Mindfulness to improve the Quality of Life of individuals with Chronic Conditions Primary Health Care in the State of São Paulo- Brazil

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