Evidence map›Paper›PMID 41637431›Full record

ArticleJMIR cardio2026

Mindfulness-Based Self-Management Program Using a Mobile App for Patients With Pulmonary Hypertension: Single-Arm Feasibility Study.

Yuka Takita, Junko Morishita, Sunre Park, Ayumi Goda, Takumi Inami, Hanako Kikuchi, Takashi Kohno, Masaharu Kataoka, Daisuke Fujisawa

Abstract read
In one paragraph

Article in JMIR cardio, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yuka TakitaDepartment of Nursing, Faculty of Medical Technology, Teikyo University, 2-11-1, Kaga, Itabashi-ku, Tokyo, 173-8605, Japan, 81 3 3964 1211 ext 46114, 81 3 3964 3365.ORCID 0000-0003-3093-6734
Junko MorishitaDepartment of Nursing, National College of Nursing, Japan Institute for Health Security, Tokyo, Japan.ORCID 0000-0002-4802-6635
Sunre ParkDepartment of Nursing, Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan.ORCID 0000-0003-3616-2266
Ayumi GodaDepartment of Cardiovascular Medicine, Faculty of Medicine, Kyorin University, Tokyo, Japan.ORCID 0000-0002-4388-7639
Takumi InamiDepartment of Cardiovascular Medicine, Faculty of Medicine, Kyorin University, Tokyo, Japan.ORCID 0000-0003-1376-2760
Hanako KikuchiDepartment of Cardiovascular Medicine, Faculty of Medicine, Kyorin University, Tokyo, Japan.ORCID 0009-0000-3872-2787
Takashi KohnoDepartment of Cardiovascular Medicine, Faculty of Medicine, Kyorin University, Tokyo, Japan.ORCID 0000-0003-2604-1284
Masaharu KataokaThe Second Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.ORCID 0000-0001-8034-1005
Daisuke FujisawaDivision of Quality Assurance Programs, National Cancer Center Institute for Cancer Control, Tokyo, Japan.ORCID 0000-0003-1913-6955

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mindfulness-based interventions have been applied across various chronic illnesses, but no tailored program exists for individuals with pulmonary hypertension (PH). Objective: 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. Methods: 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-short version). Assessments occurred at baseline, week 4, and program completion. Exit interviews explored perceived changes and experiences. Results: Twelve participants (mean age 41.8, SD 10.5 years; range 26-56 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 (χ²₂=9.74; P=.008) and CD-RISC (χ²₂=7.27; P=.03). Trends toward change were observed for PHQ-9 (χ²₂=4.75; P=.09) and GAD-7 (χ²₂=5.07; P=.08), but week 12 data were limited (n=5). No significant changes in loneliness were observed. Conclusions: 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.

Indexed as

Hypertension, PulmonaryMindfulnessMobile ApplicationsQuality of LifeSelf-ManagementAdultFeasibility StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesdigital healthmindfulnessmindfulness-based interventionpulmonary hypertensionself-management

Identifiers

PMID41637431
PMCPMC12871575

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.