Nurse-Led, Digitally Supported Mindfulness-Based Stress Reduction for Early Postmenopausal Women: Protocol for a Randomized Waitlist-Controlled Trial.

A nurse-led, digitally supported Mindfulness-Based Stress Reduction (MBSR) program is being tested for feasibility and acceptability in early postmenopausal women. The community-based randomized waitlist-controlled trial will recruit 128 women from rural and urban areas. The eight-week intervention includes mindfulness meditation, mindful breathing, gentle yoga, and attention-based practices delivered digitally, with supervised daily practice. Menopause-related quality of life is the primary outcome; secondary outcomes include mindfulness, sexual function, and program acceptability. The study aims to provide evidence supporting holistic, nonpharmacological care for early postmenopausal women in community settings.

Study at a glance

Abstract

Early postmenopause is characterized by persistent menopausal symptoms that may impair quality of life. Globally, early postmenopausal care is constrained by sociocultural barriers and limited availability of nurse-led, nonpharmacological services. Mindfulness-Based Stress Reduction (MBSR), aligned with holistic nursing philosophy, lacks evidence in culturally adapted, nurse-led, digitally supported formats for early postmenopausal women. To evaluate the feasibility and acceptability of a nurse-led digitally supported MBSR program for early postmenopausal women on quality of life and holistic health indicators. A total of 128 early postmenopausal women from both rural and urban areas will be recruited for this community-based randomized waitlist-controlled trial. After screening and informed consent, participants will be randomized to an eight-week nurse-led MBSR intervention or a waitlist control group receiving routine care. The digitally delivered intervention includes mindfulness meditation, mindful breathing, gentle yoga, attention-based practices, and supervised daily practice. Menopause-related quality of life measured by the Menopause-Specific Quality of Life Questionnaire is the primary outcome; secondary outcomes include mindfulness, sexual function, and program acceptability. Assessments will occur at baseline and post-intervention, with weekly MENQOL tracking. This study is expected to provide evidence supporting feasible, holistic, nurse-led, nonpharmacological care for early postmenopausal women in the community settings.