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Mindfulness in people with a respiratory diagnosis: a systematic review [with consumer summary] |
Harrison SL, Lee A, Janaudis-Ferreira T, Goldstein RS, Brooks D |
Patient Education and Counseling 2016 Mar;99(3):348-355 |
systematic review |
OBJECTIVES: To describe how mindfulness is delivered and to examine the effect of mindfulness on health-related quality of life (HRQOL), mindful awareness and stress in adults with a respiratory diagnosis. METHOD: Five electronic databases were searched. Data were extracted and assessed for quality by two reviewers. RESULTS: Data were extracted from four studies. Interventions were based on mindfulness-based stress reduction and delivered by trained instructors. Recordings of mindfulness were provided for home-based practice. One study targeted the intervention exclusively to anxious individuals with a respiratory diagnosis. Adherence to mindfulness was poor. No effects were seen on disease-specific HRQOL (standardized mean difference (SMD) -0.21 95% CI -0.36 to 0.48, p = 0.78), mindful awareness (SMD 0.09 95% CI -0.34 to 0.52, p = 0.68) or stress levels (SMD -0.11 95% CI -0.46 to 0.23, p = 0.51). CONCLUSION: Mindfulness interventions, delivered to individuals with a respiratory diagnosis, varied widely in terms of delivery and the outcomes assessed making it difficult to draw any conclusions regarding its effectiveness.
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