Systematic review of mindfulness-based cognitive therapy and mindfulness-based stress reduction via group videoconferencing: Feasibility, acceptability, safety, and efficacy.

Mindfulness-Based Cognitive Therapy (MBCT) and Stress Reduction (MBSR) are effective in reducing distress among people with physical or mental health problems. However, implementation is limited by variable geographic provision, ability to travel, the need for remote service delivery during coronavirus disease 2019 (COVID-19) crisis. Integration Internet-enabled technologies like videoconferencing potentially enhances access. This article reports a systematic review exploring feasibility, acceptability, safety, efficacy of delivering MBCT/MBSR (MBCT/MBSR-VC). No restrictions were made about population study design. Eleven online databases searched 10 studies met inclusion criteria. Narrative synthesis was used because heterogeneity. Articles featured nonclinical samples, but not health. Three had moderate-strong methodological quality. Results supported feasibility acceptability MBCT/MBSR-VC. Considerations safety largely unreported. MBCT/MBSR-VC demonstrated medium positive effects on outcomes compared inactive controls (ds = 0.44 -0.71), little difference active in-person (all confidence intervals crossed zero). Evidence regarding mindfulness self-compassion as potential mechanisms action inconclusive. Future research should target populations using noninferiority designs. Adapting will require development guidelines training packages ensure best practice this adherence evidence-based models.