Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide. This study aimed to test the efficacy of a newly-developed symptom self-management program on health outcomes among inpatients post-AMI. A pilot randomised, controlled trial was utilised. A convenience sample of 90 was recruited from a tertiary hospital in Singapore. Adult inpatients with post-AMI were randomly assigned to the three groups: IManage-HSet, IManage-FF or control group. Sample size was computed using power analysis. Data were collected through self-reported questionnaires and physiological instruments. Data analyses included univariate statistics, analysis of variance and repeated measure analysis of variance. Ninety participants were recruited with 30 in each group. Participants in the IManage-HSet and IManage-FF group had significantly greater relaxation (ηp2 = 0.11), lower objective stress (ηp2 =0.14), and greater knowledge (ηp2 = 0.62) than those of the control group. The two intervention groups had lower subjective stress (ηp2 = 0.04), depression (ηp2 = 0.01), and anxiety (ηp2 = 0.03) than the control but such differences did not achieve statistical significance. Furthermore, most participants reported that they were satisfied with the programs and they provided positive comments on the contents, educational materials and relaxation practice. This pilot study supports the potential benefits and feasibility of the IManage-VR and IManage-FF interventions on stress, perceived relaxation, knowledge and patient satisfaction. Contents of the symptom management interventions could be added into current cardiac rehabilitation programs. Future RCTs with multi-centered sites and larger sample size are required to further test the intervention. This study was prospectively registered with the International Standard Randomised Controlled Trial on the 5th August 2014 with registration number ISRCTN61027816.

Mindfulness interventions have been implemented in many countries. This study aimed to examine the psychometric properties of English and Thai-version of the 15-item mindfulness attention awareness scale (MAAS) across five samples. A descriptive correlation research was conducted in the Philippines and Thailand, and five data sets were generated using self-reported and online questionnaires. Exploratory factor analyses were used to explore the factorial structure of the MAAS. Confirmatory factor analyses were performed to test measurement invariance across samples. Concurrent validity was tested by examining relationships between the MAAS and psychological well-being (PWB). A unidimensional structure of the MAAS was documented across the five samples. The MAAS demonstrated measurement invariance across samples for both English and Thai versions. Concurrent validity was displayed through significant correlations with PWB. This study produced evidence to support the construct validity, concurrent validity, and reliability of the English and Thai versions of MAAS. This study was not registered.