DiNardo, Monica, et al. “A Mindful Approach to Diabetes Self-Management Education and Support for Veterans.” The Diabetes Educator, vol. 43, no. 6, pp. 608-20. https://doi.org/10.1177/0145721717738019
From the Abstract. The study used a single-group pretest-posttest repeated-measures design. The 90-minute Mind-STRIDE training, adapted from Mindfulness Based Stress Reduction (MBSR), was provided as the final component of a half-day diabetes self-management education class at a Veterans Affairs (VA) outpatient diabetes clinic.
Following initial training, participants were asked to practice mindfulness at home for 10 minutes each day during the 3-month study. Study recruitment and retention were calculated as rates. Veteran and diabetes educator satisfaction were assessed by rating scales and open-ended comments. Psychosocial-behavioral and metabolic outcomes were assessed at baseline and 3 months after initial training.
Overall, participants and diabetes educators were highly satisfied with the Mind-STRIDE intervention. Significant improvements were found in diabetes distress, diabetes self-efficacy, [and] diabetes self-management behaviors.
Results suggest feasibility, satisfaction, and positive preliminary effects. Efficacy testing by randomized controlled trial with analysis of covariance structures is warranted.
Carlson, L. E. (2012). Mindfulness-based interventions for physical conditions: a narrative review evaluating levels of evidence. ISRN psychiatry. Article ID 651583. Full text.
Research on mindfulness-based interventions (MBIs) for treating symptoms of a wide range of medical conditions has proliferated in recent decades. Mindfulness is the cultivation of nonjudgmental awareness in the present moment. It is both a practice and a way of being in the world. based cognitive therapy (MBCT).
This paper begins with a discussion of the phenomenological experience of coping with a chronic and potentially life-threatening illness, followed by a theoretical discussion of the application of mindfulness in these situations. The literature evaluating MBIs within medical conditions is then comprehensively reviewed, applying a levels of evidence rating framework within each major condition. The bulk of the research looked at diagnoses of cancer, pain conditions (chronic pain, low back pain, fibromyalgia, and rheumatoid arthritis), cardiovascular disease, diabetes, human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), and irritable bowel syndrome.
Most outcomes assessed are psychological in nature and show substantial benefit, although some physical and disease-related parameters have also been evaluated. The field would benefit from more adequately powered randomized controlled trials utilizing active comparison groups and assessing the moderating role of patient characteristics and program “dose” in determining outcomes.
Keyworth, C., et al. (2013). A mixed methods pilot study of the acceptability and effectiveness of a brief meditation and mindfulness intervention for people with diabetes and coronary heart disease. Behavioral Medicine, (just-accepted).
Excerpts from the Abstract: Mindfulness based interventions can successfully target negative perseverative cognitions such as worry and thought suppression, but their acceptability and effectiveness in people with long term conditions is uncertain.
We therefore pilot tested a 6-week meditation and mindfulness intervention in people (n = 40) with diabetes and coronary heart disease. We used a sequential mixed-methods approach that measured change in worry and thought suppression and qualitatively explored acceptability, feasibility and user experience with a focus group (n = 11), and in-depth interviews (n = 16). The intervention was highly acceptable, with 90% completing ≥5 sessions.
Meditation and mindfulness skills led to improved sleep, greater relaxation and more accepting approaches to illness and illness experience. At the end of the 6-week meditation course worry and thought suppression were significantly reduced. Positive impacts on psychological health may relate to acquisition and development of meta-cognitive skills but this needs experimental confirmation.