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document
Internet-based Mindfulness Meditation for Cognition and Mood in Older Adults : A Pilot Study . CONTEXT Older adults are at risk for greater chronic stress and cognitive decline . Training in mindfulness meditation ( MM ) may help reduce stress and , thus , cognitive decline in older adults , but little research has explored that hypothesis . OBJECTIVE The current study 's primary aim was to evaluate the feasibility and acceptability for use by older adults of the Internet Mindfulness Meditation Intervention ( IMMI ) , a program that had been developed by the research team , as well as of an Internet-based health-and-wellness education program , the control . The secondary aim was to collect preliminary pre- and postintervention data on mood and cognitive function . DESIGN The study was a randomized , controlled trial ( RCT ) , a pilot study , with participants randomized either to the meditation group or the education group . SETTING Participants obtained access to the programs from their homes , and the baseline and endpoint assessments occurred in their homes as well . PARTICIPANTS Older adults aged 65-90 y were recruited from the Portland , OR , metropolitan area . Twenty-one people enrolled in the study . INTERVENTION Participants in both groups took part in a 1-h online session each week for 6 wk , with 30 min of daily home practice . OUTCOME MEASURES Feasibility and acceptability were assessed through measures of adherence to the protocol and a client satisfaction questionnaire . Mood and cognitive outcomes were also evaluated before and after the interventions . RESULTS Sixteen participants completed the study , 8 in each group , and 5 dropped out , for a 76 % completion rate . Participants ' mean age was 76.2 y ; 88 % were Caucasian , and 50 % were female . Acceptability was high for the interventions , based on above-average scores on the client satisfaction questionnaire . The IMMI participants completed ( 1 ) 4.25 ± 2.4 sessions , with a range of 0-6 ; ( 2 ) 604 ± 506 home-practice minutes , with a range 0-1432 ; and ( 3 ) 21.3 ± 15.5 d of practice , with a range of 0-46 . The education group completed ( 1 ) 4.75 ± 1.8 sessions , with a range of 2-6 ; ( 2 ) 873 ± 395 home-practice minutes , with a range of 327-1524 ; and ( 3 ) 25.6 d of practice , with a range of 11-35 . The intervention and control formats were both feasible , and the control group was appropriate . As expected due to the pilot nature of the study , no differences existed between groups for the mood or cognitive outcomes . CONCLUSIONS Administering interventions via the Internet to older adults is feasible . The 2 interventions were acceptable to participants and equal with regard to perceived credibility and acceptability . Future RCTs are planned to evaluate the clinical efficacy of the 2 interventions .
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Intervention_Physical
Internet-based Mindfulness Meditation
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Intervention_Physical
mindfulness meditation ( MM )
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Intervention_Physical
Internet Mindfulness Meditation Intervention ( IMMI )
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Intervention_Physical
meditation
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Intervention_Educational
education
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Intervention_Physical
IMMI
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Intervention_Educational
education
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Outcome_Mental
Mood
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Outcome_Mental
chronic stress
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Outcome_Mental
cognitive decline .
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Outcome_Mental
stress
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Outcome_Mental
cognitive decline
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Outcome_Other
feasibility and acceptability
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Outcome_Mental
mood
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Outcome_Mental
cognitive function .
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Outcome_Other
Feasibility and acceptability
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Outcome_Other
client satisfaction
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Outcome_Mental
Mood
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Outcome_Mental
cognitive outcomes
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Outcome_Other
Acceptability