Feasibility and outcomes of an internet-based mindfulness training program: A pilot randomized controlled trial

JMIR Mental Health

Volumn 3, Issue 3, 2016, Pages

  Kvillemo, Pia ^a   Brandberg, Yvonne ^a   Bränström, Richard ^a  

^a KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Acceptability; Feasibility; Internet; Internet based intervention; Mindfulness; Randomized controlled trial; Usability

Indexed keywords

EID: 85021064713     PISSN: None     EISSN: 23687959     Source Type: Journal    
DOI: 10.2196/mental.5457     Document Type: Article

References (49)

1. Kabat-Zinn J. Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion; 1994.
2. Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. Clin Psychol Science Practice 2003;10(2):144-156. [doi: 10.1093/clipsy.bpg016]
3. Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, Illness. New York: Delacorte Press; 1990.
4. Eberth J, Sedlmeier P. The effects of mindfulness meditation: A meta-analysis. Mindfulness 2012 May 2;3(3):174-189. [doi: 10.1007/s12671-012-0101-x]
5. Gerber B, Eiser A. The patient physician relationship in the Internet age: future prospects and the research agenda. J Med Internet Res 2001;3(2). [doi: 10.2196/jmir.3.2.e15] [Medline: 11720957]
6. Klein B, Cook S. Preferences for e-mental health services amongst an online Australian sample. E-Journal Appl Psychol 2010;6(1):28-39 [FREE Full text]
7. Powell JD, Gray J. The doctor, the patient and the world-wide web: how the internet is changing healthcare. J Royal Soc Med 2003;96(2):74-76.
8. Wald H, Dube C, Anthony D. Untangling the Web: the impact of Internet use on health care and the physician-patient relationship. Patient Educ Couns 2007;68(3):218-224. [doi: 10.1016/j.pec.2007.05.016] [Medline: 17920226]
9. Internet World Stats. 2016. Usage and Population Statistics URL:http://www.internetworldstats.com/stats.htm [accessed 2016-06-08] [WebCite Cache ID 6i6d3l4iy]
10. Andersson G, Cuijpers P. Pros and cons of online cognitive-behavioural therapy. Br J Psychiatry 2008;193(4):270-271. [doi: 10.1192/bjp.bp.108.054080] [Medline: 18827286]
11. Andersson G, Cuijpers P, Carlbring P, Riper H, Hedman E. Guided Internet-based vs face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry 2014;13(3):288-295. [doi: 10.1002/wps.20151] [Medline: 25273302]
12. Espie C, Kyle S, Williams C, Ong J, Douglas N, Hames P, et al. A randomised, placebo-controlled trial of online cognitive behavioural therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep 2012;35:769-781. [doi: 10.5665/sleep.1872] [Medline: 22654196]
13. Shahab L, McEwen A. Online support for smoking cessation: a systematic review of the literature. Addiction 2009;104(11):1792-1804. [doi: 10.1111/j.1360-0443.2009.02710.x] [Medline: 19832783]
14. Bergstrom J, Andersson G, Ljotsson B, Ruck C, Andreewitch S, Karlsson A, et al. Internet-versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: a randomised trial. BMC Psychiatry 2010;10(54). [doi: 10.1186/1471-244X-10-54] [Medline: 20598127]
15. Carlbring P, Hagglund M, Luthstrom A, Dahlin M, Kadowaki A, Vernmark K, et al. Internet-based behavioral activation and acceptance-based treatment for depression: a randomized controlled trial. J Affect Disorders 2013;148(2-3):331-337. [doi: 10.1016/j.jad.2012.12.020] [Medline: 23357657]
16. Christensen H, Griffiths K, Jorm A. Delivering interventions for depression by using the internet: randomised controlled trial. BMJ 2004;328(7434):265. [doi: 10.1136/bmj.37945.566632.EE] [Medline: 14742346]
17. Tarraga L, Boada M, Modinos G, Espinosa A, Diego S, Morera A, et al. A randomised pilot study to assess the efficacy of an interactive, multimedia tool of cognitive stimulation in Alzheimer's disease. Journal of neurology, neurosurgery, and psychiatry 2006;77(10):1116-1121. [doi: 10.1136/jnnp.2005.086074] [Medline: 16820420]
18. Zernicke K, Campbell T, Speca M, McCabe-Ruff K, Flowers S, Carlson L. A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial. Psychosom Med 2014;76(4):257-267. [doi: 10.1097/PSY.0000000000000053] [Medline: 24804884]
19. Boettcher J, Astrom V, Pahlsson D, Schenstrom O, Andersson G, Carlbring P. Internet-based mindfulness treatment for anxiety disorders: a randomized controlled trial. Behav Ther 2014;45(2):241-253. [doi: 10.1016/j.beth.2013.11.003] [Medline: 24491199]
20. Krusche A, Cyhlarova E, Williams J. Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression. BMJ Open 2013;3(11). [doi: 10.1136/bmjopen-2013-003498] [Medline: 24293203]
21. Krusche A, Cyhlarova E, King S, Williams J. Mindfulness online: a preliminary evaluation of the feasibility of a web-based mindfulness course and the impact on stress. BMJ open 2012;2(3). [doi: 10.1136/bmjopen-2011-000803] [Medline: 22614170]
22. Morledge T, Allexandre D, Fox E, Fu A, Higashi M, Kruzikas D, et al. Feasibility of an online mindfulness program for stress management-a randomized, controlled trial. Annals of behavioral medicine 2013;46(2):137-148. [doi: 10.1007/s12160-013-9490-x] [Medline: 23632913]
23. Cavanagh K, Strauss C, Cicconi F, Griffiths N, Wyper A, Jones F. A randomised controlled trial of a brief online mindfulness-based intervention. Behav Res Ther 2013;51(9):573-578. [doi: 10.1016/j.brat.2013.06.003] [Medline: 23872699]
24. Gluck T, Maercker A. A randomized controlled pilot study of a brief web-based mindfulness training. BMC Psychiatry 2011;11:175. [doi: 10.1186/1471-244X-11-175] [Medline: 22067058]
25. Boggs J, Beck A, Felder J, Dimidjian S, Metcalf C, Segal Z. Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study. J Med Internet Res 2014;16(3). [doi: 10.2196/jmir.3129] [Medline: 24662625]
26. Santorelli S. Mindfulness-Based Stress Reduction (MBSR): Standards of Practice. Massachusetts: Center for Mindfulness in Medicine, Health Care, and Society, University of Massachusetts Medical School; Feb 2014.
27. Brouwer W, Oenema A, Crutzen R, de Nooijer J, de Vries N, Brug J. An exploration of factors related to dissemination of and exposure to internet-delivered behavior change interventions aimed at adults: a Delphi study approach. J Med Internet Res 2008;10(2). [doi: 10.2196/jmir.956] [Medline: 18417443]
28. Brouwer W, Oenema A, Crutzen R, de Nooijer J, de Vries N, Brug J. What makes people decide to visit and use an internet-delivered behavior-change intervention?: A qualitative study among adults. Health Education 2009;109. [doi: 10.1108/09654280911001149]
29. Christensen H, Griffiths K, Farrer L. Adherence in internet interventions for anxiety and depressionystematic review. J Med Internet Res 2009;11. [doi: 10.2196/jmir.1194] [Medline: 19403466]
30. Mathieu E, Barratt A, Carter S, Jamtvedt G. Internet trials: participant experiences and perspective. BMC Medical Res Methodol 2012;12:162. [doi: 10.1186/1471-2288-12-162] [Medline: 23092116]
31. Ayala G, Elder J. Qualitative methods to ensure acceptability of behavioral and social interventions to the target population. J Public Health Dent 2011;71:S69-S79. [Medline: 21656958]
32. Quesenbery W. The five dimensions of usability. In: Albers M, Mazur B, editors. Content and Complexity. Mahwah, NJ: Lawrence Erlbaum Associates Inc; 2003.
33. Pennebaker J, Beall S. Confronting a traumatic event: toward an understanding of inhibition and disease. J Abnormal Psych 1986;95(3):274-281. [Medline: 3745650]
34. Ryff CD, Singer B. Psychological well-being: meaning, measurement, and implications for psychotherapy research. Psychother Psychosom 1996;65(1):14-23. [Medline: 8838692]
35. Sheehan TJ, Fifield J, Reisine S, Tennen H. The measurement structure of the Center for Epidemiologic Studies Depression Scale. J Pers Assess 1995 Jun;64(3):507-521. [doi: 10.1207/s15327752jpa6403_9] [Medline: 7760258]
36. Cohen J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale: L Erlbaum Associates; 1988.
37. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105-112. [doi: 10.1016/j.nedt.2003.10.001] [Medline: 14769454]
38. Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277-1288. [doi: 10.1177/1049732305276687] [Medline: 16204405]
39. MacQueen KM, McLellan E, Kay K, Milstein B. Codebook development for team-based qualitative analysis. Cultural Anthropol Methods J 1998;10(2):31-36. [doi: 10.1177/1525822X980100020301]
40. Kvale S. Interviews: An introduction to Qualitative Research Interviewing. London: SAGE Publications Ltd; 1996.
41. Schafer JL, Graham JW. Missing data: our view of the state of the art. Psychol Methods 2002;7(2):147-177. [Medline: 12090408]
42. Molnar FJ, Hutton B, Fergusson D. Does analysis using "last observation carried forward" introduce bias in dementia research? Can Med Assoc J 2008;179(8):751-753 [FREE Full text] [doi: 10.1503/cmaj.080820] [Medline: 18838445]
43. Molnar FJ, Man-Son-Hing M, Hutton B, Fergusson DA. Have last-observation-carried-forward analyses caused us to favour more toxic dementia therapies over less toxic alternatives? A systematic review. Open Med 2009;3(2):e31-e50 [FREE Full text] [Medline: 19946392]
44. Eysenbach G. The law of attrition. J Med Internet Res 2005;7(1):e11 [FREE Full text] [doi: 10.2196/jmir.7.1.e11] [Medline: 15829473]
45. Bränström R, Kvillemo P, Moskowitz JT. A randomized study of the effects of mindfulness training on psychological well-being and symptoms of stress in patients treated for cancer at 6-month follow-up. Int J Behav Med 2012;19(4):535-542 [FREE Full text] [doi: 10.1007/s12529-011-9192-3] [Medline: 21931958]
46. Hudlicka E. Virtual training and coaching of health behavior: Example from mindfulness meditation training. Patient Educ Couns 2013;92:160-166. [doi: 10.1016/j.pec.2013.05.007] [Medline: 23809167]
47. Johansson R, Andersson G. Internet-based psychological treatments for depression. Expert Rev Neurother 2012 Jul;12(7):861-869. [doi: 10.1586/ern.12.63] [Medline: 22853793]
48. Praissman S. Mindfulness-based stress reduction: A literature review and clinician's guide. J Am Acad Nurse Pract 2008;20:212-216. [doi: 10.1111/j.1745-7599.2008.00306.x] [Medline: 18387018]
49. Rozental A, Andersson G, Boettcher J, Ebert D, Cuijpers P, Knaevelsrud C, et al. Consensus statement on defining and measuring negative effects of Internet interventions. Internet Interventions 2014;1:12-19. [doi: 10.1016/j.invent.2014.02.001]