ONLINE MINDFULNESS INTERVENTION FOR INFLAMMATORY BOWEL DISEASE PATIENTS: ADHERENCE AND EFFICACY

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Forbes, L. (2019). ONLINE MINDFULNESS INTERVENTION FOR INFLAMMATORY BOWEL DISEASE PATIENTS: ADHERENCE AND EFFICACY. Unc Charlotte Electronic Theses And Dissertations.
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Abstract

The impact of stress and other psychological variables on Inflammatory Bowel Disease (IBD) prognosis, treatment response, and functional level is well established. However, typical IBD treatment focuses on the physiological pathology of the disease and neglects complementary stress-reducing interventions. Recent pilot studies report the benefits of mindfulness-based interventions in people living with IBD; however, these studies have small sample sizes. Recruitment challenges may be in part due to the difficulty IBD patients often have adhering to set schedules as a result of IBD symptoms such as pain, fatigue, and incontinence. The current study aimed to address this barrier by offering participants access to mindfulness training online, allowing individuals to engage with intervention materials in a comfortable environment with scheduling flexibility. Online mindfulness programs have gained popularity in recent years, as they increase access and flexibility and decrease cost to the user; however, the dropout rate tends to be high. The current study compared the rate of adherence and efficacy of mindfulness training as a function of level of support: self –guided versus supported. Analysis revealed no significant difference in the benefits received between participants in the two groups; however group assignment significantly impacted the rate of intervention completion. Common challenges to meditation were measured, but did not significantly predict adherence to the intervention. Implications of the current research, future directions for the use of mindfulness-based intervention for IBD patients and a discussion of methodological considerations are provided.

Details
Author

Forbes, Leila

Title

ONLINE MINDFULNESS INTERVENTION FOR INFLAMMATORY BOWEL DISEASE PATIENTS: ADHERENCE AND EFFICACY

Physical Description

1 online resource (173 pages) : PDF

Date

2019

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

The impact of stress and other psychological variables on Inflammatory Bowel Disease (IBD) prognosis, treatment response, and functional level is well established. However, typical IBD treatment focuses on the physiological pathology of the disease and neglects complementary stress-reducing interventions. Recent pilot studies report the benefits of mindfulness-based interventions in people living with IBD; however, these studies have small sample sizes. Recruitment challenges may be in part due to the difficulty IBD patients often have adhering to set schedules as a result of IBD symptoms such as pain, fatigue, and incontinence. The current study aimed to address this barrier by offering participants access to mindfulness training online, allowing individuals to engage with intervention materials in a comfortable environment with scheduling flexibility. Online mindfulness programs have gained popularity in recent years, as they increase access and flexibility and decrease cost to the user; however, the dropout rate tends to be high. The current study compared the rate of adherence and efficacy of mindfulness training as a function of level of support: self –guided versus supported. Analysis revealed no significant difference in the benefits received between participants in the two groups; however group assignment significantly impacted the rate of intervention completion. Common challenges to meditation were measured, but did not significantly predict adherence to the intervention. Implications of the current research, future directions for the use of mindfulness-based intervention for IBD patients and a discussion of methodological considerations are provided.

Genre

doctoral dissertations

Subjects--Topics

Psychology
Social sciences

Degree

Ph.D.

Keywords

Inflammatory Bowel Disease
Mindfulness
Online Intervention

Subject Area

Psychology

Advisor(s)

Johnson, Susan

Committee Members

Webb, Jennifer
Powers, Kelly
Forthofer, Melinda

Degree Note

Thesis (Ph.D.)--University of North Carolina at Charlotte, 2019.

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Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Forbes_uncc_0694D_11976

Permalink

http://hdl.handle.net/20.500.13093/etd:1128