Weston Day Hospital Project

Whitton, Buchanan and Smith (2019) How a mindfulness intervention can affect patients’ mental wellbeing. Nursing Times [online]; 115: 7, 48-51.

The Weston Day Hospital Project was an evaluation of an eight-week Mindfulness Programme delivered to multiple groups of patients attending a day hospital in Fife, Scotland.

The programme was delivered by two of Steve's colleagues; Tracey Whitton, a Staff Nurse in the Day Hospital, and Graham Buchanan, former Clinical Nurse Specialist in NHS Fife.  Both Tracey and Graham are trained by NHS Scotland as facilitators in Mindfulness Based Stress Reduction, and approval for the project was provided by NHS Fife.

The key outcomes of the study were:

  • Mindfulness Based Stress Reduction (MBSR) and MIndfulness Based Cognitive Therapy (MBCT) have been shown to be effective therapies in the treatment of a broad range of conditions.

  • The evidence base for MBSR/MBCT is rooted in robust research evidence.

  • There is little published evidence supporting the use of Mindfulness Based Interventions in everyday mental health care.

  • Well-being is a measure of functionality and Mental Health as opposed to measures of specific mental illnesses / problems.

  • Mindfulness Based Interventions have been shown here to promote well-being in a mental health day hospital population.

Course content

Click on the image below to view the content of the entire eight week course.

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Pre- and Post-intervention WEMWBS scores

 

The level of wellbeing, as measured on the Warwick Edinburgh Mental Well Being Scale (WEMWBS), of the participants in the eight-week Mindfulness Programme was recorded before and after participants took part in the programme.  The WEMWBS tool has been used in a number of large scale population studies in Scotland, England and Northern Ireland, revealing mean WEMWBS scores of 50, 51 and 50 respectively.  It can be seen that the mean score of patients taking part in the Weston Day Hospital Project changed from 36 (pre-intervention) to 46 (post-intervention); a result that is both clinically and statistically significant.  In addition, the number of patients who moved over the course of the programme from one level of wellbeing to another can be seen in the chart below.  NB levels of wellbeing are taken from Stranges et al (2014) health survey of England. 'Low' = WEMWBS score of 14 - 42, 'middle' = WEMWBS score of 43 - 59, 'high' = WEMWBS score of 59 - 70.

The Warwick Edinburgh Mental Well Being Scale (WEMWBS)

The WEMWBS was developed at Warwick Medical School, University of Warwick to enable the monitoring of mental wellbeing in the general population and the evaluation of projects, programmes and policies which aim to improve mental wellbeing. WEMWBS is a 14 item scale with 5 response categories, summed to provide a single score ranging from 14-70. The items are all worded positively and cover both feeling and functioning aspects of mental wellbeing. The scale does not categorise scores into levels of wellness or non-wellness, rather it is used to demonstrate changes in states of well-being over time. A change in score of between 3 and 8 is considered ‘meaningful’. Population comparisons can be made in relation to large scale National Survey reports and comparisons are made here between National Surveys in Scotland, England and Northern Ireland and between different occupational groups.  For further information on the WEMWBS see the official website here.

The Authors  (Click on the image for further details).

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  • Steve Smith
  • Dr Steve Smith
  • Steve Smith Mindfulness

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