Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study

BackgroundStress and anxiety during pregnancy are extremely prevalent and are associated with numerous poor outcomes, among the most serious of which are increased rates of preterm birth and low birth weight infants. Research supports that while in-person mindfulness training...

Full description

Bibliographic Details
Main Authors: Donna Balsam, Dawn T Bounds, Amir M Rahmani, Adeline Nyamathi
Format: Article
Language:English
Published: JMIR Publications 2023-12-01
Series:JMIR Pediatrics and Parenting
Online Access:https://pediatrics.jmir.org/2023/1/e53933
_version_ 1797376459957862400
author Donna Balsam
Dawn T Bounds
Amir M Rahmani
Adeline Nyamathi
author_facet Donna Balsam
Dawn T Bounds
Amir M Rahmani
Adeline Nyamathi
author_sort Donna Balsam
collection DOAJ
description BackgroundStress and anxiety during pregnancy are extremely prevalent and are associated with numerous poor outcomes, among the most serious of which are increased rates of preterm birth and low birth weight infants. Research supports that while in-person mindfulness training is effective in reducing pregnancy stress and anxiety, there are barriers limiting accessibility. ObjectiveThe aim of this paper is to determine if mindfulness meditation training with the Headspace app is effective for stress and anxiety reduction during pregnancy. MethodsA longitudinal, single-arm trial was implemented with 20 pregnant women who were instructed to practice meditation via the Headspace app twice per day during the month-long trial. Validated scales were used to measure participant’s levels of stress and anxiety pre- and postintervention. Physiological measures reflective of stress (heart rate variability and sleep) were collected via the Oura Ring. ResultsStatistically significant reductions were found in self-reported levels of stress (P=.005), anxiety (P=.01), and pregnancy anxiety (P<.0001). Hierarchical linear modeling revealed a statistically significant reduction in the physiological data reflective of stress in 1 of 6 heart rate variability metrics, the low-frequency power band, which decreased by 13% (P=.006). A total of 65% of study participants (n=13) reported their sleep improved during the trial, and 95% (n=19) stated that learning mindfulness helped with other aspects of their lives. Participant retention was 100%, with 65% of participants (n=13) completing about two-thirds of the intervention, and 50% of participants (n=10) completing ≥95%. ConclusionsThis study found evidence to support the Headspace app as an effective intervention to aid in stress and anxiety reduction during pregnancy.
first_indexed 2024-03-08T19:38:59Z
format Article
id doaj.art-f8dfe9baf23c4ac09c37117a31a1f8cb
institution Directory Open Access Journal
issn 2561-6722
language English
last_indexed 2024-03-08T19:38:59Z
publishDate 2023-12-01
publisher JMIR Publications
record_format Article
series JMIR Pediatrics and Parenting
spelling doaj.art-f8dfe9baf23c4ac09c37117a31a1f8cb2023-12-25T14:46:15ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222023-12-016e5393310.2196/53933Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal StudyDonna Balsamhttps://orcid.org/0009-0009-1454-5179Dawn T Boundshttps://orcid.org/0000-0002-4116-0217Amir M Rahmanihttps://orcid.org/0000-0003-0725-1155Adeline Nyamathihttps://orcid.org/0000-0003-4979-6620 BackgroundStress and anxiety during pregnancy are extremely prevalent and are associated with numerous poor outcomes, among the most serious of which are increased rates of preterm birth and low birth weight infants. Research supports that while in-person mindfulness training is effective in reducing pregnancy stress and anxiety, there are barriers limiting accessibility. ObjectiveThe aim of this paper is to determine if mindfulness meditation training with the Headspace app is effective for stress and anxiety reduction during pregnancy. MethodsA longitudinal, single-arm trial was implemented with 20 pregnant women who were instructed to practice meditation via the Headspace app twice per day during the month-long trial. Validated scales were used to measure participant’s levels of stress and anxiety pre- and postintervention. Physiological measures reflective of stress (heart rate variability and sleep) were collected via the Oura Ring. ResultsStatistically significant reductions were found in self-reported levels of stress (P=.005), anxiety (P=.01), and pregnancy anxiety (P<.0001). Hierarchical linear modeling revealed a statistically significant reduction in the physiological data reflective of stress in 1 of 6 heart rate variability metrics, the low-frequency power band, which decreased by 13% (P=.006). A total of 65% of study participants (n=13) reported their sleep improved during the trial, and 95% (n=19) stated that learning mindfulness helped with other aspects of their lives. Participant retention was 100%, with 65% of participants (n=13) completing about two-thirds of the intervention, and 50% of participants (n=10) completing ≥95%. ConclusionsThis study found evidence to support the Headspace app as an effective intervention to aid in stress and anxiety reduction during pregnancy.https://pediatrics.jmir.org/2023/1/e53933
spellingShingle Donna Balsam
Dawn T Bounds
Amir M Rahmani
Adeline Nyamathi
Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study
JMIR Pediatrics and Parenting
title Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study
title_full Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study
title_fullStr Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study
title_full_unstemmed Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study
title_short Evaluating the Impact of an App-Delivered Mindfulness Meditation Program to Reduce Stress and Anxiety During Pregnancy: Pilot Longitudinal Study
title_sort evaluating the impact of an app delivered mindfulness meditation program to reduce stress and anxiety during pregnancy pilot longitudinal study
url https://pediatrics.jmir.org/2023/1/e53933
work_keys_str_mv AT donnabalsam evaluatingtheimpactofanappdeliveredmindfulnessmeditationprogramtoreducestressandanxietyduringpregnancypilotlongitudinalstudy
AT dawntbounds evaluatingtheimpactofanappdeliveredmindfulnessmeditationprogramtoreducestressandanxietyduringpregnancypilotlongitudinalstudy
AT amirmrahmani evaluatingtheimpactofanappdeliveredmindfulnessmeditationprogramtoreducestressandanxietyduringpregnancypilotlongitudinalstudy
AT adelinenyamathi evaluatingtheimpactofanappdeliveredmindfulnessmeditationprogramtoreducestressandanxietyduringpregnancypilotlongitudinalstudy