Strengths and limitations
cognitive complaints, MCI
To our knowledge, this is the first study that examined the feasibility and acceptability of technology use in an occupational therapist-led MBSR program for older adults living with cognitive complaints in a team-based primary care setting. The small sample size was drawn from one urban primary care site, and our participants were mainly of a higher socioeconomic status, and results may be different from a more socially disadvantaged group of older adults. The norm is to have only two MBSR teachers but having two additional MBSR teachers in the study to support participants’ technological issues may have impacted their experience and may not be feasible in a typical setting. In addition, only five participants (5/14) met the MCI criteria as two had a confirmed diagnosis of MCI, while the other three did not, but met the MCI eligibility based on Petersen’s et al.’s (2016) criteria. Thus, this small number of participants with MCI may limit the findings of feasibility and acceptability of technology use for the MCI population. Furthermore, our retention rates and true adherence rates were higher when we excluded the three participants who left the study. Thus, a future randomized clinical trial should consider (i) an alternative design method if LOCF to manage drop-out and (ii) using multiple primary care sites to achieve a larger sample size to include participants from diverse socioeconomic backgrounds and to enhance the evaluation of the impact of changes in everyday life participation with MBSR.