Perceptions of mindfulness practices as a support for individuals managing caregiving responsibilities and chronic disease: A qualitative study

Author:

West Nathan T.1,Harmon Brook E.2,Rawlett Kristen E3,Short Sarah J.45,Spanier Adam J.6,Mathews Shifali7,Kimble Katrina8,McGehee Chad59,Ratliff Macy L.5,Puett Robin C.7ORCID

Affiliation:

1. Institute of Social and Economic Research, University of Alaska Anchorage, Anchorage, AK, USA

2. Department of Nutrition and Health Care Management, Beaver College of Health Sciences, Appalachian State University, Boone, NC, USA

3. Department of Family and Community Health, School of Nursing, University of Maryland, Baltimore, MD, USA

4. Department of Educational Psychology, University of Wisconsin, Madison, WI, USA

5. Center for Healthy Minds, University of Wisconsin, Madison, WI, USA

6. Department of Pediatrics, Division of General Pediatrics, School of Medicine, University of Maryland, Baltimore, MD, USA

7. Maryland Institute for Applied Environmental Health, School of Public Health, University of Maryland, College Park, MD, USA

8. Katrina Kimble Consulting, Memphis, TN, USA

9. Department of Athletics, University of Wisconsin, Madison, WI, USA

Abstract

Objectives Explore the lived experience of individuals managing and/or caregiving for someone with a chronic disease and their perceptions of developing a mindfulness program for stress reduction. Methods Sixteen participants with chronic disease and/or caregivers participated. Participants completed eligibility screening, demographic questionnaires, and semi-structured interviews (30–60 min each) online or by phone. Interviews ( n = 16) were audio recorded, transcribed, and analyzed using thematic analysis and NVivo® 12. Survey data were analyzed using SPSS® 28. Results Four themes emerged: (a) Chronic disease management and stress—perspectives on life's stressors; (b) Stress reduction techniques/perceptions of mindfulness—knowledge and implementation of stress reduction practices and familiarity with mindfulness; (c) Mindfulness program acceptability, barriers, and facilitators—interest, barriers, and facilitators to attending; (d) Mindfulness program structure—logistics to increase access and appeal to diverse audiences. Discussion Mindfulness has the potential for addressing the complexities of stress associated with disease management. Targeting mindfulness programs for populations with chronic disease management and caregiving responsibilities should include: Consideration of group formats with participation limited to this population, structuring programs to overcome barriers (i.e., culturally appropriate location), and equipping members of the community being served as instructors to ensure culturally relevant instruction.

Funder

National Center for Complementary and Integrative Health

Publisher

SAGE Publications

Subject

Health Policy,General Medicine

Reference56 articles.

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3. Centers for Disease Disease Control and Prevention. Self management education: Learn more. Feel better. Managing Chronic Conditions (Any). https://www.cdc.gov/learnmorefeelbetter/programs/general.htm (2018, accessed October 7, 2020).

4. International Alliance of Carer Organizations. Global carer facts. https://internationalcarers.org/carer-facts/global-carer-stats/#_ednref4 (2021, accessed November 12, 2022).

5. A metasynthesis of factors affecting self-management of chronic illness

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