Schoultz, M 
ORCID: https://orcid.org/0000-0003-3780-8110, Macaden, L and Hubbard, G
2016,
'Participants’ perspectives on mindfulnessbased
cognitive therapy for inflammatory
bowel disease: a qualitative study nested
within a pilot randomised controlled trial'
, Pilot and Feasibility Studies, 2 (3)
.
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Abstract
Background: Mindfulness-based interventions have shown to improve depression and anxiety symptoms as well as
quality of life in patients with inflammatory bowel disease (IBD). However, little is known about the experiences of
this group of patients participating in mindfulness interventions. This paper sets out to explore the perspectives of
patients with IBD recruited to a pilot randomised controlled trial (RCT) of mindfulness-based cognitive therapy
(MBCT) about the intervention.
Methods: In a qualitative study nested within a parallel two-arm pilot RCT of mindfulness-based cognitive therapy
for patients with IBD, two focus group interviews (using the same schedule) and a free text postal survey were
conducted. Data from both were analysed using thematic analysis. Data and investigator triangulation was
performed to enhance confidence in the ensuing findings.
Forty-four patients with IBD were recruited to the pilot RCT from gastroenterology outpatient clinics from two
Scottish NHS boards. Eighteen of these patients (ten from mindfulness intervention and eight from control group)
also completed a postal survey and participated in two focus groups after completing post intervention
assessments.
Results: The major themes that emerged from the data were the following: perceived benefits of MBCT for IBD,
barriers to attending MBCT and expectations about MBCT. Participants identified MBCT as a therapeutic, educational
and an inclusive process as key benefits of the intervention. Key barriers included time and travel constraints.
Conclusions: This qualitative study has demonstrated the acceptability of MBCT in a group of patients with IBD.
Participants saw MBCT as a therapeutic and educational initiative that transformed their relationship with the illness.
The inclusive process and shared experience of MBCT alleviated the sense of social isolation commonly associated
with IBD. However, time commitment and travel were recognised as a barrier to MBCT which could potentially
influence the degree of therapeutic gain from MBCT for some participants.
Keywords: Inflammatory bowel disease, Mindfulness, MBCT, Focus groups, Qualitative study
| Item Type: | Article |
|---|---|
| Schools: | Schools > School of Health and Society |
| Journal or Publication Title: | Pilot and Feasibility Studies |
| Publisher: | BioMed Central |
| ISSN: | 2055-5784 |
| Related URLs: | |
| Funders: | Crohns and Colitis UK, R&D NHS Highland, University of Stirling |
| Depositing User: | Dr Mariyana Schoultz |
| Date Deposited: | 25 Apr 2018 10:09 |
| Last Modified: | 27 May 2020 09:15 |
| URI: | http://usir.salford.ac.uk/id/eprint/46834 |
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