{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:05:40Z","timestamp":1782846340489,"version":"3.54.5"},"reference-count":43,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Cardio"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Mindfulness-based interventions have been applied across various chronic illnesses, but no tailored program exists for individuals with pulmonary hypertension (PH).<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to develop and evaluate the feasibility of a mindfulness-based self-management program for patients with PH, delivered online to accommodate their limited mobility.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A single-arm pre-post study was conducted using an 8-session, weekly videoconference program incorporating PH self-management education and elements of mindfulness-based cognitive therapy. A mobile app linked to an Apple Watch was used to support symptom monitoring and mindfulness awareness. Outcomes included PH-related symptoms, quality of life (emPHasis-10), depression (Patient Health Questionnaire-9 [PHQ-9]), anxiety (Generalized Anxiety Disorder 7-item scale [GAD-7]), resilience (Connor-Davidson Resilience Scale [CD-RISC]), and loneliness (UCLA Loneliness Scale\u2013short version). Assessments occurred at baseline, week 4, and program completion. Exit interviews explored perceived changes and experiences.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Twelve participants (mean age 41.8, SD 10.5 years; range 26\u201056 years) were enrolled, and 9 completed the program (75% retention). Participants valued the online format and Apple Watch integration, while noting a need for optional on-demand sessions. Qualitative analysis identified themes such as increased self-awareness, use of meditation for pain management, and enhanced self-compassion. Quantitative analysis showed significant changes across 3 time points (baseline, week 4, and week 8) for emPHasis-10 (\n \u03c7<\/jats:italic>\n \u00b2\n \u2082<\/jats:sub>\n =9.74;\n P<\/jats:italic>\n =.008) and CD-RISC (\n \u03c7<\/jats:italic>\n \u00b2\n \u2082<\/jats:sub>\n =7.27;\n P<\/jats:italic>\n =.03). Trends toward change were observed for PHQ-9 (\n \u03c7<\/jats:italic>\n \u00b2\n \u2082<\/jats:sub>\n =4.75;\n P<\/jats:italic>\n =.09) and GAD-7 (\n \u03c7<\/jats:italic>\n \u00b2\n \u2082<\/jats:sub>\n =5.07;\n P<\/jats:italic>\n =.08), but week 12 data were limited (n=5). No significant changes in loneliness were observed.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The program appeared to support patients with PH in managing symptoms and emotions and suggested potential improvements in quality of life. These preliminary findings warrant evaluation in a future randomized controlled trial.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/79639","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T16:50:08Z","timestamp":1766508608000},"page":"e79639-e79639","source":"Crossref","is-referenced-by-count":0,"title":["Mindfulness-Based Self-Management Program Using a Mobile App for Patients With Pulmonary Hypertension: Single-Arm Feasibility 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