TY - JOUR
T1 - Effectiveness of a mindfulness intervention for older adults to improve emotional well-being and cognitive function in a Chinese population
T2 - A randomized waitlist-controlled trial
AU - Lee, Eric Kam Pui
AU - Wong, Bel
AU - Chan, Peter Hoi Shing
AU - Zhang, Daisy Dexing
AU - Sun, Wen
AU - Chan, Dicken Cheong Chun
AU - Gao, Ting
AU - Ho, Florence
AU - Kwok, Timothy Chi Yui
AU - Wong, Samuel Yeung Shan
N1 - Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2022/1
Y1 - 2022/1
N2 - Background: To investigate the effect of a modified mindfulness-based stress reduction (mMBSR) program on mental well-being and cognitive function of older adults. Method: Two hundred and fourty-six participants were randomly assigned to mMBSR (n = 120) group or waitlist control group which received mMBSR at 2-month (n = 123). Data collected at baseline, 2 and 4 months after recruitment. Primary outcome: mental well-being: Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS). Secondary outcomes: Five Facet Mindfulness Questionnaire Short Form, Montreal Cognitive Assessment (MOCA), Verbal Fluency Test (VFT), international shopping list test, self-compassion scale, peace of mind scale, geriatric depression scale (GDS), and Pittsburgh sleep quality index (PSQI). In modified-intention-to-treat analysis, paired t-test for within group comparison, and ANCOVA to compare group differences at 2-months with adjustment of baseline values. Results: Most participants were female (83.7%), living with others (67.0%), and married (50.7%). No significant difference of baseline characteristics except sleep quality. At 2 months, intervention group reported better mental well-being (0.9, 95%CI: 0.1–1.8, p = 0.025) and less depressive symptoms (−1.0; 95%CI: −1.7 to −0.3, p = 0.004). Within group at 2 months, intervention group had improvement in: mental well-being (SWEMWBS: 22.5–23.4, p = 0.011), cognitive function (MOCA: 24.6–25.8, p < 0.001; VFT: 38.7–42.1, p < 0.001), depressive symptoms (GDS: 4.1–3.1, p < 0.001), and sleep quality (PSQI: 8.3–6.7, p < 0.001). All these changes, except mental well-being, were sustained at 4 months. Discussion: Attrition rate was 14% and mindfulness intervention was found to be feasible and acceptable in older adults. Major limitation of the study was the absence of an active control group to control for non-specific effect.
AB - Background: To investigate the effect of a modified mindfulness-based stress reduction (mMBSR) program on mental well-being and cognitive function of older adults. Method: Two hundred and fourty-six participants were randomly assigned to mMBSR (n = 120) group or waitlist control group which received mMBSR at 2-month (n = 123). Data collected at baseline, 2 and 4 months after recruitment. Primary outcome: mental well-being: Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS). Secondary outcomes: Five Facet Mindfulness Questionnaire Short Form, Montreal Cognitive Assessment (MOCA), Verbal Fluency Test (VFT), international shopping list test, self-compassion scale, peace of mind scale, geriatric depression scale (GDS), and Pittsburgh sleep quality index (PSQI). In modified-intention-to-treat analysis, paired t-test for within group comparison, and ANCOVA to compare group differences at 2-months with adjustment of baseline values. Results: Most participants were female (83.7%), living with others (67.0%), and married (50.7%). No significant difference of baseline characteristics except sleep quality. At 2 months, intervention group reported better mental well-being (0.9, 95%CI: 0.1–1.8, p = 0.025) and less depressive symptoms (−1.0; 95%CI: −1.7 to −0.3, p = 0.004). Within group at 2 months, intervention group had improvement in: mental well-being (SWEMWBS: 22.5–23.4, p = 0.011), cognitive function (MOCA: 24.6–25.8, p < 0.001; VFT: 38.7–42.1, p < 0.001), depressive symptoms (GDS: 4.1–3.1, p < 0.001), and sleep quality (PSQI: 8.3–6.7, p < 0.001). All these changes, except mental well-being, were sustained at 4 months. Discussion: Attrition rate was 14% and mindfulness intervention was found to be feasible and acceptable in older adults. Major limitation of the study was the absence of an active control group to control for non-specific effect.
UR - http://www.scopus.com/inward/record.url?scp=85113687494&partnerID=8YFLogxK
U2 - 10.1002/gps.5616
DO - 10.1002/gps.5616
M3 - Journal article
C2 - 34415638
AN - SCOPUS:85113687494
SN - 0885-6230
VL - 37
JO - International Journal of Geriatric Psychiatry
JF - International Journal of Geriatric Psychiatry
IS - 1
M1 - GPS5616
ER -