@Article{info:doi/10.2196/15048,
author="Jabson Tree, Jennifer M
and Patterson, Joanne Gayle",
title="A Test of Feasibility and Acceptability of Online Mindfulness-Based Stress Reduction for Lesbian, Gay, and Bisexual Women and Men at Risk for High Stress: Pilot Study",
journal="JMIR Ment Health",
year="2019",
month="Aug",
day="16",
volume="6",
number="8",
pages="e15048",
keywords="sexual minority; lesbian; gay; bisexual; psychological stress",
abstract="Background: In conservative and rural areas, where antidiscrimination laws do not exist, lesbian, gay, and bisexual (LGB) people are at risk for excess stress arising from discrimination. Stress-reducing interventions delivered via innovative channels to overcome access barriers are needed. Objective: This study aimed to investigate the feasibility and acceptability of online mindfulness-based stress reduction (OMBSR) with LGB people in Appalachian Tennessee at high risk for stress. Methods: In 2 pilot studies involving pre-post test designs, participants completed 8 weeks of OMBSR, weekly activity logs, semistructured interviews, and surveys of perceived and minority stress. Results: Overall, 24 LGB people enrolled in the study and 17 completed OMBSR. In addition, 94{\%} completed some form of mindfulness activities daily, including meditation. Participants enjoyed the program and found it easy to use. Perceived stress (Cohen, perceived stress scale-10) decreased by 23{\%} in women (mean 22.73 vs mean 17.45; t10=3.12; P=.01) and by 40{\%} in men (mean 19.83 vs mean 12.00; t5=3.90; P=.01) between baseline and postprogram. Women demonstrated a 12{\%} reduction in overall minority stress (Balsam, Daily Experiences with Heterosexism Questionnaire) from baseline to 12-week follow-up (mean 1.87 vs mean 1.57; t10=4.12; P=.002). Subscale analyses indicated that women's stress due to vigilance and vicarious trauma decreased by 21{\%} and 20{\%}, respectively. Conclusions: OMBSR may be a useful tool to help LGB people reduce general and minority-specific stress in socially conservative regions lacking antidiscrimination policies. ",
issn="2368-7959",
doi="10.2196/15048",
url="http://mental.jmir.org/2019/8/e15048/",
url="https://doi.org/10.2196/15048",
url="http://www.ncbi.nlm.nih.gov/pubmed/31420955"
}