Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Can the Mindful Awareness and Resilience Skills for Adolescents (MARS-A) program be provided online? Voices from the Youth

Version 1 : Received: 27 July 2018 / Approved: 27 July 2018 / Online: 27 July 2018 (15:34:58 CEST)

A peer-reviewed article of this Preprint also exists.

Chadi, N.; Weisbaum, E.; Malboeuf-Hurtubise, C.; Ahola Kohut, S.; Viner, C.; Kaufman, M.; Locke, J.; Vo, D.X. Can the Mindful Awareness and Resilience Skills for Adolescents (MARS-A) Program Be Provided Online? Voices from the Youth. Children 2018, 5, 115. Chadi, N.; Weisbaum, E.; Malboeuf-Hurtubise, C.; Ahola Kohut, S.; Viner, C.; Kaufman, M.; Locke, J.; Vo, D.X. Can the Mindful Awareness and Resilience Skills for Adolescents (MARS-A) Program Be Provided Online? Voices from the Youth. Children 2018, 5, 115.

Abstract

Mindfulness-based interventions (MBIs) have been shown to improve health and well-being in adolescents with chronic illnesses. Because they are most often delivered in person in a group setting, there are several barriers that limit access to MBIs for youth with limited mobility or who cannot access in-person MBIs in their communities. The objective of this study was to determine if eHealth is a viable platform to increase accessibility to MBIs for teens with chronic illnesses. This study reports the qualitative results of a mixed method randomized trial describing the experience of the Mindful Awareness and Resilience Skills for Adolescents (MARS-A) program, an 8-week MBI, delivered either in person or via eHealth. Participants were adolescents between the ages of 13 and 18 with a chronic illness recruited at a tertiary pediatric hospital in Toronto, Canada. Individual semi-structured post-participation audio-video interviews were conducted by a research assistant. A multiple-pass inductive process was used to review interview transcripts and interpret emergent themes from the participants’ lived experiences. Fifteen participants completed post-participation interviews. Four distinct themes emerged from participants in both the in-person and eHealth groups: creation of a safe space, fostering peer support and connection, integration of mindfulness skills into daily life and improved well-being through the application of mindfulness. Results from this study suggest that eHealth may be an acceptable and feasible mode of delivery for MBIs in adolescents with chronic illnesses. EHealth should be considered in future studies as a promising avenue to increase access to MBIs in this population.

Keywords

qualitative, mindfulness, meditation, chronic illness, adolescents, eHealth

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

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