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. 2014 Mar 24;16(3):e87.
doi: 10.2196/jmir.3129.

Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study

Jennifer M Boggs  1 , Arne Beck, Jennifer N Felder, Sona Dimidjian, Christina A Metcalf, Zindel V Segal
Affiliations

Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study

Jennifer M Boggs et al. J Med Internet Res. .

Abstract

Background: Mindful Mood Balance (MMB) is a Web-based intervention designed to treat residual depressive symptoms and prevent relapse. MMB was designed to deliver the core concepts of mindfulness-based cognitive therapy (MBCT), a group treatment, which, despite its strong evidence base, faces a number of dissemination challenges.

Objective: The present study is a qualitative investigation of participants' experiences with MMB.

Methods: Qualitative content analysis was conducted via 38 exit interviews with MMB participants. Study inclusion required a current PHQ-9 (Patient Health Questionnaire) score ≤12 and lifetime history ≥1 major depressive episode. Feedback was obtained on specific website components, program content, and administration as well as skills learned.

Results: Codes were assigned to interview responses and organized into four main themes: MBCT Web content, MBCT Web-based group process, home practice, and evidence of concept comprehension. Within these four areas, participants highlighted the advantages and obstacles of translating and delivering MBCT in a Web-based format. Adding increased support was suggested for troubleshooting session content as well as managing time challenges for completing home mindfulness practice. Participants endorsed developing affect regulation skills and identified several advantages to Web-based delivery including flexibility, reduced cost, and time commitment.

Conclusions: These findings support the viability of providing MBCT online and are consistent with prior qualitative accounts derived from in-person MBCT groups. While there is certainly room for innovation in the domains of program support and engagement, the high levels of participant satisfaction indicated that MMB can significantly increase access to evidence-based psychological treatments for sub-threshold symptoms of unipolar affective disorder.

Keywords: Internet-based depression; Web-based depression; depression relapse prevention; mindfulness-based cognitive therapy; online depression; online psychological treatment; qualitative methods; residual depression symptoms.

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Conflict of interest statement

Conflicts of Interest: Mindful Mood Balance is being developed for commercialization by MindfulNoggin as a therapist training tool. While at the time of publication no formal agreements are in place, ZS and SD may receive royalties or other compensation in the future.

Figures

Figure 1
Figure 1
Mindful Mood Balance home page.
Figure 2
Figure 2
Three-minute coping breathing space completed during an MMB session with audio download available.
Figure 3
Figure 3
Interactive exercises - Thoughts are not facts.
Figure 4
Figure 4
Video clips of MBCT group discussing the body scan and pertinent questions from community on this topic.
See this image and copyright information in PMC

References

    1. Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000 Aug;68(4):615–23. - PubMed
    1. Ma SH, Teasdale JD. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol. 2004 Feb;72(1):31–40. doi: 10.1037/0022-006X.72.1.31. - DOI - PubMed
    1. Kabat-Zinn J, Williams M, Teasdale J, Zindel S. The mindful way through depression: freeing yourself from chronic unhappiness. New York: Sounds True, Incorporated; 2007.
    1. Piet J, Hougaard E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clin Psychol Rev. 2011 Aug;31(6):1032–40. doi: 10.1016/j.cpr.2011.05.002. - DOI - PubMed
    1. Wang PS, Simon G, Kessler RC. The economic burden of depression and the cost-effectiveness of treatment. Int J Methods Psychiatr Res. 2003;12(1):22–33. - PMC - PubMed

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