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Development, implementation, and acceptability of a bedside mindfulness intervention for adults with sickle cell disease.

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Τίτλος: Development, implementation, and acceptability of a bedside mindfulness intervention for adults with sickle cell disease.
Συγγραφείς: Pavlacic JM; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Meredith LR; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Boylan AM; Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, SC, USA., Kilpatrick RL; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Abrams CM; Department of Pediatrics, Division of Hematology/Oncology, Medical University of South Carolina, Charleston, SC, USA., Rheingold AA; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Πηγή: Psychology, health & medicine [Psychol Health Med] 2025 Jan; Vol. 30 (1), pp. 108-118. Date of Electronic Publication: 2024 Oct 10.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Routledge Country of Publication: England NLM ID: 9604099 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3966 (Electronic) Linking ISSN: 13548506 NLM ISO Abbreviation: Psychol Health Med Subsets: MEDLINE
Imprint Name(s): Publication: Abingdon, Oxon : Routledge
Original Publication: Abingdon, Oxfordshire, UK ; Cambridge, MA : Carfax, c1996-
Ιατρικοί όροι (MeSH): Mindfulness*/methods , Anemia, Sickle Cell*/therapy , Anemia, Sickle Cell*/psychology , Anemia, Sickle Cell*/complications , Pain Management*/methods, Chronic Pain/therapy ; Chronic Pain/psychology ; Patient Acceptance of Health Care/psychology ; Humans ; Adult ; Female ; Male ; Middle Aged ; Self Efficacy ; Young Adult
Περίληψη: Acute and chronic pain are the most frequent complications of sickle cell disease (SCD), often severely reducing quality of life and requiring management with long-term pharmacological interventions. A biopsychosocial approach conceptualizing pain in SCD as the result of complex biological, psychological, and social factors could facilitate targeted behavioral interventions. Mindfulness is one procedure for management of pain in individuals with chronic pain/illness. The goal of the current project was to design and implement a bedside mindfulness intervention to help patients with SCD enhance self-efficacy of pain management and reduce distress. As part of a quality improvement project in SCD clinics in a large health system, we developed a bedside mindfulness intervention to be provided during infusion sessions for patients presenting for acute vaso-occlusive episodes (VOE). The approach to development and implementation involved engagement of professionals working directly with patients. Concept planning meetings with these professionals along with qualitative patient and provider feedback informed feasibility, design, and intervention application. During a quantitative phase, patients completed validated surveys items on acceptability. Interview data (N = 11) supported patient interest in mindfulness skills and highlighted a need for tailored, person-centered interventions and non-pharmacological treatment strategies. On quantitative items, participants (N = 14) liked the intervention and agreed mindfulness skills would help manage disease-related distress. Following the interventions, participants reported increased mindfulness (p = .005). While preliminary, these results provide support for the continued development of evidence-based, mindfulness-oriented services to help individuals with SCD manage pain and other psychological difficulties.
Contributed Indexing: Keywords: Sickle cell disease; health care; mindfulness
Entry Date(s): Date Created: 20241010 Date Completed: 20241225 Latest Revision: 20241225
Update Code: 20260130
DOI: 10.1080/13548506.2024.2411637
PMID: 39387824
Βάση Δεδομένων: MEDLINE
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  Data: Development, implementation, and acceptability of a bedside mindfulness intervention for adults with sickle cell disease.
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  Data: <searchLink fieldCode="AU" term="%22Pavlacic+JM%22">Pavlacic JM</searchLink>; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.<br /><searchLink fieldCode="AU" term="%22Meredith+LR%22">Meredith LR</searchLink>; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.<br /><searchLink fieldCode="AU" term="%22Boylan+AM%22">Boylan AM</searchLink>; Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, SC, USA.<br /><searchLink fieldCode="AU" term="%22Kilpatrick+RL%22">Kilpatrick RL</searchLink>; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.<br /><searchLink fieldCode="AU" term="%22Abrams+CM%22">Abrams CM</searchLink>; Department of Pediatrics, Division of Hematology/Oncology, Medical University of South Carolina, Charleston, SC, USA.<br /><searchLink fieldCode="AU" term="%22Rheingold+AA%22">Rheingold AA</searchLink>; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
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  Data: <searchLink fieldCode="JN" term="%229604099%22">Psychology, health & medicine</searchLink> [Psychol Health Med] 2025 Jan; Vol. 30 (1), pp. 108-118. <i>Date of Electronic Publication: </i>2024 Oct 10.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Routledge%22">Routledge </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>9604099 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1465-3966 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2213548506%22">13548506 </searchLink><i>NLM ISO Abbreviation: </i>Psychol Health Med <i>Subsets: </i>MEDLINE
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  Data: <searchLink fieldCode="MM" term="%22Mindfulness%22">Mindfulness*</searchLink>/<searchLink fieldCode="MM" term="%22Mindfulness+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Anemia%2C+Sickle+Cell%22">Anemia, Sickle Cell*</searchLink>/<searchLink fieldCode="MM" term="%22Anemia%2C+Sickle+Cell+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Anemia%2C+Sickle+Cell%22">Anemia, Sickle Cell*</searchLink>/<searchLink fieldCode="MM" term="%22Anemia%2C+Sickle+Cell+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Anemia%2C+Sickle+Cell%22">Anemia, Sickle Cell*</searchLink>/<searchLink fieldCode="MM" term="%22Anemia%2C+Sickle+Cell+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Pain+Management%22">Pain Management*</searchLink>/<searchLink fieldCode="MM" term="%22Pain+Management+methods%22">methods</searchLink><br /><searchLink fieldCode="MH" term="%22Chronic+Pain%22">Chronic Pain</searchLink>/<searchLink fieldCode="MH" term="%22Chronic+Pain+therapy%22">therapy</searchLink> ; <searchLink fieldCode="MH" term="%22Chronic+Pain%22">Chronic Pain</searchLink>/<searchLink fieldCode="MH" term="%22Chronic+Pain+psychology%22">psychology</searchLink> ; <searchLink fieldCode="MH" term="%22Patient+Acceptance+of+Health+Care%22">Patient Acceptance of Health Care</searchLink>/<searchLink fieldCode="MH" term="%22Patient+Acceptance+of+Health+Care+psychology%22">psychology</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Self+Efficacy%22">Self Efficacy</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink>
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  Data: Acute and chronic pain are the most frequent complications of sickle cell disease (SCD), often severely reducing quality of life and requiring management with long-term pharmacological interventions. A biopsychosocial approach conceptualizing pain in SCD as the result of complex biological, psychological, and social factors could facilitate targeted behavioral interventions. Mindfulness is one procedure for management of pain in individuals with chronic pain/illness. The goal of the current project was to design and implement a bedside mindfulness intervention to help patients with SCD enhance self-efficacy of pain management and reduce distress. As part of a quality improvement project in SCD clinics in a large health system, we developed a bedside mindfulness intervention to be provided during infusion sessions for patients presenting for acute vaso-occlusive episodes (VOE). The approach to development and implementation involved engagement of professionals working directly with patients. Concept planning meetings with these professionals along with qualitative patient and provider feedback informed feasibility, design, and intervention application. During a quantitative phase, patients completed validated surveys items on acceptability. Interview data (N = 11) supported patient interest in mindfulness skills and highlighted a need for tailored, person-centered interventions and non-pharmacological treatment strategies. On quantitative items, participants (N = 14) liked the intervention and agreed mindfulness skills would help manage disease-related distress. Following the interventions, participants reported increased mindfulness (p = .005). While preliminary, these results provide support for the continued development of evidence-based, mindfulness-oriented services to help individuals with SCD manage pain and other psychological difficulties.
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        Text: English
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        StartPage: 108
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      – SubjectFull: Chronic Pain therapy
        Type: general
      – SubjectFull: Chronic Pain psychology
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