Online Mindfulness Intervention for Inflammatory Bowel Disease: Adherence and Efficacy
Open accessAbstract
The impact of stress and other psychological variables on Inflammatory Bowel Disease (IBD) prognosis, treatment response, and functional level is well-established; however, typical IBD treatment focuses on the physiological pathology of the disease and neglects complementary stress-reducing interventions. Recent pilot studies report the benefits of mindfulness-based interventions (MBIs) in people living with IBD, but are limited by small sample sizes. Recruitment challenges to in-person studies may be in part due to the difficulty IBD patients often have adhering to fixed schedules and travel as a result of IBD symptoms such as pain, fatigue, and incontinence. The current study aimed to address this barrier by offering participants access to online mindfulness training, allowing individuals to engage with intervention materials to fit their own schedule. Online mindfulness programs have gained popularity in recent years, as they increase access and flexibility and decrease cost to the user; however, the dropout rate tends to be high. The current study compared the rate of adherence and efficacy of mindfulness training as a function of level of support: self-guided versus supported. Analysis revealed no significant difference in the benefits received between participants in the two groups; however, a significant difference group (χ 2 = 15.75; p = 0.000, r = 0.38) was found in terms of rate of completion, with 44.1% of the supportive group completing the protocol compared to 11.7% of the self-guided. Common challenges to meditation were measured, but did not significantly predict adherence to the intervention, and experience of these challenges did not significantly change (increase or decrease) over the duration of the study. Implications of the current research, future directions for the use of MBI for IBD patients, and a discussion of methodological considerations are provided.
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The rationale for online blended delivery of psychological interventions is to bridge barriers to accessing psychological support such as unpredictable symptoms and lack of resources including appropriately trained staff.
“The rationale for online blended delivery of psychological interventions, such as those in the current study, is to bridge barriers to accessing psychological support such as unpredictable symptoms and lack of resources including appropriately trained staff (Dober et al., 2021; Forbes & Johnson, 2021; Mikocka-Walus et al., 2020).”
From Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation (2024) · cites this paper as Forbes & Johnson, 2021
The Introduction’s “Online Interventions” section and the Discussion’s “Intervention Completion” section say online delivery can help people with IBD overcome barriers to face-to-face support, including unpredictable symptoms, and the paper examines online delivery with added support. The paper does not identify a shortage of appropriately trained staff as a barrier that this approach addresses; it discusses cost, physical limitations, and symptoms instead. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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Liu, S., & Noh, Y. (2024) · Australian Journal of Psychology · doi:10.1080/00049530.2024.2357627 · Cited by 15 · see citing works
Luangapichart, P., Saisavoey, N., & Viravan, N. (2022) · Healthcare · doi:10.3390/healthcare10122532 · Cited by 14 · see citing works
Psychological interventions for treatment of inflammatory bowel disease
Tiles-Sar, N., Neuser, J., de Sordi, D., Baltes, A., Preiß, J., Moser, G., & Timmer, A. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006913.pub3 · Cited by 12 · see citing works
Craven, M. R. A., & Thakur, E. R. (2024) · Translational Gastroenterology and Hepatology · doi:10.21037/tgh-23-121 · Cited by 11 · see citing works
Naude, C., Skvarc, D., Biurra, Y. C., Blake, L., Evans, S., Knowles, S. R., Eric, O., Prasertsung, C., Russell, L., Bassili, A., et al. (2024) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2024.111984 · Cited by 8 · see citing works
Liang, Y., Li, Y., & Zhou, M. (2024) · Gastroenterology Nursing · doi:10.1097/sga.0000000000000831 · Cited by 7 · see citing works
Wilkin, K., Evans, S., Van Niekerk, L., Romano, D., Fuller-Tyszkiewicz, M., Knowles, S., Chesterman, S., Raven, L., & Mikocka-Walus, A. (2024) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-023-09999-5 · Cited by 5 · see citing works
“…delivery of psychological interventions, such as those in the current study, is to bridge barriers to accessing psychological support such as unpredictable symptoms and lack of resources including appropriately trained staff (Dober et al., 2021; Forbes & Johnson, 2021; Mikocka-Walus et al., 2020).”
BackgroundAghamohammadi, V., Moghadam, H. R., Najafi, E., Nasiri, K., Hamidi, H., Hajizadeh, M., Zamani, P., Yagin, N. L., Bazyar, H., & Najafipour, F. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1545033 · Cited by 4 · see citing works
Huang, C., Czuber‐Dochan, W., & Norton, C. S. (2025) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000003034 · Cited by 4 · see citing works
Wang, L., Makhdzir, N., & Haron, Z. (2025) · Middle East Journal of Digestive Diseases · doi:10.34172/mejdd.2025.409 · Cited by 3 · see citing works
Chen, Y.-J., Lee, C., Hsieh, C., Liao, P.-H., Chen, Y.-D., Chou, K.-R., Guo, S.-L., Chang, L., & Lee, T. (2025) · EXPLORE · doi:10.1016/j.explore.2025.103214 · Cited by 2 · see citing works
Senthilnathan, V., Zahir, S., Simpson, R., Jaglal, S. B., Craven, B. C., Fetterly, M.-J., Perrier, L., & Munce, S. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-086287 · Cited by 2 · see citing works
Luangapichart, P., Saisavoey, N., & Viravan, N. (2022) · doi:10.1101/2022.08.09.22278601 · Cited by 14 · see citing works
Xu, F., Tong, X., Niu, Y., Lin, Q., Yao, A., Yang, F., & Li, L. (2025) · Patient Preference and Adherence · doi:10.2147/ppa.s529674 · Cited by 1 · see citing works
Hu, S., Xu, D., Zhu, C., Wang, Y., Li, S., Chen, Y., Wang, C., & Chen, Y. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07426-7 · Cited by 1 · see citing works
Breath-Counting Task Enhances the Sensitivity of Fear Acquisition
Li, X., Yang, Y., Wang, R., Zhou, L., & Zheng, X. (2025) · Behavioral Sciences · doi:10.3390/bs15030263
Marchesi, G., Rapelli, G., Roselli, G., Spina, G., Semonella, M., Andersson, G., Simpson, S., & Pietrabissa, G. (2026) · doi:10.2196/preprints.95227
Benchimol, M. Z., McMurtry, C. M., Forgeron, P. A., Stinson, J., Ricciuto, A., Rights, J. D., & Kohut, S. A. (2026) · Journal of the Canadian Association of Gastroenterology · doi:10.1093/jcag/gwag019
Avest, M. M. T., Nissen, L. H. C., Bosman, S. J. E., Dijkman, I., Speckens, A. E. M., & Huijbers, M. J. (2026) · Mindfulness · doi:10.1007/s12671-026-02948-x
- Authors
- Forbes, L., & Johnson, S. K.
- Affiliations
- University of North Carolina at Charlotte (US)
- Corresponding author
- Forbes, Leila
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2022-03-24
- Volume
- 12
- Pages
- 709899-709899
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8987583
- OpenAlex
- W4221063253
- Cited by
- 18
- References
- 100
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2022: 1
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- inflammatory bowel disease, mindfulness-based interventions, intervention adherence, dropout, stress reduction, complementary therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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