Effectiveness of mindfulness-based interventions delivered via technology versus therapist among patients on peritoneal dialysis at an outpatient clinic in Singapore.
Study Goal
The researchers aimed to evaluate the effectiveness of mindfulness-based interventions in improving self-efficacy and reducing stress and anxiety among peritoneal dialysis patients, and to compare the most effective method of mindfulness-based interventions.
Results Summary
The study found that both therapist- and video-assisted mindfulness training significantly reduced perceived stress scores compared to treatment-as-usual at week 12, though all groups showed a significant time trend in anxiety. No significant Intervention X Time interactions were observed.
Population
First-time peritoneal dialysis patients in Singapore.
Effective Dosage
Not specified (mindfulness techniques were taught as part of 4.5 days of structured training).
Duration
12 weeks (measurements taken at baseline, 4 weeks, and 12 weeks post-randomization).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based interventions | increase | self-efficacy | peritoneal dialysis patients | - | improving | #1 |
mindfulness-based interventions | decrease | stress | peritoneal dialysis patients | - | reducing | #2 |
mindfulness-based interventions | decrease | anxiety | peritoneal dialysis patients | - | reducing | #3 |
All the therapies | decrease | anxiety | first-time peritoneal dialysis patients | - | showed a significant time trend | #4 |
therapist-assisted mindfulness training | decrease | perceived stress scale scores | first-time peritoneal dialysis patients | - | showed a significant trend | #5 |
video-assisted mindfulness training | decrease | perceived stress scale scores | first-time peritoneal dialysis patients | - | showed a significant trend | #6 |
treatment-as-usual | no change | perceived stress scale scores | first-time peritoneal dialysis patients | - | not | #7 |
therapist-assisted mindfulness training | decrease | perceived stress scale scores | first-time peritoneal dialysis patients | - | had reduced | #8 |
video-assisted mindfulness training | decrease | perceived stress scale scores | first-time peritoneal dialysis patients | - | had reduced | #9 |
mindfulness-based interventions | decrease | stress | first-time PD patients | - | reducing | #10 |
AIMS: This study aimed to (i) evaluate the effectiveness of mindfulness-based interventions in improving self-efficacy, reducing stress and anxiety among peritoneal dialysis patients, and (ii) compare the most effective method of mindfulness based interventions. METHODS: This randomized three-arm controlled trial recruited first-time peritoneal dialysis patients from the peritoneal dialysis outpatient clinic in Singapore. Patients were randomly allocated to either video-assisted mindfulness training, therapist-assisted mindfulness training or treatment-as-usual. All groups received 4.5 days of structured peritoneal dialysis training at the peritoneal dialysis centre, while video-assisted mindfulness training and therapist-assisted mindfulness training groups were taught additional mindfulness-based techniques. The perceived stress scale, self-efficacy, and anxiety (State and Trait Anxiety Inventory) were measured at baseline, 4- and 12 weeks post-randomization, using reliable and valid instruments. RESULTS: Thirty-nine patients were recruited (13 in each group). All the therapies showed a significant time trend in anxiety. Only therapist- and video-assisted mindfulness training showed a significant trend in perceived stress scale scores but not treatment-as-usual. All Intervention X Time interactions were not significant. Patients in therapist- and video-assisted mindfulness training groups had reduced perceived stress scale scores compared to treatment-as-usual at week 12. CONCLUSION: This study demonstrated the potential of mindfulness-based interventions in reducing stress among first-time PD patients.