PMID- 36352549 OWN - NLM STAT- MEDLINE DCOM- 20230531 LR - 20230605 IS - 1552-5724 (Electronic) IS - 0898-0101 (Print) IS - 0898-0101 (Linking) VI - 41 IP - 2 DP - 2023 Jun TI - Online Mindfulness with Care Partnerships Experiencing Anxiety and Depression Symptoms after Stroke: Mixed Methods Case Study Research. PG - 185-199 LID - 10.1177/08980101221135723 [doi] AB - Purpose: To investigate the experience and outcomes for care partnerships (e.g., spouses, caregivers) who have post-stroke anxiety and/or depression symptoms and used an online mindfulness-based intervention (MBI) together. Design: Explanatory sequential mixed methods case study research. Methods: 5 care partnerships (10 participants) received online MBI, and data was collected in weeks 0, 4, and 8. Data collection involved the Hospital Anxiety Depression Scale, the Mutuality Scale, the Mindful Attention Awareness Scale, and post-intervention interviews. Clinical effectiveness was evaluated using minimal clinically important difference (MCID). Findings: Participants improved mindfulness (80%) and mutuality (30%). MCID was achieved for anxiety symptoms (50%) and depression symptoms (20%). IPA found evidence of conflicting and contradictory experiences so dialectical tension was used to articulate the continuum of perspectives and themes produced in the analysis. Conclusion: Care partnerships using online MBIs can experience improvements in mindfulness, mutuality, anxiety symptoms, and depression symptoms. The findings are complex but show the potential value of online MBI for some care partnerships living with stroke. FAU - Parkinson, Ben AU - Parkinson B AUID- ORCID: 0000-0002-1112-4389 AD - Glasgow Caledonian University, Glasgow, UK. RINGGOLD: 3525 FAU - Lawrence, Maggie AU - Lawrence M AD - Glasgow Caledonian University, Glasgow, UK. RINGGOLD: 3525 FAU - McElhinney, Evelyn AU - McElhinney E AD - Glasgow Caledonian University, Glasgow, UK. RINGGOLD: 3525 FAU - Booth, Jo AU - Booth J AD - Glasgow Caledonian University, Glasgow, UK. RINGGOLD: 3525 LA - eng PT - Journal Article DEP - 20221109 PL - United States TA - J Holist Nurs JT - Journal of holistic nursing : official journal of the American Holistic Nurses' Association JID - 8506709 MH - Humans MH - *Depression/etiology/therapy MH - *Mindfulness/methods MH - Anxiety/etiology/therapy MH - Treatment Outcome PMC - PMC10236236 OTO - NOTNLM OT - anxiety OT - depression OT - mindfulness OT - mixed methods OT - online OT - stroke EDAT- 2022/11/11 06:00 MHDA- 2023/05/31 06:42 PMCR- 2023/06/02 CRDT- 2022/11/10 00:53 PHST- 2023/05/31 06:42 [medline] PHST- 2022/11/11 06:00 [pubmed] PHST- 2022/11/10 00:53 [entrez] PHST- 2023/06/02 00:00 [pmc-release] AID - 10.1177_08980101221135723 [pii] AID - 10.1177/08980101221135723 [doi] PST - ppublish SO - J Holist Nurs. 2023 Jun;41(2):185-199. doi: 10.1177/08980101221135723. Epub 2022 Nov 9.