Examining a number of health outcomes in those with diabetes and prediabetes before and after a group-based mindfulness intervention.
This is a pilot study to examine the feasibility of integrating a mindfulness-based stress reduction (MBSR) intervention in addition to an existing group-based, peer supported clinical care model (JUMP) among patients with pre-diabetes or diabetes using a mixed-method design.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
19
Mindfulness Based Stress Reduction (MBSR) is a well-documented approach to reduce participants' stress level \[19\], with the existing group-based peer support, self-empowerment, and lifestyle counseling intervention. MBSR is a type of meditation therapy with the goal of actively cultivating conscious attention and awareness to enhance health benefits. This included 10 hours of intervention with groups of 3-5 people.
Prisma Health
Greenville, South Carolina, United States
Intervention Attendance
How many hours of intervention sessions an individual attended
Time frame: 8-weeks while completing the intervention
Perceived Stress Scale
Change in perceived stress measured by 4 Items to assess perceived stress where higher levels indicating higher levels of stress with a range of 4 to 20.
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Depression
Change in depression scores from the Center for Epidemiologic Studies Depression Scale (CES-D), where higher scores indicate higher levels of depression with a range of 0 to 80.
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Anxiety
Change in anxiety assessed using the Generalized anxiety disorder 7-item scale (GAD-7).
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Medication Adherence
Change in medication adherence assessed using the 8-item Morisky Medication Adherence Scale. A higher score indicates higher adherence with a range of 0 to 8.
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Perceived Health Status
Change in perceived health status assessed using a question asking participants to rate their health status on a 5-points rating scale where lower ratings indicate higher levels of perceived health status and higher ratings indicate lower levels of perceived health status.
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Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Sleep Quality
Change in sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI) ranges from 7 to 28, with higher scores indicating worse sleep quality.
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Physical Activity
Change in physical activity assessed using the Rapid Assessment of Physical Activity Scale (RAPA).
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Mindfulness
Change in Mindfulness assessed using a 15-item Five-Facet Mindfulness Questionnaire (FFMQ).
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
HbA1C levels
HbA1C blood levels
Time frame: Up to 3 months before intervention, immediately following intervention, one month after intervention
Program satisfaction and barriers for attending sessions
Open ended questions to address engagement in the intervention, perceived usefulness of the MBSR, recommendations for intervention modification, what participants enjoyed most/least about the intervention, and reasons for missing intervention sessions. This is a qualitative measure, not numeric values were assigned. Based on Zgierska A, Rabago D, Zuelsdorff M, Coe C, Miller M, Fleming M. Mindfulness meditation for alcohol relapse prevention: a feasibility pilot study. J Addict Med. 2008 Sep;2(3):165-73. doi: 10.1097/ADM.0b013e31816f8546.
Time frame: Immediately following intervention