Mindfulness to improve the Quality of Life of individuals with Chronic Diseases accompanied by the SUS in the State of São Paulo- Brazil

Not Applicable

• Conditions: Hypertension; Diabetes; Mental disorders; Chronic kidney disease; End Stage Liver Disease; Bone Diseases; Joint Diseases; C23.550.291.898

• Registration Number: RBR-107wh2sv
• Lead Sponsor: niversidade Federal de São Paulo

Brief Summary

Mindfulness-based interventions in the Unified Health System (SUS) can be an adjuvant for the management of chronic conditions, providing improvements in the global health and quality of life of these individuals. The objective of the study was to evaluate the feasibility and preliminary effects of a mindfulness-based protocol on the quality of life of users with chronic conditions in primary health care in the city of São Paulo. Pilot intervention study, controlled and randomized, which took place in a hybrid format (in-person and online). Individuals of both sexes, aged between 18 and 70 years old, participated. Socio-demographic conditions were analyzed; Quality of life; Attention and Full Consciousness Scale; Anxiety and Depression Scale. 45 individuals participated in the study, the majority of whom were female. All groups showed an improvement in quality of life over time, in all domains evaluated (p=0.001), although the psychological and environmental domains showed a significant difference depending on the type of intervention. All groups showed an increase in mindfulness scores over time (p=0.003), regardless of the type of intervention. However, the highest averages were found in the post-intervention online groups. A decrease in anxiety was noticed in the groups depending on the type of format and intervention, with greater effects in those who received the mindfulness intervention, regardless of the format (p<0.001 ). A strong inverse correlation was found between all quality of life domains and anxiety and depression (p<0.001). Regarding the feasibility of the study, 68.2% of recruited individuals agreed to participate and completed the research, with a low dropout rate. The mindfulness protocol was viable and effective in improving the quality of life of primary health care users in the state of São Paulo

Detailed Description

Not available

Study Timeline

• Study Completion: 2021-12-15
• Study Start: 2023-12-12
• Last Update Posted: 19 December 2023
• Results First Posted: 2023-12-28

Recruitment & Eligibility

• Status: Data analysis completed
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Volunteers diagnosed with cardiovascular disease - systemic arterial hypertension; Diabetes Mellitus; chronic respiratory diseases; chronic kidney disease; chronic liver diseases; bone and joint diseases; psychiatric illnesses, adults and elderly people, of both sexes, with a minimum age of 18 and a maximum of 70 years

Exclusion Criteria

Volunteers who are unable to read and/or write and/or understand the assessment questionnaires; moderate to severe cognitive impairment; individuals with decompensation or exacerbation of other Chronic Non-Communicable Diseases; pregnant women; individuals who have some serious psychopathology (for example, psychotic disorder, deep depression or substance use disorder) and/or who practice meditation at the time of the study

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Expected outcome 1-Evaluate the effects of the intervention on the participants&apos; quality of life - using the WHOQOL-bref (WHO, 1998), with 26 questions, two of which are about quality of life in general (general QOL) and the others represent each of the 24 facets that make up the original instrument and are divided into four domains.<br><br>;Outcome found 1- All groups showed an improvement in quality of life over time, in all domains evaluated (p=0.001), although the psychological and environmental domains showed a significant difference depending on the type of intervention.