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Mindfulness online: a preliminary evaluation of the feasibility of a web-based mindfulness course and the impact on stress

Open access
Krusche, Adele, Cyhlarova, Eva, King, Scott, Williams, J Mark G·2012·BMJ Open
DOI 10.1136/bmjopen-2011-000803PMC PMC3358627
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Abstract

Objectives: Stress has been shown to have a number of negative effects on health over time. Mindfulness interventions have been shown to decrease perceived stress but access to interventions is limited. Therefore, the effectiveness of an online mindfulness course for perceived stress was investigated. Design: A preliminary evaluation of an online mindfulness course. Participants: This sample consisted of 100 self-referrals to the online course. The average age of participants was 48 years and 74% were women. Interventions: The online programme consisted of modules taken from Mindfulness Based Stress Reduction and Mindfulness Based Cognitive Therapy and lasted for approximately 6 weeks. Primary and secondary outcome measures: Participants completed the Perceived Stress Scale (PSS) before the course, after the course and at 1-month follow-up. Completion of formal (eg, body scan, mindful movement) and informal (eg, mindful meal, noticing) mindfulness activities was self-reported each week. Results: Participation in the online mindfulness course significantly reduced perceived stress upon completion and remained stable at follow-up. The pre-post effect size was equivalent to levels found in other class-based mindfulness programmes. Furthermore, people who had higher PSS scores before the course reported engaging in significantly more mindfulness practice, which was in turn associated with greater decreases in PSS. Conclusions: Because perceived stress significantly decreased with such limited exposure to mindfulness, there are implications for the accessibility of mindfulness therapies online. Future research needs to evaluate other health outcomes for which face-to-face mindfulness therapies have been shown to help, such as anxiety and depressive symptoms.

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Figure 1 Mean PSS scores before and after course and at 1 month follow-up (N=100).
Figure 1 Mean PSS scores before and after course and at 1 month follow-up (N=100).CC BY · PubMed Central

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  1. Kuyken W . Mindfulness Training in the UK. Reykjavik, Iceland: 41st Annual European Association for Behavioural and Cognitive Therapies (EABCT) Conference, 2011.

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Metadata

Authors
Krusche, A., Cyhlarova, E., King, S., & Williams, J. M. G.
Affiliations
  • University of Oxford (GB)
  • Mental Health Foundation (GB)
  • Wellmind Media Ltd, Brighton, UK
Corresponding author
Krusche, Adele
ORCID
Venue
BMJ Open
Publisher
BMJ
Published
2012
Volume
2
Issue
3
Pages
e000803
ISSN
2044-6055 (ISSN-L)
DOI
10.1136/bmjopen-2011-000803
PMC
PMC3358627
OpenAlex
W2135220831
Cited by
121
References
24
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 11 · 2020: 8 · 2019: 5 · 2018: 15 · 2017: 13 · 2016: 18 · 2015: 14 · 2014: 4 · 2013: 8 · 2012: 1
FWCI
10.15
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMJ Open (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
mindfulness, perceived stress, mindfulness-based stress reduction, mindfulness-based cognitive therapy, online intervention, feasibility, mindfulness practice, stress reduction

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