Feasibility and Acceptability of Mindfulness-based Stress Reduction and Prenatal Sleep Classes for Poor Prenatal Sleep Quality: Pilot Randomized Controlled Trial

被引：1

作者：

Felder, J. N. ^{[1
,2
]}

Mirchandaney, R. ^{[1
,2
]}

Manber, R. ^{[3
]}

Cuneo, J. ^{[2
,4
]}

Krystal, A. ^{[1
]}

Solomon, N. ^{[3
]}

Janette, S. ^{[5
]}

Zhang, L. ^{[6
,7
]}

Moran, P. ^{[2
]}

Mashash, M. ^{[2
]}

Epel, E. ^{[1
,5
]}

Hecht, F. M. ^{[2
,8
]}

机构：

[1] UCSF, Dept Psychiat & Behav Sci, San Francisco, CA USA

[2] Univ Calif San Francisco UCSF, Osher Ctr Integrat Hlth, Box 1726, San Francisco, CA 94143 USA

[3] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Stanford, CA USA

[4] UCSF, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA USA

[5] UCSF, Ctr Hlth & Community, San Francisco, CA USA

[6] UCSF, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA USA

[7] UCSF, Dept Epidemiol & Biostat, San Francisco, CA USA

[8] UCSF, Dept Med, Div Gen Internal Med, San Francisco, CA USA

来源：

BEHAVIORAL SLEEP MEDICINE | 2024年 / 22卷 / 05期

基金：

美国国家卫生研究院;

关键词：

CHRONIC PAIN; INSOMNIA; MEDITATION; PREGNANCY; DEPRESSION; VALIDATION; INDEX;

D O I：

10.1080/15402002.2024.2359415

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

ObjectivesThe main objectives of the current paper were to examine the feasibility, acceptability, and adherence of a remotely delivered intervention consisting of mindfulness-based stress reduction plus prenatal sleep classes (MBSR+PS) compared with treatment as usual (TAU).MethodIn this pilot randomized controlled trial, 52 pregnant women with poor sleep quality were randomized to MBSR+PS or TAU. MBSR was delivered through eight weekly 2.5-hour sessions, and PS was delivered through eight weekly 30-minute sessions. PS content drew material from cognitive behavioral therapy for insomnia tailored for the perinatal period and from a mindfulness- and acceptance-based lens. Participants completed endpoint measures 10-12 weeks after randomization.ResultsWe surpassed all acceptability targets, including the percentage of eligible participants willing to be randomized (96%), percentage of participants who initiated treatment (88%), and satisfaction scores (Client Satisfaction Questionnaire-8 score M = 28.04, SD = 3.6). We surpassed all feasibility targets, including our enrollment target, retention rate (92%), and measure completion (96%). Finally, we surpassed adherence targets, including MBSR and PS session attendance (>= 80%). Though sleep outcomes were exploratory, increases in sleep efficiency were greater in the MBSR+PS group relative to TAU (SMD=.68).ConclusionsPatient-reported poor sleep quality during pregnancy has high public health significance because it is common, consequential, and under-treated. The current feasibility and acceptability data for using remotely delivered MBSR and PS to improve prenatal sleep quality are encouraging and warranting future research that is sufficiently powered and designed to provide efficacy data. In addition, exploratory sleep outcomes offer preliminary evidence that this sleep program may improve sleep efficiency during pregnancy.

引用

页码：739 / 753

页数：15

共 39 条

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