Top

06-03-2024 | ORIGINAL PAPER

Mindfulness Intervention with African-American Caregivers at a Head Start Program: An Acceptability and Feasibility Study

Auteurs: Erin T. Mathis, Jay Hawkins, Dominique Charlot-Swilley, Travis Spencer, Kaira Jewel Lingo, Dave Trachtenberg, Satyani K. L. McPherson, Celene E. Domitrovich, Amanda Shapiro, J. Corey Williams, Matthew G. Biel

Gepubliceerd in: Mindfulness

Abstract

Objectives

Caregiver psychological distress is a critical determinant of child developmental outcomes and increased risk for child psychopathology. An emerging literature on mindfulness-based interventions for caregivers has demonstrated the potential to enhance caregiver coping abilities. However, scant literature exists on the feasibility and acceptability of mindfulness interventions in African-American communities. The goal of the current study was to assess the feasibility and acceptability of a mindfulness-based group intervention for African-American caregivers of young children attending a Head Start Center. We also examined pre- and post-intervention measures related to caregiver mental health to assess the promise of this intervention for generating meaningful clinical outcomes.

Method

We conducted a mixed method, single-arm implementation study combining semi-structured focus groups, participant exit interviews, and quantitative measures related to mental health symptoms, parenting, and mindfulness.

Results

Our findings support the feasibility and acceptability of using mindfulness with predominantly African-American caregivers of young children attending a Head Start early learning program. Study participants cited a range of benefits in interviews including improvements in mindfulness, and psychological distress. Significant pre- to post-improvements in piloted measures were identified including sleep disturbances, anxiety, depression, trauma symptoms, and negative and positive affect.

Conclusions

These results provide preliminary support for the use of a mindfulness-based approach for African-American families, though more research is needed to determine the effectiveness.

Abidin, R. R. (2012). Parenting Stress Index, Fourth Edition (PSI-4). Psychological Assessment Resources.

Alhusen, J. L., Norris-Shortle, C., Cosgrove, K., & Marks, L. (2017). “I’m opening my arms rather than pushing away:” Perceived benefits of a mindfulness-based intervention among homeless women and young children. Infant Mental Health Journal, 38(3), 434–442. https://doi.org/10.1002/imhj.21641CrossRefPubMedPubMedCentral

Ayala, G. X., & Elder, J. P. (2011). Qualitative methods to ensure acceptability of behavioral and social interventions to the target population. Journal of Public Health Dentistry, 71, S69–S79. https://doi.org/10.1111/j.1752-7325.2011.00241.x

Baer, R. A., Samuel, D. B., & Lykins, E. L. (2011). Differential item functioning on the Five Facet Mindfulness Questionnaire is minimal in demographically matched meditators and nonmeditators. Assessment, 18(1), 3–10. https://doi.org/10.1177/1073191110392498

Bell, T. P. (2015). Meditative practice cultivates mindfulness and reduces anxiety, depression, blood pressure, and heart rate in a diverse sample. Journal of Cognitive Psychotherapy, 29(4), 343–355. https://doi.org/10.1891/0889-8391.29.4.343CrossRefPubMed

Bowen, D. J., Kreuter, M., Spring, B., Cofta-Woerpel, L., Linnan, L., Weiner, D., Bakken, S., Kaplan, C. P., Squiers, L. Fabrizio, C., & Fernandez, M. (2009). How we design feasibility studies. American Journal of Preventive Medicine, 36(5), 452–457. https://doi.org/10.1016/j.amepre.2009.02.002

Brody, G. H., & Ge, X. (2001). Linking parenting processes and self-regulation to psychological functioning and alcohol use during early adolescence. Journal of Family Psychology, 15(1), 82–94. https://doi.org/10.1037/0893-3200.15.1.82CrossRefPubMed

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822CrossRefPubMed

Buysse, D. J., Yu, L., Moul, D. E., Germain, A., Stover, A., Dodds, N. E., Johsnton, K. L., Shablesky-Cade, M. A., & Pilkonis, P. A. (2010). Development and validation of patient-reported outcome measures for sleep disturbance and sleep-related impairments. Sleep, 33(6), 781–792. https://doi.org/10.1093/sleep/33.6.781

Campbell, K., Thoburn, J. W., & Leonard, H. D. (2017). The mediating effects of stress on the relationship between mindfulness and parental responsiveness. Couple and Family Psychology, 6(1), 48–59. https://doi.org/10.1037/cfp0000075CrossRef

Chaplin T. M., Turpyn C. C., Fischer S., Martelli A. M., Ross C. E., Leichtweis R. N., Miller, A. B., & Sinha, R. (2018). Parenting-focused mindfulness intervention reduces stress and improves parenting in highly stressed mothers of adolescents. Mindfulness, 12(2), 450–462. https://doi.org/10.1007/s12671-018-1026-9

Chin, G., Anyanso, V., & Greeson, J. (2019). Addressing diversity in mindfulness research on health: A narrative review using the ADDRESSING framework. Cooper Rowan Medical Journal, 1(1), 2. https://doi.org/10.31986/issn.2578-3343_vol1iss1.1.2

Coatsworth, J. D., Duncan, L. G., Greenberg, M. T., & Nix, R. L. (2010). Changing parent’s mindfulness, child management skills and relationship quality with their youth: Results from a randomized pilot intervention trial. Journal of Child and Family Studies, 19(2), 203–217. https://doi.org/10.1007/s10826-009-9304-8CrossRefPubMed

Coatsworth, J. D., Duncan, L. G., Nix, R. L., Greenberg, M. T., Gayles, J. G., Bamberger, K. T., Berrena, E., Demi, M. A. (2015). Integrating mindfulness with parent training: Effects of the mindfulness-enhanced strengthening families program. Developmental Psychology, 51(1), 26–35. https://doi.org/10.1037/a0038212

Collins, S. E., Clifasefi, S. L., Stanton, J., Straits, K. J., Gil-Kashiwabara, E., Rodriguez Espinosa, P., Nicasio, A. V., Andrasik, M. P., Hawes, S. M., Miller, K. A., & Nelson, L. A. (2018). Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research. American Psychologist, 73(7), 884–898. https://doi.org/10.1037/amp0000167CrossRefPubMed

Dawson-McClure, S., Calzada, E. J., & Brotman, L. M. (2017). Engaging parents in preventive interventions for young children: Working with cultural diversity within low-income, urban neighborhoods. Prevention Science, 18(6), 660–670. https://doi.org/10.1007/s11121-017-0763-7CrossRefPubMedPubMedCentral

DC Health. (2018). Health equity report for the District of Columbia 2018. DC Health. Retrieved from: https://dchealth.dc.gov/publication/health-equity-report-district-columbia-2018

Duncan, L. G., & Bardacke, N. (2009). Mindfulness-based childbirth and parenting education: Promoting family mindfulness during the perinatal period. Journal of Child and Family Studies, 19(2), 190–202. https://doi.org/10.1007/s10826-009-9313-7CrossRefPubMedPubMedCentral

Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009). A model of mindful parenting: Implications for parent–child relationships and prevention research. Clinical Child and Family Psychology Review, 12(3), 255–270. https://doi.org/10.1007/s10567-009-0046-3CrossRefPubMedPubMedCentral

Dutton, M. A., Bermudez, D., Matas, A., Majid, H., & Myers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20(1), 23–32. https://doi.org/10.1016/j.cbpra.2011.08.003CrossRefPubMed

Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs—Principles and practices. Health Services Research, 48, 2134–2156. https://doi.org/10.1111/1475-6773.12117

Gamst, G., Aguilar-Kitibutr, A., Herdina, A., Hibbs, S., Krishtal, E., Lee, R., & Martenson, L. (2003). Effects of racial match on Asian American mental health consumer satisfaction. Mental Health Services Research, 5(3), 197–208.CrossRefPubMed

Gerard, A. B. (1994). Parent-Child Relationship Inventory (PCRI): Manual. Los Angeles Western Psychological Services.

Gilbody, S., Richards, D., Brealey, S., & Hewitt, C. (2007). Screening for depression in medical settings with the patient health questionnaire (PHQ): A diagnostic meta-analysis. Journal of General Internal Medicine, 22(11), 1596–1602. https://doi.org/10.1007/s11606-007-0333-yCrossRefPubMedPubMedCentral

Gregoski, M. J., Barnes, V. A., Tingen, M. S., Harshfield, G. A., & Treiber, F. A. (2011). Breathing awareness meditation and LifeSkills Training programs influence upon ambulatory blood pressure and sodium excretion among African American adolescents. Journal of Adolescent Health, 48(1), 59–64. https://doi.org/10.1016/j.jadohealth.2010.05.019CrossRef

Gross, H. E., Shaw, D. S., & Moilanen, K. L. (2008a). Reciprocal associations between boys’ externalizing problems and mothers’ depressive symptoms. Journal of Abnormal Child Psychology, 36(5), 693–709. https://doi.org/10.1007/s10802-008-9224-xCrossRefPubMedPubMedCentral

Gross, H. E., Shaw, D. S., Moilanen, K. L., Dishion, T. J., & Wilson, M. N. (2008b). Reciprocal models of child behavior and depressive symptoms in mothers and fathers in a sample of children at risk for early conduct problems. Journal of Family Psychology, 22(5), 742–751. https://doi.org/10.1037/a0013514CrossRefPubMedPubMedCentral

Hick, S. F., & Furlotte, C. (2010). An exploratory study of radical mindfulness training with severely economically disadvantaged people: Findings of a Canadian study. Australian Social Work, 63(3), 281–298. https://doi.org/10.1080/0312407X.2010.496865CrossRef

Institute of Education Sciences. (2020). What works clearinghouse: Procedures handbook (Version 4.1). Retrieved from: https://ies.ed.gov/ncee/wwc/Docs/referenceresources/WWC-Procedures-Handbook-v4-1-508.pdf

Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion.

Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday Blessings: The Inner Work of Mindful Parenting. Hyperion.

Laurent, H. K., Duncan, L. G., Lightcap, A., & Khan, F. (2017). Mindful parenting predicts mothers’ and infants’ hypothalamic-pituitary-adrenal activity during a dyadic stressor. Developmental Psychology, 53(3), 417–424. https://doi.org/10.1037/dev0000258CrossRefPubMed

Lee, S. J., Pace, G. T., Lee, J. Y., & Knauer, H. (2018). The association of fathers’ parental warmth and parenting stress to child behavior problems. Children and Youth Services Review, 91, 1–10. https://doi.org/10.1016/j.childyouth.2018.05.020CrossRefPubMedPubMedCentral

Manuel, J. A., Somohano, V. C., & Bowen, S. (2017). Mindfulness practice and its relationship to the Five-Facet Mindfulness Questionnaire. Mindfulness, 8(2), 361–367. https://doi.org/10.1007/s12671-016-0605-x

Maramba, G. G., & Hall, G. C. N. (2002). Meta-analyses of ethnic match as a predictor of dropout, utilization, and level of functioning. Cultural Diversity and Ethnic Minority Psychology, 8(3), 290–297.CrossRefPubMed

McCaffrey, S., Reitman, D., & Black, R. (2016). Mindfulness in parenting questionnaire (MIPQ): Development and validation of a measure of mindful parenting. Mindfulness, 8(1), 232–246. https://doi.org/10.1007/s12671-016-0596-7CrossRef

McCold, P. (2007). The recent history of restorative justice: Mediation, circles, and conferencing. In D. Sullivan & L. Tifft (Eds.), Handbook of restorative justice: A global perspective (pp. 23–51). Routledge.

Meyer, O. L., & Zane, N. (2013). The influence of race and ethnicity in clients’ experiences of mental health treatment. Journal of Community Psychology, 41(7), 884–901. https://doi.org/10.1002/jcop.21580CrossRefPubMedPubMedCentral

O’Sullivan, M. J., & Lasso, B. (1992). Community mental health services for Hispanics: A test of the culture compatibility hypothesis. Hispanic Journal of Behavioral Sciences, 14(4), 455–468.CrossRef

Roth, B., & Robbins, D. (2004). Mindfulness-based stress reduction and health-related quality of life: Findings from a bilingual inner-city patient population. Psychosomatic Medicine, 66(1), 113–123. https://doi.org/10.1097/01.PSY.0000097337.00754.09CrossRefPubMed

Sekhon, M., Cartwright, M., & Francis, J. J. (2017). Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Services Research, 17, 88. https://doi.org/10.1186/s12913-017-2031-8CrossRef

Singh, N. (2010). Mindfulness: A finger pointing to the moon. Mindfulness, 1(1), 1–3. https://doi.org/10.1007/s12671-010-0009-2CrossRef

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092CrossRefPubMed

Stanley, S. (2012). Mindfulness: Towards a critical relational perspective. Social and Personality Psychology Compass, 6(9), 631–641. https://doi.org/10.1111/j.1751-9004.2012.00454.xCrossRef

Thompson, E. R. (2007). Development and validation of an internationally reliable short-form of the positive and negative affect schedule (PANAS). Journal of Cross-Cultural Psychology, 38(2), 227–242. https://doi.org/10.1177/0022022106297301CrossRef

Thompson, R. A. (2014). Stress and child development. The Future of Children, 24(1), 41–59. https://doi.org/10.1353/foc.2014.0004

U.S. Census Bureau (2019). American Community Survey 5-year estimates. Retrieved from Census Reporter Profile page for Ward 7, DC. http://censusreporter.org/profiles/61000US11007-ward-7-dc/

Vallejo, Z., & Amaro, H. (2009). Adaptation of a mindfulness-based stress reduction program for addiction relapse prevention. The Humanistic Psychologist, 37(2), 192–206. https://doi.org/10.1080/08873260902892287CrossRef

Van der Gucht, K., Takano, K., Van Broeck, N., & Raes, F. (2015). A mindfulness-based intervention for economically disadvantaged people: Effects on symptoms of stress, anxiety, and depression and on cognitive reactivity and overgeneralization. Mindfulness, 6(5), 1042–1052. https://doi.org/10.1007/s12671-014-0353-8CrossRef

Van der Valk, I. E., Spruijt, A. P., De Goede, M. P. M., & Meeus, W. H. J. (2007). A longitudinal study on transactional relations between parental marital distress and adolescent emotional adjustment. Adolescence, 42, 115–136.

Ward, E. C. (2005). Keeping it real: A grounded theory study of African American clients engaging in counseling at a community mental health agency. Journal of Counseling Psychology, 52, 471–481. https://doi.org/10.1037/0022-0167.52.4.471CrossRef

Watson, N. N., Black, A. R., & Hunter, C. D. (2016). African American women’s perceptions of mindfulness meditation training and gendered race-related stress. Mindfulness, 7(5), 1034–1043. https://doi.org/10.1007/s12671-016-0539-3CrossRef

Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at http://www.ptsd.va.gov.

Wills, T. A., & Dishion, T. J. (2004). Temperament and adolescent substance use: A transactional analysis of emerging self-control. Journal of Clinical Child and Adolescent Psychology, 33(1), 69–81. https://doi.org/10.1207/S15374424JCCP3301_7CrossRefPubMed

Zhang, H., & Emory, E. K. (2015). A mindfulness-based intervention for pregnant African-American women. Mindfulness, 6(3), 663–674. https://doi.org/10.1007/s12671-014-0304-4CrossRef

Zhou, Q., Wang, Y., Deng, X., Eisenberg, N., Wolchik, S. A., & Tein, J. Y. (2008). Relations of parenting and temperament to Chinese children’s experience of negative life events, coping efficacy, and externalizing problems. Child Development, 79(3), 493–513. https://doi.org/10.1111/j.1467-8624.2008.01139.xCrossRefPubMedPubMedCentral

Titel: Mindfulness Intervention with African-American Caregivers at a Head Start Program: An Acceptability and Feasibility Study
Auteurs: Erin T. Mathis
Jay Hawkins
Dominique Charlot-Swilley
Travis Spencer
Kaira Jewel Lingo
Dave Trachtenberg
Satyani K. L. McPherson
Celene E. Domitrovich
Amanda Shapiro
J. Corey Williams
Matthew G. Biel
Publicatiedatum: 06-03-2024
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-024-02320-x

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Method

Results

Conclusions

Log in om toegang te krijgen