Mindfulness-based interventions in nursing care for stroke survivors: a scoping review
Keywords:
mindfulness-based interventions, post-stroke survivors, scoping reviewAbstract
Objective: To review the feasibility and potential effects of mindfulness-based rehabilitation programs that can be applied in nursing care for stroke survivors.
Methods: Research articles in Thai and English from databases including ThaiJO, ThaiLIS, PubMed, CINAHL, PsycINFO, and Web of Science, published in 2012 - 2022, were reviewed. Keywords used for document retrieval included mindfulness, mindfulness-based interventions, and stroke survivors. Research quality was independently assessed by two reviewers using the Joanna Briggs Institute (JBI) appraisal checklist. Studies with low quality were excluded.
Results: A total of 101 research studies were identified, of which 15 were synthesized. Mindfulness-based rehabilitation programs had positive effects on both the physical and psychological aspects of patients, including reducing anxiety and depression and enhancing cognitive abilities and communication skills. The programs were mostly delivered either in face-to-face sessions between therapists and patients or in combination with online sessions. Only one study involved primary caregivers in the program. Most programs were conducted in 8 weeks and showed good acceptance by patients. However, most studies had limited sample sizes, no comparative groups, and no statistical testing.
Conclusion: Mindfulness-based therapy programs are feasible in the physical and psychological rehabilitation nursing for post-stroke patients, although high-quality evidence is still in need. Nurses should be equipped with skills in mindfulness-based rehabilitation in holistic care for post-stroke patients.
Downloads
References
World Health Organization. World stroke day [Internet]. Geneva: World Health Organization; 2021 [cited 2021 Feb 16]. Available from: https://www.who.int/southeastasia/news/detail/28-10-2021-world-stroke-day
Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2014;45(7):2160-236. doi:10.1161/STR.0000000000000024.
Corbetta M, Ramsey L, Callejas A, Baldassarre A, Hacker CD, Siegel JS, et al. Common behavioral clusters and subcortical anatomy in stroke. Neuron. 2015;85(5):927-41. doi:10.1016/j.neuron.2015.02.027.
Ferro JM, Caeiro L, Figueira ML. Neuropsychiatric sequelae of stroke. Nat Rev Neurol. 2016;12(5):269-80. doi:10.1038/nrneurol.2016.46.
Aniwattanapong D. Post-stroke depression. Journal of the Psychiatric Association of Thailand. 2018;63(4):383-418.
Ayerbe L, Ayis S, Wolfe CD, Rudd AG. Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis. Br J Psychiatry. 2013;202(1):14-21. doi:10.1192/bjp.bp.111.107664.
Ayerbe L, Ayis SA, Crichton S, Rudd AG, Wolfe CD. Explanatory factors for the association between depression and long-term physical disability after stroke. Age Ageing. 2015;44(6):1054-8. doi:10.1093/ageing/afv132.
Hackett ML, Anderson CS. Predictors of depression after stroke: a systematic review of observational studies. Stroke. 2005;36(10):2296-301. doi:10.1161/01.STR.0000183622.75135.a4.
Hackett ML, Pickles K. Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. Int J Stroke. 2014;9(8):1017-25. doi:10.1111/ijs.12357.
Ayerbe L, Ayis S, Crichton S, Wolfe CD, Rudd AG. The natural history of depression up to 15 years after stroke: the south london stroke register. Stroke. 2013;44(4):1105-10. doi:10.1161/STROKEAHA.111.679340.
Bartoli F, Pompili M, Lillia N, Crocamo C, Salemi G, Clericiet M, et al. Rates and correlates of suicidal ideation among stroke survivors: a meta-analysis. J Neurol Neurosurg Psychiatry. 2017;88(6):498-504. doi:10.1136/jnnp-2017-315660.
Blöchl M, Meissner S, Nestler S. Does depression after stroke negatively influence physical disability? a systematic review and meta-analysis of longitudinal studies. J Affect Disord. 2019;247:45-56. doi:10.1016/j.jad.2018.12.082.
Burgess DJ, Beach MC, Saha S. Mindfulness practice: a promising approach to reducing the effects of clinician implicit bias on patients. Patient Educ Couns. 2017;100(2):372-6. doi:10.1016/j.pec.2016.09.005.
Johansson B, Bjuhr H, Rönnbäck L. Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury. Brain Inj. 2012;26(13-14):1621-8. doi:10.3109/02699052.2012.700082.
Payutto PA. The compilation of Buddhist dictionary. 34th ed. Bangkok: The Foundation of Peace Education: Venerable Prayudh Payutto; 2016.
The Free Encyclopedia. Sati [Internet]. 2020 [cited 2022 May 21]. Available from: https://th.wikipedia.org/wiki/%E0%B8%AA%E0%B8%95%E0%B8%B4
Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Worcester: University of Massachusetts Medical Center/Worcester; 1990.
Kabat-Zinn J. Mindfulness. Mindfulness. 2015;6(6):1481-3. doi:10.1007/s12671-015-0456-x.
Segal, ZV, Williams, JM G, Teasdale JD. Mindfulness-based cognitive therapy for depression. New York: The Guilford Press; 2002.
Segal ZV, Williams JM G, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press; 2003.
Tao S, Geng Y, Li M, Ye J, Liu Z. Effectiveness of mindfulness-based stress reduction and mindfulness-based cognitive therapy on depression in poststroke patients systematic review and meta-analysis of randomized controlled trials. J Psychosom Res. 2022;163:111071. doi:10.1016/j.jpsychores.2022.111071.
Tadi P, Lui F, Budd LA. Acute stroke (nursing). In: StatPearls. Treasure Island: StatPearls Publishing; 2024.
Peters MD, Godfrey CM, McInerney P, Soares CB, Khalil H, Parker D. The Joanna Briggs Institute reviewers' manual 2015: methodology for JBI scoping reviews. Adelaide: The Joanna Briggs Institute; 2015.
Joanna Briggs Institute [JBI]. JBI critical appraisal tools [Internet]. 2020 [cited 2022 Dec 22]. Available from: https://jbi.global/critical-appraisal-tools
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. doi:10.7326/M18-0850.
Baylan S, Haig C, MacDonald M, Stiles C, Easto J, Thomson M, et al. Measuring the effects of listening for leisure on outcome after stroke (MELLO): a pilot randomized controlled trial of mindful music listening. Int J Stroke. 2020;15(2):149-58. doi:10.1177/1747493019841250.
Bannon S, Lester EG, Gates MV, McCurley J, Lin A, Rosand J, et al. Recovering together: building resiliency in dyads of stroke patients and their caregivers at risk for chronic emotional distress; a feasibility study. Pilot Feasibility Stud. 2020;6:75. doi:10.1186/s40814-020-00615-z.
Baldo JV, Schendel K, Lwi SJ, Herron TJ, Dempsey DG, Muir J, et al. Mindfulness-based stress reduction intervention in chronic stroke: a randomized, controlled pilot study. Mindfulness. 2021;12:2908-19. doi:10.1007/s12671-021-01751-0.
Hofer H, Holtforth MG, Lüthy F, Frischknecht E, Znoj H, Müri RM. The potential of a mindfulness-enhanced, integrative neuro-psychotherapy program for treating fatigue following stroke: a preliminary study. Mindfulness. 2014;5(2):192-9. doi:10.1007/s12671-012-0167-5.
Johansson B, Bjuhr H, Karlsson M, Karlsson JO, Rönnbäck L. Mindfulness-based stress reduction (MBSR) delivered live on the internet to individuals suffering from mental fatigue after an acquired brain injury. Mindfulness. 2015;6:1356-65. doi:10.1007/s12671-015-0406-7.
Johansson B, Bjuhr H, Rönnbäck L. Evaluation of an advanced mindfulness program following a mindfulness-based stress reduction program for participants suffering from mental fatigue after acquired brain injury. Mindfulness. 2015;6:227-33. doi:10.1007/s12671-013-0249-z.
Merriman J, Walker-Bircham S, Easton SA, Maddicks R. The development of a mindfulness group for stroke patients: a pilot study. Clinical Psychology Forum. 2015;267:26-30.
Wang X, Smith C, Ashley L, Hyland ME. Tailoring self-help mindfulness and relaxation techniques for stroke survivors: examining preferences, feasibility and acceptability. Front Psychol. 2019;10:391. doi:10.3389/fpsyg.2019.00391.
Wang M, Liao W, Chen X. Effects of a short-term mindfulness-based intervention on comfort of stroke survivors undergoing inpatient rehabilitation. Rehabil Nurs. 2019;44(2):78-86. doi:10.1097/rnj.0000000000000098.
Wang X, Li J, Wang C, Lv J. The effects of mindfulness-based intervention on quality of life and poststroke depression in patients with spontaneous intracerebral hemorrhage in China. Int J Geriatr Psychiatry. 2020;35(5):572-80. doi:10.1002/gps.5273.
Love MF, Sharrief A, LoBiondo-Wood G, Cron SG, Sanner Beauchamp JE. The effects of meditation, race, and anxiety on stroke survivor resilience. J Neurosci Nurs. 2020;52(3):96-102. doi:10.1097/JNN.0000000000000509.
Wathugala M, Saldana D, Juliano JM, Chan J, Liew SL. Mindfulness meditation effects on poststroke spasticity: a feasibility study. J Evid Based Integr Med. 2019;24:2515690X19855941. doi:10.1177/2515690X19855941.
Marshall RS, Laures-Gore J, Love K. Brief mindfulness meditation group training in aphasia: exploring attention, language and psychophysiological outcomes. Int J Lang Commun Disord. 2018;53(1):40-54. doi:10.1111/1460-6984.12325.
Wrapson W, Dorrestein M, Wrapson J, Theadom A, Kayes NM, Snell DL, et al. A feasibility study of a one-to-one mindfulness-based intervention for improving mood in stroke survivors. Mindfulness. 2021;12:1148-58. doi:10.1007/s12671-020-01583-4.
Chemerinski E, Robinson RG. The neuropsychiatry of stroke. Psychosomatics. 2000;41(1):5-14. doi:10.1016/S0033-3182(00)71168-6.
Duncan F, Wu S, Mead GE. Frequency and natural history of fatigue after stroke: a systematic review of longitudinal studies. J Psychosom Res. 2012;73(1):18-27. doi:10.1016/j.jpsychores.2012.04.001.
Naess H, Lunde L, Brogger J. The effects of fatigue, pain, and depression on quality of life in ischemic stroke patients: the Bergen Stroke Study. Vasc Health Risk Manag. 2012;8:407–13. doi:10.2147/VHRM.S32780.
Anheyer D, Haller H, Barth J, Lauche R, Dobos G, Cramer H. Mindfulness-based stress reduction for treating low back pain: a systematic review and meta-analysis. Ann Intern Med. 2017;166(11):799-807. doi:10.7326/M16-1997.
Feng B, Hu X, Lu WW, Wang Y, Ip WY. Are mindfulness treatments effective for pain in cancer patients? a systematic review and meta-analysis. Eur J Pain. 2022;26(1):61-76. doi:10.1002/ejp.1849.
Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, et al. Mindfulness meditation for chronic pain: systematic review and meta-analysis. Ann Behav Med. 2017;51(2):199-213. doi:10.1007/s12160-016-9844-2.
Castelnuovo G, Giusti EM, Manzoni GM, Saviola D, Gatti A, Gabrielli S, et al. Psychological treatments and psychotherapies in the neurorehabilitation of pain: evidences and recommendations from the italian consensus conference on pain in neurorehabilitation. Front Psychol. 2016;7:115. doi:10.3389/fpsyg.2016.00115.
Medina AM, Mead JS. An exploration of mindfulness in speech-language pathology. Commun Disord Q. 2021;42(4):257-65. doi:10.1177/1525740120942141.
Ryan BJ, Clunne SM, Baker CJ, Shiggins C, Rose ML, Kneebone II. A systematic review of non-drug interventions to prevent and treat anxiety in people with aphasia after stroke. Disabil Rehabil. 2022;44(18):4997-5006. doi:10.1080/09638288.2021.1925752.
Gill LN, Renault R, Campbell E, Rainville P, Khoury B. Mindfulness induction and cognition: a systematic review and meta-analysis. Conscious Cogn. 2020;84:102991. doi:10.1016/j.concog.2020.102991.
Millett G, D'Amico D, Amestoy ME, Gryspeerdt C, Fiocco AJ. Do group-based mindfulness meditation programs enhance executive functioning? a systematic review and meta-analysis of the evidence. Conscious Cogn. 2021;95:103195. doi:10.1016/j.concog.2021.103195.
Youngs MA, Lee SE, Mireku MO, Sharma D, Kramer RSS. Mindfulness meditation improves visual short-term memory. Psychol Rep. 2021;124(4):1673-86. doi:10.1177/0033294120926670.
Zou Y, Li P, Hofmann SG, Liu X. The mediating role of non-reactivity to mindfulness training and cognitive flexibility: a randomized controlled trial. Front Psychol. 2020;11:1053. doi:10.3389/fpsyg.2020.01053.
Witarto BS, Visuddho V, Witarto AP, Bestari D, Sawitri B, Melapi TAS, et al. Effectiveness of online mindfulness-based interventions in improving mental health during the COVID-19 pandemic: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2022;17(9):e0274177. doi:10.1371/journal.pone.0274177.
Spruill TM, Reynolds HR, Dickson VV, Shallcross AJ, Visvanathan PD, Park C, et al. Telephone-based mindfulness training to reduce stress in women with myocardial infarction: rationale and design of a multicenter randomized controlled trial. Am Heart J. 2018;202:61-7. doi:10.1016/j.ahj.2018.03.028.
Dragomanovich HM, Dhruva A, Ekman E, Schoenbeck KL, Kubo A, Van Blarigan EL, et al. Being Present 2.0: online mindfulness-based program for metastatic gastrointestinal cancer patients and caregivers. Glob Adv Health Med. 2021;10:21649561211044693. doi:10.1177/21649561211044693.
Gray LA. Living the Full Catastrophe: a mindfulness-based program to support recovery from stroke. Healthcare (Basel). 2020;8(4):498. doi:10.3390/healthcare8040498.
McCurley JL, Funes CJ, Zale EL, Lin A, Jacobo M, Jacobs JM, et al. Preventing chronic emotional distress in stroke survivors and their informal caregivers. Neurocrit Care. 2019;30(3):581-9. doi:10.1007/s12028-018-0641-6.
Saban KL, Tell D, De La Pena P. Nursing Implications of Mindfulness-Informed Interventions for stroke survivors and their families. Stroke. 2022;53(11):3485-93. doi:10.1161/STROKEAHA.122.038457.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal of Mental Health of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
- Authorization to photocopy items for internal or personal use of specific clients, is granted. The consent does not extend to other kinds of copying, such as for general distribution, for advertising, or for resale.
- Unless otherwise states, the views and opinion expressed in Journal of Mental Health of Thailand are those of authors of the papers, and do not represent those of the editorial board or the Department of Mental Health.
