Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression

OBJECTIVES: Face-to-face mindfulness interventions have been shown to significantly decrease perceived stress, anxiety and depression and research is beginning to show similar benefits for such courses delivered via the internet. We investigated the feasibility and effectiveness of an online mindfu...

Full description

Bibliographic Details
Main Authors: Krusche, A, Cyhlarova, E, Williams, J
Format: Journal article
Language:English
Published: BMJ Publishing Group 2013
_version_ 1826284138147086336
author Krusche, A
Cyhlarova, E
Williams, J
author_facet Krusche, A
Cyhlarova, E
Williams, J
author_sort Krusche, A
collection OXFORD
description OBJECTIVES: Face-to-face mindfulness interventions have been shown to significantly decrease perceived stress, anxiety and depression and research is beginning to show similar benefits for such courses delivered via the internet. We investigated the feasibility and effectiveness of an online mindfulness course for perceived stress, anxiety and depression. DESIGN: A follow-up investigation of an online mindfulness course. Previous research examining the change in perceived stress showed promising results. Measures of anxiety and depression were added to the online mindfulness course and these were investigated as well as perceived stress using a new, larger sample. PARTICIPANTS: Participants (N=273) were self-referrals to the online course who completed the outcome measure immediately before the course, upon course completion and at 1 month follow-up. INTERVENTION: The programme consists of 10 sessions, guided meditation videos and automated emails, with elements of Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy, completed at a pace to suit the individual (minimum length 4 weeks). PRIMARY AND SECONDARY OUTCOME MEASURES: The Perceived Stress Scale, the Generalised Anxiety Disorder Assessment-7 and the Patient Health Questionnaire-9 (for depression). Mindfulness practice was self-reported at automated time points upon login, once the exercises and sessions for each week were completed. RESULTS: Perceived stress, anxiety and depression significantly decreased at course completion and further decreased at 1 month follow-up, with effect sizes comparable to those found with face-to-face and other online mindfulness courses and to other types of intervention, such as cognitive behavioural therapy for stress. The amount of meditation practice reported did affect outcome when controlling for baseline severity. CONCLUSIONS: The online mindfulness course appears to be an acceptable, accessible intervention which reduces stress, anxiety and depression. However, there is no control comparison and future research is required to assess the effects of the course for different samples.
first_indexed 2024-03-07T01:09:22Z
format Journal article
id oxford-uuid:8c767a28-4218-4b88-84ec-3a76af757bd9
institution University of Oxford
language English
last_indexed 2024-03-07T01:09:22Z
publishDate 2013
publisher BMJ Publishing Group
record_format dspace
spelling oxford-uuid:8c767a28-4218-4b88-84ec-3a76af757bd92022-03-26T22:44:44ZMindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depressionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8c767a28-4218-4b88-84ec-3a76af757bd9EnglishSymplectic Elements at OxfordBMJ Publishing Group2013Krusche, ACyhlarova, EWilliams, J OBJECTIVES: Face-to-face mindfulness interventions have been shown to significantly decrease perceived stress, anxiety and depression and research is beginning to show similar benefits for such courses delivered via the internet. We investigated the feasibility and effectiveness of an online mindfulness course for perceived stress, anxiety and depression. DESIGN: A follow-up investigation of an online mindfulness course. Previous research examining the change in perceived stress showed promising results. Measures of anxiety and depression were added to the online mindfulness course and these were investigated as well as perceived stress using a new, larger sample. PARTICIPANTS: Participants (N=273) were self-referrals to the online course who completed the outcome measure immediately before the course, upon course completion and at 1 month follow-up. INTERVENTION: The programme consists of 10 sessions, guided meditation videos and automated emails, with elements of Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy, completed at a pace to suit the individual (minimum length 4 weeks). PRIMARY AND SECONDARY OUTCOME MEASURES: The Perceived Stress Scale, the Generalised Anxiety Disorder Assessment-7 and the Patient Health Questionnaire-9 (for depression). Mindfulness practice was self-reported at automated time points upon login, once the exercises and sessions for each week were completed. RESULTS: Perceived stress, anxiety and depression significantly decreased at course completion and further decreased at 1 month follow-up, with effect sizes comparable to those found with face-to-face and other online mindfulness courses and to other types of intervention, such as cognitive behavioural therapy for stress. The amount of meditation practice reported did affect outcome when controlling for baseline severity. CONCLUSIONS: The online mindfulness course appears to be an acceptable, accessible intervention which reduces stress, anxiety and depression. However, there is no control comparison and future research is required to assess the effects of the course for different samples.
spellingShingle Krusche, A
Cyhlarova, E
Williams, J
Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression
title Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression
title_full Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression
title_fullStr Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression
title_full_unstemmed Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression
title_short Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression
title_sort mindfulness online an evaluation of the feasibility of a web based mindfulness course for stress anxiety and depression
work_keys_str_mv AT kruschea mindfulnessonlineanevaluationofthefeasibilityofawebbasedmindfulnesscourseforstressanxietyanddepression
AT cyhlarovae mindfulnessonlineanevaluationofthefeasibilityofawebbasedmindfulnesscourseforstressanxietyanddepression
AT williamsj mindfulnessonlineanevaluationofthefeasibilityofawebbasedmindfulnesscourseforstressanxietyanddepression