Skip to Content


The COSMIC Study
The Compassionate Mindful Resilience Programme for people with kidney disease

The COSMIC study aimed to support a new service development project, in partnership with Kidney Care UK, by implementing the four-session Compassionate Mindful Resilience (CMR) programme, developed by MindfulnessUK, and explore its feasibility for patients with stage 4 or 5 chronic kidney disease or have received a kidney transplant.

75 participants took part in the 4-week online CMR programme, and we used pre- and post-tests to measure the effect of the programme on anxiety, depression, self-compassion, the ability to be mindful, wellbeing, and resilience, along with qualitative interviews to explore factors influencing the feasibility, acceptability, and suitability of the intervention, with patients (and the Mindfulness Teacher) and their commitment to practice.


The findings from the study have been very positive and suggest that the CMR programme has the potential to improve psychological outcomes among people with advanced kidney disease. Please read the papers generated from this study below.


  • Study Protocol
  • Feasibility Findings
  • Qualitative Findings
  • Download
    The COSMIC Infographic
    Download here