Tina M Gremore - Mindscape Collective

Tina M Gremore

Division of Pulmonary and Critical Care Medicine (C. E. C.), the Program to Support People and Enhance Recovery (ProSPER) (C. E. C.), and the Department of Biostatistics and Bioinformatics (J. A. G. and M. K. O.), Duke University, Durham, NC; the Center of Innovation (M. K. O.), Durham Veterans Affairs Medical Center, Veterans Administration, Durham, NC; the Department of Psychology (L. S. P. and T. M. G.), Duke University, Durham, NC; the Department of Medicine (T. J. I.), Johns Hopkins University, Baltimore, MD; the Department of Medicine (E. S. C. and C. L. H.), Oregon Health & Science University, Portland, OR; the Department of Psychology (J. M. G.), Rowan University, Glassboro, NJ; and the Department of Medicine (M. M.), University of Colorado, Denver, CO.

Papers

Mobile App-Based Mindfulness Intervention for Addressing Psychological Distress Among Survivors of Hospitalization for COVID-19 Infection.

CHEST critical care June 1, 2024 Christopher E Cox, John A Gallis, Maren K Olsen et al. 3 citations

Among survivors of COVID-19 hospitalization with elevated depression symptoms, a self-directed mobile app mindfulness intervention showed no benefit over usual care and had poor adherence. In a randomized trial at 29 US sites, 56 participants were assigned to a four-week app program or control. At three months, depression scores improved similarly in both groups (intervention -0.5 vs control +0.1), with no meaningful differences in anxiety or quality of life; six-month results were comparable. Only about half of intervention participants started the program, and adherence was low. Regulatory delays added nearly a year before the trial could launch. The findings suggest that future large-scale psychological distress interventions should prioritize patient engagement and streamlined regulatory processes.

DOI: 10.1016/j.chstcc.2024.100063 Full text Covid-19 Critical illness Mobile app Psychological distress