mHealth Mindfulness With Patients With Serious Illness and Their Caregivers

Summary

Older adults with serious illness and their caregivers have high rates of anxiety and limited access to effective, non-pharmacological treatments. A recent National Academy of Medicine report recommended increased emphasis on disseminating and implementing evidence-based psychotherapies in order to have maximal public health impact. Through this work, I will identify a sustainable and potentially scalable dyadic intervention and delivery model to manage symptoms of anxiety in older adults with serious illness and their caregivers in primary care.

Eligibility

Inclusion Criteria:

* adults 60+
* Diagnosis of or caregiver for individual with serious illnesses (e.g., ESRD, Cancer, CHF, COPD, Liver Disease)
* Hads-A \> 8 for patient or caregiver
* Blessed\<6
* fluent in English
* vision and hearing does not interfere with mobile device use
* caregivers who must be 21+
* caregiver must identify as primary source of informal care for patient
* Caregiver blessed \<6
* caregiver is fluent in English
* Caregiver's vision and hearing does not interfere with mobile device use.

Exclusion Criteria:

* experience with mindfulness therapy in last 2 years
* not fluent in English
* vision or hearing that impairs use of mobile device
* cognitive impairment more than 6 on Blessed.

Conditions2

Locations3 sites

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