Christopher E. Cox|Laura S. Porter|Pamela J. Buck|Mary Hoffa|Derek M. Jones|Brenda Walton|Catherine L. Hough|Jeffrey M. Greeson
Development and Preliminary Evaluation of a Telephone-based Mindfulness Training Intervention for Survivors of Critical Illness
Pulmonary and Critical Care Associates|Institute of Behavioral Sciences|Duke University|Pulmonary and Critical Care Associates|Pulmonary and Critical Care Associates|Pulmonary and Critical Care Associates|University of Washington|Institute of Behavioral Sciences
rationale persistent symptoms psychological distress represent unmet need among intensive care unit icu survivorsobjectives aimed develop pilot test simple telephonebased mindfulness training intervention address populations unique needsmethods open trial involving survivors medical surgical critical illness informal caregivers using pretestposttest design measurements main resultswe developed sixsession telephonedelivered icu survivorspecific mindfulness intervention based past focus groups medical literature precedent effective components existing mindfulness programsa total 11 survivors mechanical ventilation enrolled together 2 informal caregivers exploratory purposesthree patients dropped intervention initiation progressive illness severe social stressorsof 10 remaining participants 8 80 completed program within 7 weeksamong eight patients caregivers completed study procedures six 75 experienced improvement symptoms psychological distress anxiety depression posttraumatic stress disorderchanges distress symptoms correlated improvement mindfulness qualities adaptive coping emotion regulationparticipants reported high satisfaction program postintervention interviewsconclusions new icu survivorspecific mindfulness training intervention delivered telephone acceptable feasiblechanges symptoms distress correlated changes skills targeted mindfulness programcontrolled trials needed evaluate promising intervention