Systematic review of mindfulness-based cognitive therapy and mindfulness-based stress reduction via group videoconferencing: feasibility, acceptability, safety, and efficacy
Open accessAbstract
Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) are effective in reducing distress among people with physical or mental health problems. However, implementation is limited by variable geographic provision, ability to travel, and the need for remote service delivery during the coronavirus disease 2019 (COVID-19) crisis. Integration with Internet-enabled technologies like videoconferencing potentially enhances access. This article reports a systematic review exploring the feasibility, acceptability, safety, and efficacy of delivering MBCT/MBSR by videoconferencing (MBCT/MBSR-VC). No restrictions were made about population or study design. Eleven online databases were searched and 10 studies met inclusion criteria. Narrative synthesis was used because of study heterogeneity. Articles featured physical health and nonclinical samples, but not mental health. Three studies had moderate-strong methodological quality. Results supported the feasibility and acceptability of MBCT/MBSR-VC. Considerations of safety were largely unreported. MBCT/MBSR-VC demonstrated medium positive effects on mental health outcomes compared with inactive controls (ds = 0.44–0.71), and little difference compared with active controls like in-person delivery (all confidence intervals crossed zero). Evidence regarding mindfulness or selfcompassion as potential mechanisms of action was inconclusive. Future implementation research should target mental health populations using noninferiority designs. Adapting MBCT/MBSR to remote delivery will require development of guidelines and training packages to ensure best practice in this medium and adherence to evidence-based MBCT/MBSR models
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Preliminary evidence suggests that online, synchronous MBIs may produce beneficial effects similar to face-to-face programs.
“Preliminary evidence suggests that online, synchronous MBIs may produce beneficial effects similar to face-to-face programs.”
From Mindfulness-Based Stress Reduction Increases Mental Wellbeing and Emotion Regulation During the First Wave of the COVID-19 Pandemic: A Synchronous Online Intervention Study (2021) · cites this paper as Moulton-Perkins et al., 2020
A recent review and meta-analysis identified 10 empirical studies suggesting that online-MBSR/MBCT is not inferior to traditional face-to-face MBCT/MBSR.
“A recent review and meta-analysis of the effects of MBSR/MBCT conducted via Group Video-conferencing (VC; Moulton-Perkins et al., 2020) identified 10 empirical studies suggesting that online-MBSR/MBCT is not inferior to traditional face-to-face MBCT/MBSR.”
From Mindfulness-Based Stress Reduction Increases Mental Wellbeing and Emotion Regulation During the First Wave of the COVID-19 Pandemic: A Synchronous Online Intervention Study (2021) · cites this paper as Moulton-Perkins et al., 2020
Evidence on online stress reduction interventions during COVID-19 is scarce, characterized by the lack of access to face-to-face mental health support.
“These findings are especially meaningful given the scarce evidence (Moulton-Perkins et al., 2020) on online stress reduction interventions during COVID-19, characterized by the lack of access to face-to-face mental health support.”
From Mindfulness-Based Stress Reduction Increases Mental Wellbeing and Emotion Regulation During the First Wave of the COVID-19 Pandemic: A Synchronous Online Intervention Study (2021) · cites this paper as Moulton-Perkins et al., 2020
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Underhill-Blazey, M. L., Rodriguez, D., & Norton, S. (2022) · Oncology nursing forum · doi:10.1188/22.onf.193-200 · Cited by 1 · see citing works
Anxiety disorders: Mindfulness-based cognitive behavioral therapy
Apolinário-Hagen, J., Drüge, M., Danino, R., & Tasseit, S. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-85726-0.00014-4
Gracia, F., & Bintari, D. R. (2023) · Journal of Educational Health and Community Psychology · doi:10.12928/jehcp.v1i1.24980
Evaluasi Efektivitas Mindfulness Therapy terhadap Smoking Cessation: Studi Meta-Analysis
Eka, G., & Yudiarso, A. (2024) · Jurnal Ilmu Perilaku · doi:10.25077/jip.7.2.164-181.2023
Pourrostam, M., Hampa, A. A. K., & Ganjali, Z. (2023) · Journal of Assessment and Research in Applied Counseling · doi:10.61838/kman.jarac.5.1.16
Ma, Y., Wayne, P. M., Mullington, J. M., Bertisch, S. M., & Yeh, G. Y. (2025) · JMIR Formative Research · doi:10.2196/67366
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Galluzzi, S., Lanfredi, M., Moretti, D. V., Rossi, R., Meloni, S., Tomasoni, E., Frisoni, G. B., Chiesa, A., & Pievani, M. (2024) · Figshare · doi:10.6084/m9.figshare.25217338
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Gimigliano, F., Liguori, S., Arienti, C., Paoletta, M., Butzbach, O., Iolascon, G., Atkinson-Graham, M., Bakaa, N., Battel, I., Capodaglio, P., et al. (2026) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd016327
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Muslims and Mindfulness Training: Teachers’ and Trainees’ Perspectives
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- Authors
- Moulton-Perkins, A., Moulton, D., Cavanagh, K., Jozavi, A., & Strauss, C.
- Venue
- Journal of Psychotherapy Integration
- Published
- 2022-03
- Volume
- 32
- Issue
- 1
- Pages
- 110-130
- ISSN
- 1053-0479 (ISSN-L)
- 1573-3696
- OpenAlex
- W3085683225
- Cited by
- 56
- References
- 53
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 8 · 2023: 10 · 2022: 13 · 2021: 2
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Journal of Psychotherapy Integration (publishedVersion)
- Sussex Research Online (University of Sussex) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- mindfulness-based cognitive therapy, mindfulness-based stress reduction, videoconferencing, remote delivery, telemedicine, feasibility, acceptability, safety, efficacy, mental health outcomes, self-compassion, mechanism of action, COVID-19 pandemic
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