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Objectives <p>This two-phase pilot and feasibility study aimed to develop a culturally adapted, nurse-led mindfulness-based cognitive therapy (MBCT) program and to evaluate its feasibility, acceptability, and preliminary effects on the mental health of post-stroke survivors in Thailand.</p> Method <p>The study was conducted in two phases. In Phase 1, the program was developed through focus group discussions with healthcare professionals, patients, and caregivers. In Phase 2, the adapted program was evaluated using a mixed-methods, single-group, pre-post design. Twelve post-stroke survivors were recruited from a community health center in Ubon Ratchathani, Thailand. The intervention consisted of five weekly, 60–90-min, one-on-one sessions delivered by a trained nurse. Pre- and post-intervention assessments measured depression (9Q), mental health (DASS-21), rumination (Ruminative Response Scale), mindfulness (Mindfulness Assessment Scale), and quality of life (SS-QoL-12). Post-intervention interviews were conducted to explore participants’ experiences.</p> Results <p>The program demonstrated high feasibility, with a 100% retention rate. Quantitative findings indicated statistically significant improvements across all clinical measures. Mean scores for depression (<i>p</i> &lt; 0.01), psychological distress (<i>p</i> &lt; 0.01), and rumination (<i>p</i> &lt; 0.01) decreased, while scores for mindfulness (<i>p</i> &lt; 0.05) and quality of life (<i>p</i> &lt; 0.01) increased. Effect sizes for these preliminary outcomes were calculated. The thematic analysis of qualitative data identified four key themes: (1) “Transitioning from Feeling Trapped to Observing the Mind,” (2) “Reconnecting with a Changed Body,” (3) “The Quiet Power of Acceptance and Self-Kindness,” and (4) “A Guided Journey: The Nurse as an Essential Anchor.”</p> Conclusions <p>A culturally adapted, nurse-led MBCT program is a feasible and highly acceptable intervention for post-stroke survivors in a Thai community setting. The preliminary findings are promising, but a larger, randomized controlled trial is required to establish efficacy.</p> Preregistration <p>TCTR20230402001, Registration date: March 31, 2023</p>

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The Development and Effects of a Nursing Program with Mindfulness-Based Cognitive Therapy for Psychological Care After Post-Stroke Patients

  • 期刊论文

  • 发表日期：

    2026年1月27日

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  • Gayoon Kujapan Smith,
  • Kedsaraporn Kenbubpha,
  • Proithip Santaphan,
  • Kesorn Sattratham

摘要

Objectives

This two-phase pilot and feasibility study aimed to develop a culturally adapted, nurse-led mindfulness-based cognitive therapy (MBCT) program and to evaluate its feasibility, acceptability, and preliminary effects on the mental health of post-stroke survivors in Thailand.

Method

The study was conducted in two phases. In Phase 1, the program was developed through focus group discussions with healthcare professionals, patients, and caregivers. In Phase 2, the adapted program was evaluated using a mixed-methods, single-group, pre-post design. Twelve post-stroke survivors were recruited from a community health center in Ubon Ratchathani, Thailand. The intervention consisted of five weekly, 60–90-min, one-on-one sessions delivered by a trained nurse. Pre- and post-intervention assessments measured depression (9Q), mental health (DASS-21), rumination (Ruminative Response Scale), mindfulness (Mindfulness Assessment Scale), and quality of life (SS-QoL-12). Post-intervention interviews were conducted to explore participants’ experiences.

Results

The program demonstrated high feasibility, with a 100% retention rate. Quantitative findings indicated statistically significant improvements across all clinical measures. Mean scores for depression (p < 0.01), psychological distress (p < 0.01), and rumination (p < 0.01) decreased, while scores for mindfulness (p < 0.05) and quality of life (p < 0.01) increased. Effect sizes for these preliminary outcomes were calculated. The thematic analysis of qualitative data identified four key themes: (1) “Transitioning from Feeling Trapped to Observing the Mind,” (2) “Reconnecting with a Changed Body,” (3) “The Quiet Power of Acceptance and Self-Kindness,” and (4) “A Guided Journey: The Nurse as an Essential Anchor.”

Conclusions

A culturally adapted, nurse-led MBCT program is a feasible and highly acceptable intervention for post-stroke survivors in a Thai community setting. The preliminary findings are promising, but a larger, randomized controlled trial is required to establish efficacy.

Preregistration

TCTR20230402001, Registration date: March 31, 2023