of psychological and behavioral variables pre-post intervention, actigraphy, and daily diaries of sleep and physical activity for 7 days pre-post intervention. The primary outcomes were feasibility and acceptability. Exploratory outcomes included changes in psychological and behavioral variables.
Results: SCAD survivors (N = 19) were enrolled across two sequential group cohorts (94% female, 95% non-Hispanic White, Mage = 51). In Cohort 1, results indicated that hearing about SCAD from others was emotionally activating and associated with high attrition (33% retained). Refinements for Cohort 2 included placing boundaries around group discussion, and 90% of participants were retained. Among retained participants across both cohorts (n = 12), program satisfaction was M = 8.3/10 (SD = 1.8), 91% (10/11) would recommend the program, and changes in FOR showed a medium-large effect size for improvement (d = 0.72).
Conclusion: UpBeat-MBCT is the first FOR intervention for SCAD survivors. When boundaries are set to guide discussion of SCAD, results support the feasibility, acceptability, and benefits of an MBCT group approach and the need for expanded testing.
Clinical trial information: The Clinical Trials Registration #: NCT04983680.
期刊介绍：
Translational Behavioral Medicine publishes content that engages, informs, and catalyzes dialogue about behavioral medicine among the research, practice, and policy communities. TBM began receiving an Impact Factor in 2015 and currently holds an Impact Factor of 2.989.
TBM is one of two journals published by the Society of Behavioral Medicine. The Society of Behavioral Medicine is a multidisciplinary organization of clinicians, educators, and scientists dedicated to promoting the study of the interactions of behavior with biology and the environment, and then applying that knowledge to improve the health and well-being of individuals, families, communities, and populations.
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