Key result
A 7-week mindfulness-based intervention significantly improved self-efficacy, stress, social support, depressive symptoms, and self-rated health at 6 months (all p < 0.0025).
Why the study?
Mindfulness practices are associated with psychological well-being, but their effects on cardiovascular disease self-management remain mainly unknown.
Does a 7-week mindfulness-based intervention improve self-management and psychological well-being in adults over 50 with or at risk of cardiovascular disease?
Observational (n=352)
Yes
Does a 7-week mindfulness-based intervention improve self-management and psychological well-being in adults over 50 with or at risk of cardiovascular disease?
A 7-week mindfulness-based intervention improves psychological well-being and self-efficacy but does not significantly change lifestyle behaviors in older adults with or at risk of CVD.
BACKGROUND: Cardiovascular diseases (CVD) are predominantly lifestyle related. Mental health issues also influence CVD progression and quality of life. Self-management of lifestyle behaviors and mental well-being may play a significant role in reducing the CVD burden. Previous studies have shown that mindfulness practices are associated with psychological well-being, but their effects on CVD self-management are mainly unknown. METHODS: The study had a before-after design and included adults over 50 years with CVD and/or one or more risk factors from three European countries. Follow-up was six months. The intervention was a 7-week mindfulness-based intervention (MBI) in a group setting focusing on chronic disease self-management. Outcomes were measured with validated self-report questionnaires at baseline and follow-up: self-efficacy, physical activity, nutrition, smoking, alcohol use, sleep and fatigue, social support, stress, depression, medication adherence, and self-rated health. RESULTS: Among 352 participants, 324 (92%) attended ≥4 of the 7 group sessions and completed follow-up. During follow-up, self-efficacy, stress, social support, depressive symptoms, and self-rated health significantly improved. No significant changes were detected for other outcomes. CONCLUSIONS: A 7-week MBI focusing on chronic disease self-management was conducive to improved self-efficacy, emotional well-being, social support, and self-rated overall health during six months. These findings support the use of MBIs for improving self-management in cardiovascular care. ISRCTN registry-number ISRCTN11248135.
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Korenhof et al. (2022) conducted an observational in Cardiovascular disease or at risk of CVD (n=352). Mindfulness-based intervention (MBI) was evaluated on Self-efficacy, stress, social support, depressive symptoms, and self-rated health (p=<0.0025). A 7-week mindfulness-based intervention significantly improved self-efficacy, stress, social support, depressive symptoms, and self-rated health at 6 months (all p < 0.0025).
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