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.