J. Med. Internet Res. - Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study.


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CKGROUND: Mindful Mood Balance (MMB) is a Web-based intervention designed to treat residual depressive symptoms and prevent relapse. MMB was designed to deliver the core concepts of mindfulness-based cognitive therapy (MBCT), a group treatment, which, despite its strong evidence base, faces a number of dissemination challenges.OBJECTIVE: The present study is a qualitative investigation of participants' experiences with MMB.METHODS: Qualitative content analysis was conducted via 38 exit interviews with MMB participants. Study inclusion required a current PHQ-9 (Patient Health Questionnaire) score =12 and lifetime history =1 major depressive episode. Feedback was obtained on specific website components, program content, and administration as well as skills learned.RESULTS: Codes were assigned to interview responses and organized into four main themes: MBCT Web content, MBCT Web-based group process, home practice, and evidence of concept comprehension. Within these four areas, participants highlighted the advantages and obstacles of translating and delivering MBCT in a Web-based format. Adding increased support was suggested for troubleshooting session content as well as managing time challenges for completing home mindfulness practice. Participants endorsed developing affect regulation skills and identified several advantages to Web-based delivery including flexibility, reduced cost, and time commitment.CONCLUSIONS: These findings support the viability of providing MBCT online and are consistent with prior qualitative accounts derived from in-person MBCT groups. While there is certainly room for innovation in the domains of program support and engagement, the high levels of participant satisfaction indicated that MMB can significantly increase access to evidence-based psychological treatments for sub-threshold symptoms of unipolar affective disorder.

Resumo Limpo

ckground mind mood balanc mmb webbas intervent design treat residu depress symptom prevent relaps mmb design deliv core concept mindfulnessbas cognit therapi mbct group treatment despit strong evid base face number dissemin challengesobject present studi qualit investig particip experi mmbmethod qualit content analysi conduct via exit interview mmb particip studi inclus requir current phq patient health questionnair score lifetim histori major depress episod feedback obtain specif websit compon program content administr well skill learnedresult code assign interview respons organ four main theme mbct web content mbct webbas group process home practic evid concept comprehens within four area particip highlight advantag obstacl translat deliv mbct webbas format ad increas support suggest troubleshoot session content well manag time challeng complet home mind practic particip endors develop affect regul skill identifi sever advantag webbas deliveri includ flexibl reduc cost time commitmentconclus find support viabil provid mbct onlin consist prior qualit account deriv inperson mbct group certain room innov domain program support engag high level particip satisfact indic mmb can signific increas access evidencebas psycholog treatment subthreshold symptom unipolar affect disord

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