open access
Rationale and design of Mind-HF: randomized trial of the original Mindfulness-Based Heart Training for patients with heart failure
Affiliations- Department of Applied Physiology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland
- Department of Cardiology, National Medical Institute of the Ministry of Interior, Warsaw, Poland
- Department of Humanities and Social Sciences, Wroclaw Medical University, Wroclaw, Poland
- Department of Psychology, Faculty of Applied Studies, Psychology Research Unit for Public Health, University of Lower Silesia, Wroclaw, Poland
- Department of Psychology, WSB Merito University in Torun, Torun, Poland
- The Clinical Research Support Center, 4th Military Hospital in Wroclaw, Poland.
- Department of Computer Science and Systems Engineering, Wroclaw University of Science and Technology, Wroclaw, Poland
open access
Abstract
Introduction: There is evidence that mindfulness-based interventions can be effective in the treatment of patients with depression, anxiety, posttraumatic distress syndrome and many other disorders. Psychological disorders are common among heart failure patients. In the management of heart failure interventions based on mindfulness are used sporadically, and there is also a need for more evidence-based data to prove the efficacy of these methods.
Material, methods and results: Mind-HF is a pilot, single-centre, open-label study in which 30 adults hospitalized for heart failure (HF) are randomized to start Mindfulness-Based Heart Training (MBHT) or psychoeducational intervention. The efficacy and safety of MBHT training in comparison to psychoeducational intervention will be assessed over 3 months. Both interventions will be delivered online, therefore, additional feasibility of educational interventions through online tools will also be tested.
Conclusions: Mind-HF will provide evidence of the efficacy and safety of the original, HF-tailored mindfulness program delivered online. The results will thus be relevant for introducing MBHT to clinical practice for the management of HF. It will also check the feasibility of online tools in delivering education and psychological support for this group of patients.
Abstract
Introduction: There is evidence that mindfulness-based interventions can be effective in the treatment of patients with depression, anxiety, posttraumatic distress syndrome and many other disorders. Psychological disorders are common among heart failure patients. In the management of heart failure interventions based on mindfulness are used sporadically, and there is also a need for more evidence-based data to prove the efficacy of these methods.
Material, methods and results: Mind-HF is a pilot, single-centre, open-label study in which 30 adults hospitalized for heart failure (HF) are randomized to start Mindfulness-Based Heart Training (MBHT) or psychoeducational intervention. The efficacy and safety of MBHT training in comparison to psychoeducational intervention will be assessed over 3 months. Both interventions will be delivered online, therefore, additional feasibility of educational interventions through online tools will also be tested.
Conclusions: Mind-HF will provide evidence of the efficacy and safety of the original, HF-tailored mindfulness program delivered online. The results will thus be relevant for introducing MBHT to clinical practice for the management of HF. It will also check the feasibility of online tools in delivering education and psychological support for this group of patients.
Keywords
heart failure, mindfulness, online, psychoeducation, Mindfulness-Based Heart Training
About this articleTitle
Rationale and design of Mind-HF: randomized trial of the original Mindfulness-Based Heart Training for patients with heart failure
Journal
Issue
Article type
Original article
Pages
109-115
Published online
2023-05-23
Page views
1273
Article views/downloads
313
DOI
Bibliographic record
Medical Research Journal 2023;8(2):109-115.
Keywords
heart failure
mindfulness
online
psychoeducation
Mindfulness-Based Heart Training
Authors
Jolanta Kolasa
Małgorzata Woźniak
Tomasz Cyrkot
Ewelina Cichoń
Remigiusz Szczepanowski
Agnieszka Pawlak
References (30)- Lippi G, Sanchis-Gomar F. Global epidemiology and future trends of heart failure. AME Med J. 2020; 5: 15–15.
- Celano CM, Villegas AC, Albanese AM, et al. Depression and anxiety in heart failure: a review. Harv Rev Psychiatry. 2018; 26(4): 175–184.
- Sokoreli I, de Vries JJG, Pauws SC, et al. Depression and anxiety as predictors of mortality among heart failure patients: systematic review and meta-analysis. Heart Fail Rev. 2016; 21(1): 49–63.
- Vongmany J, Hickman LD, Lewis J, et al. Anxiety in chronic heart failure and the risk of increased hospitalisations and mortality: A systematic review. Eur J Cardiovasc Nurs. 2016; 15(7): 478–485.
- Chapa DW, Akintade B, Son H, et al. Pathophysiological relationships between heart failure and depression and anxiety. Crit Care Nurse. 2014; 34(2): 14–24; quiz 25.
- Rutledge T, Reis VA, Linke SE, et al. Depression in heart failure a meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. J Am Coll Cardiol. 2006; 48(8): 1527–1537.
- Easton K, Coventry P, Lovell K, et al. Prevalence and measurement of anxiety in samples of patients with heart failure: meta-analysis. J Cardiovasc Nurs. 2016; 31(4): 367–379.
- Grassi G, Seravalle G, Mancia G. Sympathetic activation in cardiovascular disease: evidence, clinical impact and therapeutic implications. Eur J Clin Invest. 2015; 45(12): 1367–1375.
- Lamers SMA, Bolier L, Westerhof GJ, et al. The impact of emotional well-being on long-term recovery and survival in physical illness: a meta-analysis. J Behav Med. 2012; 35(5): 538–547.
- Aggarwal M, Bozkurt B, Panjrath G, et al. American College of Cardiology’s Nutrition and Lifestyle Committee of the Prevention of Cardiovascular Disease Council. Lifestyle modifications for preventing and treating heart failure. J Am Coll Cardiol. 2018; 72(19): 2391–2405.
- Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003; 84(4): 822–848.
- Bishop S, Lau M, Shapiro S, et al. Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice. 2004; 11(3): 230–241.
- Abbott RA, Whear R, Rodgers LR, et al. Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. J Psychosom Res. 2014; 76(5): 341–351.
- Sullivan MJ, Wood L, Terry J, et al. The support, education, and research in chronic heart failure study (SEARCH): a mindfulness-based psychoeducational intervention improves depression and clinical symptoms in patients with chronic heart failure. Am Heart J. 2009; 157(1): 84–90.
- Heo S, McSweeney J, Ounpraseuth S, et al. Testing a holistic meditation intervention to address psychosocial distress in patients with heart failure: a pilot study. J Cardiovasc Nurs. 2018; 33(2): 126–134.
- Zou H, Cao Xi, Geng J, et al. Effects of mindfulness-based interventions on health-related outcomes for patients with heart failure: a systematic review. Eur J Cardiovasc Nurs. 2020; 19(1): 44–54.
- YouTube canal Mindfulness for heart. https://youtube.com/channel/UCcTV1LmG98X5s8SLrfCSgWQ (28.02.2023).
- Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982; 4(1): 33–47.
- Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Dell Publishing, New York 1990.
- van den Brink E, Koster F. Mindfulness-based compassionate living — a new training programme to deepen mindfulness with heartfulness. Routledge, London 2012.
- Gilbert P. Introducing compassion-focused therapy. Advances in Psychiatric Treatment. 2018; 15(3): 199–208.
- Neff K. Self-Compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity. 2003; 2(2): 85–101.
- Stellar JE, Keltner D. Compassion in the autonomic nervous system: the role of the vagus nerve. In: Gilbert P. ed. Compassion: Concepts, research and applications. Routledge, London 2017: 120–134.
- Strauss C, Lever Taylor B, Gu J, et al. What is compassion and how can we measure it? A review of definitions and measures. Clin Psychol Rev. 2016; 47: 15–27.
- Allen AB, Leary MR. Self-compassion, stress, and coping. Soc Personal Psychol Compass. 2010; 4(2): 107–118.
- Leary MR, Tate EB, Adams CE, et al. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. J Pers Soc Psychol. 2007; 92(5): 887–904.
- Diedrich A, Grant M, Hofmann SG, et al. Self-compassion as an emotion regulation strategy in major depressive disorder. Behav Res Ther. 2014; 58: 43–51.
- McDonagh T, Metra M, Adamo M, et al. ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021; 42(36): 3599–3726.
- Levine GN, Lange RA, Bairey-Merz CN, et al. American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; and Council on Hypertension. Meditation and cardiovascular risk reduction: a scientific statement from the american heart association. J Am Heart Assoc. 2017; 6(10): e002218.
- Scott-Sheldon LAJ, Gathright EC, Donahue ML, et al. Mindfulness-Based interventions for adults with cardiovascular disease: a systematic review and meta-analysis. Ann Behav Med. 2020; 54(1): 67–73.