RNPilotThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses2026

Feasibility and Acceptability of a Remote, Asynchronous, Stroke-Tailored Mindfulness Intervention for Stroke Survivors and Support Persons.

Jenifer G Prather, Jennifer E S Beauchamp, Xueyuan Cao and 3 others

PMID 41671264

WHAT IT FOUND

Stroke survivors and their support persons completed a remote eight-week mindfulness course at high rates and said it helped manage stress and quality of life.

The study shows the program was feasible and acceptable, not that it improved stress or quality of life.

Key findings

01Of the 60 people approached, 58 consented, and attendance for each module exceeded 98%.

02Nearly 90% of enrolled participants, 52 of 58, completed all course components, and 97.8% finished all 8 weeks of lessons.

03In end-of-study feedback, 96.2% of participants reported the intervention helped them manage stress and improve quality of life, and 92.3% found the homework beneficial for forming new habits.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was designed only to assess feasibility and acceptability, not whether the intervention works. There was no control group, so completion and satisfaction cannot be compared with usual care or attention. The sample was small, with 52 participants analysed. Stroke survivors were at least one year after stroke and had modified Rankin Scale scores of 0 to 2, so results may not apply to acute or more severely impaired patients. Participants needed English, reliable internet, and computer access, and the sample was mostly White, married, and college-educated. Dyads were mixed with lone participants, and the study did not analyse dyad demographics separately. End-of-study feedback was self-reported after a short follow-up, so long-term effects were not measured. Some participants reported technical barriers and digital literacy challenges, which may limit uptake outside this supported pilot.

The easy way to misread this

Do not read the high completion rates and positive feedback as evidence that mindfulness improves stress, quality of life, or stroke recovery. The study had no control group, did not test efficacy, and enrolled only chronic stroke survivors with good recovery. Outcomes were self-reported at the end of the program.

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