Marc Moss

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.

2 papers in the library · 25 citations · publishing 2024

Papers

Mobile Mindfulness Intervention for Psychological Distress Among Intensive Care Unit Survivors: A Randomized Clinical Trial.

JAMA internal medicine July 1, 2024 Christopher E Cox, John A Gallis, Maren K Olsen et al. 22 citations

Among survivors of critical illness with elevated depression symptoms, a mindfulness intervention delivered via a mobile app was tested to find the best way to deliver it. In a randomized trial with 247 participants, those who meditated twice daily had lower depression scores at one month (by 1.2 points on a 27-point scale) and at three months (by 1.5 points) compared to those who meditated once daily. The method of introducing the intervention (app vs. therapist call) and how increasing symptoms were managed (app vs. therapist call) did not affect depression scores. Adherence was high, with 87.9% still using the intervention at the end. The optimal version combined an app-based introduction, twice-daily guided meditation, and app-based symptom management.

DOI: 10.1001/jamainternmed.2024.0823 Full text

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