Patient Perspectives on Mindfulness-Based Interventions During Hospitalization for Acute Exacerbations of Chronic Obstructive Pulmonary Disease: An Exploratory Interview Study

Hannah Tschenett; Georg-Christian Funk; Florian Vafai-Tabrizi; Urs M. Nater

doi:10.1007/s12671-024-02387-6

Titel

Patient Perspectives on Mindfulness-Based Interventions During Hospitalization for Acute Exacerbations of Chronic Obstructive Pulmonary Disease: An Exploratory Interview Study

Autor*in

Hannah Tschenett

Institut für Klinische und Gesundheitspsychologie, Fakultät für Psychologie, Universität Wien

Georg-Christian Funk

Karl Landsteiner Institute for Lung Research and Pulmonary Oncology

Florian Vafai-Tabrizi

Karl Landsteiner Institute for Lung Research and Pulmonary Oncology

... show all

Abstract

Purpose: Patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) suffer not only from somatic symptoms but also from symptoms of anxiety, depression, and stress. Mindfulness-based interventions (MBIs) have been shown to effectively reduce these symptoms in other conditions. In patients with AECOPD, MBIs are under-researched. The present study explored whether patients hospitalized for AECOPD perceive MBIs as appropriate and feasible, and how MBIs might be implemented and adapted for this patient group. Method: In an exploratory qualitative study, one-time semi-structured interviews were conducted with 20 patients hospitalized for AECOPD (65% women; Mage=70.85 years, SD=7.53). Data were analyzed using reflexive thematic analysis and a codebook approach. Results: Most patients were interested in add-on treatment options such as MBIs and considered them as potentially beneficial (65%). Patients’ understanding of mindfulness varied and was difficult to separate from other mind-body practices (e.g., autogenic training). Previous experiences with mind-body practices and expectations regarding the effectiveness of MBIs influenced patients’ interest in MBIs. Context factors (e.g., short exercises) were more important than content factors (e.g., type of exercise). General barriers (e.g., scheduling issues) and COPD-related limitations (e.g., decreased mobility) hindered the self-administration of MBIs. Conclusions: Most patients hospitalized for AECOPD interviewed in this study were interested in MBIs and rated them as potentially helpful and feasible to incorporate in health care settings and everyday life. Future studies investigating MBIs in COPD are needed and should carefully consider patients’ perspectives, addressing context factors (e.g., timing, exercise length), patients’ needs, and COPD-related limitations. Preregistration: This study is not preregistered.

Stichwort

AECOPDCOPDExacerbationsMindfulnessThematic Analysis

Objekt-Typ

journal article

Sprache

Englisch [eng]

Persistent identifier

phaidra.univie.ac.at/o:2086401

DOI

10.1007/s12671-024-02387-6

Erschienen in

Titel