Abstract
Distance delivery of mindfulness-based cognitive therapy (MBCT) offers an innovative opportunity to provide therapy to people who would otherwise be unable to receive treatment for depression, anxiety, or other mental illnesses, particularly those with co-morbid chronic illness. Among other benefits, distance delivery by telephone or Internet can eliminate barriers to attending MBCT sessions that are related to transportation, mobility limitations, or stigma. However, distance delivery can also create challenges including technology issues, professional practice and confidentiality concerns, and limitations upon interpersonal communication. Studies suggest that distance delivery of cognitive behavioral therapy can be as effective as face-to-face delivery. Project UPLIFT is a distance-delivered intervention based in MBCT. In two randomized, controlled trials, Project UPLIFT was demonstrated to be effective for increasing mindfulness-based knowledge and skills, reducing depression, and increasing satisfaction with life among people with epilepsy. MBCT is particularly well-suited to distance delivery because many of the exercises are designed to be verbally led by the facilitator.
Published Version
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