None listed
Conditions
Brief summary
This study aims to evaluate whether a mindfulness-based text message package, delivered as an adjunct to existing therapy, can help to improve levels of home-based mindfulness practice and increase mindfulness skills for patients involved in Early Intervention Teams. A text message package, called MINT, based on Mindfulness Based Cognitive Therapy (MBCT) has been developed by the researcher. Clinical participants will be recruited from the Early Intervention Teams’ (EIT) clinical psychologists in Auckland, New Zealand, based on their clinical evaluation of their patients’ suitability for inclusion. The EIT intensive treatment consists of long periods of rapport building, followed by MBCT based skills, with therapy typically lasting for 2 to 3 years. The EIT provides its own crisis management, and monitors the risk of their patients on a weekly basis. It thus provides an excellent opportunity to evaluate the effect of MINT, in addition to treatment as usual (TAU), with the lowest possible risks. The intervention will consist of 8 weeks, where participants will be receiving two text messages daily, containing focus mindfulness information and suggesting mindfulness practices. The research design will follow a single case method structure with a multiple baseline ABA approach. The EIT clinicians will be collecting a range of quantitative measures during baseline, intervention and postintervention periods. These will include a question about the number of days of Mindfulness practice in the previous week, the Cognitive and Affective Mindfulness Scale – Revised (CAMSR; Feldman, Hayes, Kumar, Greeson, & Laurenceau, 2007), and the Patient Health Questionnaire – 4 (PHQ4; Kroenke, Spitzer, Williams, & Lowe, 2009). At the end of the trial, participants’ and clinical psychologists’ experiences of using the text message package will be explored using a questionnaire specifically designed for this purpose.
Interventions
A text message package (called MINT) based on Mindfulness Based Cognitive Therapy (Segal et al., 2002), was developed. MINT is an adjunct to treatment as usual by the Early Intervention Psychosis team. Participants will received two text messages a day to encourage them to practice the mindfulness skills learnt in therapy at home. MINT lasts for 8 weeks. Weekly measures will be collected at baseline, during the intervention, and post-intervention. Home-based mindfulness practice is supported by the text message package (MINT), short mindfulness practices are suggested in-line with the TAU mindfulness skills learnt in existing therapy. Examples of these text messages are: "Placing your hand on your stomach, feeling it rise and fall with your breath. ", "Placing a flower by your bed so you can see it when you wake up. Next time you see the flower, smile and breathe deeply 3 times.", "Taking 3 minutes, focusing on the breath, sit or lie comfortably. Breathing in... breathing out. "
Sponsors
Study design
Eligibility
Inclusion criteria
Participants must be actively receiving therapy from an Early Intervention Psychosis Clinical Psychologist. Potential participants were approached in the first instance by their Clinical Psychologist. To be eligible, the participants must have had a New Zealand based mobile phone capable of sending and receiving text messages.
Exclusion criteria
If participants are deemed unsuitable for the intervention by their Clinical Psychologist. Any disclosure of high risk would result in termination of the intervention.