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Individuals with low socioeconomic status (SES) and members of racial/ethnic minority groups often experience profound disparities in mental health and physical well-being. Mindfulness-based interventions show promise for improving mood and health behaviors in higher-SES and non-Latino White populations. However, research is needed to explore what types of adaptations, if any, are needed to best support underserved populations. This study used qualitative methods to gain information about (a) perceptions of mindfulness, (b) experiences with meditation, (c) barriers to practicing mindfulness, and (d) recommendations for tailoring mindfulness-based interventions in a low-income, primarily African American treatment-seeking sample. Eight focus groups were conducted with 32 adults (16 men and 16 women) currently receiving services at a community mental health center. Most participants (91%) were African American. Focus group data were transcribed and analyzed using NVivo 10. A team of coders reviewed the transcripts to identify salient themes. Relevant themes included beliefs that mindfulness practice might improve mental health (e.g., managing stress and anger more effectively) and physical health (e.g., improving sleep and chronic pain, promoting healthier behaviors). Participants also discussed ways in which mindfulness might be consistent with, and even enhance, their religious and spiritual practices. Results could be helpful in tailoring mindfulness-based treatments to optimize feasibility and effectiveness for low-SES adults receiving mental health services.
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Amaro, H. (2014). Implementing mindfulness-based relapse prevention in diverse populations: Challenges and future directions. Substance Use & Misuse, 49(5), 612–616. doi: 10.3109/10826084.2014.856624.
Amaro, H., Spear, S., Vallejo, Z., Conron, K., & Black, D. S. (2014). Feasibility, acceptability, and preliminary outcomes of a mindfulness-based relapse prevention intervention for culturally-diverse, low-income women in substance use disorder treatment. Substance Use & Misuse, 49(5), 547–559. doi: 10.3109/10826084.2013.852587.
Amutio, A., Franco, C., Perez-Fuentes Mde, C., Gazquez, J. J., & Mercader, I. (2014). Mindfulness training for reducing anger, anxiety, and depression in fibromyalgia patients. Frontiers in Psychology, 5, 1572. doi: 10.3389/fpsyg.2014.01572.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi: 10.1093/clipsy/bph077.
Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks: Sage Publications, Inc.
de Souza, I. C., de Barros, V. V., Gomide, H. P., Miranda, T. C., Menezes Vde, P., Kozasa, E. H., et al. (2015). Mindfulness-based interventions for the treatment of smoking: A systematic literature review. Journal of Alternative and Complementary Medicine, 21(3), 129–140. doi: 10.1089/acm.2013.0471. CrossRefPubMed
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. doi: 10.1016/j.cbpra.2011.08.003. CrossRefPubMed
Erves, J. C., Mayo-Gamble, T. L., Malin-Fair, A., Boyer, A., Joosten, Y., Vaughn, Y. C., et al. (2016). Needs, priorities, and recommendations for engaging underrepresented populations in clinical research: A community perspective. Journal of Community Health. doi: 10.1007/s10900–016–0279-2.
Finlay, L. (2002). Negotiating the swamp: The opportunity and challenge of reflexivity in research practice. Qualitative Research, 2(2), 209–230. CrossRef
Fuchs, C., Lee, J. K., Roemer, L., & Orsillo, S. M. (2013). Using mindfulness- and acceptance-based treatments with clients from nondominant cultural and/or marginalized backgrounds: Clinical considerations, meta-analysis findings, and introduction to the special series. Cognitive and Behavioral Practice, 20(1), 1–12. CrossRefPubMedPubMedCentral
George, M. C., Wongmek, A., Kaku, M., Nmashie, A., & Robinson-Papp, J. (2015). A mixed-methods pilot study of mindfulness-based stress reduction for HIV-associated chronic pain. Behavioral Medicine, 1–12, doi: 10.1080/08964289.2015.1107525.
Gotink, R. A., Chu, P., Busschbach, J. J., Benson, H., Fricchione, G. L., & Hunink, M. G. (2015). Standardised mindfulness-based interventions in healthcare: An overview of systematic reviews and meta-analyses of RCTs. PloS One, 10(4), e0124344. doi: 10.1371/journal.pone.0124344. CrossRefPubMedPubMedCentral
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. doi: 10.1016/j.cpr.2015.01.006. CrossRefPubMed
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacourt.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness and meditation in everyday life. New York: Hyperion.
Loucks, E. B., Schuman-Olivier, Z., Britton, W. B., Fresco, D. M., Desbordes, G., Brewer, J. A., et al. (2015). Mindfulness and cardiovascular disease risk: State of the evidence, plausible mechanisms, and theoretical framework. Current Cardiology Reports, 17(12), 112. doi: 10.1007/s11886-015-0668-7. CrossRefPubMedPubMedCentral
Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., et al. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health, 89(2), 308–316. doi: 10.1007/s11524-011-9654-6. CrossRefPubMedPubMedCentral
Rocha, T. (2014). The Dark Knight of the Soul. https://www.theatlantic.com/health/archive/2014/06/the-dark-knight-of-the-souls/372766/. Accessed 24 Feb 2017.
Ryan, G. W., & Bernard, H. R. (2003). Techniques to identify themes. Field Methods, 15, 85–109. CrossRef
Schubart, J. R., Wojnar, M., Dillard, J. P., Meczkowski, E., Kanaskie, M. L., Blackall, G. F., et al. (2015). ICU family communication and health care professionals: A qualitative analysis of perspectives. Intensive and Critical Care Nursing, 31(5), 315–321. doi: 10.1016/j.iccn.2015.02.003. CrossRefPubMed
Sobczak, L. R., & West, L. M. (2013). Clinical considerations in using mindfulness- and acceptance-based approaches with diverse populations: Addressing challenges in service delivery in diverse community settings. Cognitive and Behavioral Practice, 20(1), 13–22. doi: 10.1016/j.cbpra.2011.08.005. CrossRef
Szanton, S. L., Wenzel, J., Connolly, A. B., & Piferi, R. L. (2011). Examining mindfulness-based stress reduction: Perceptions from minority older adults residing in a low-income housing facility. BMC Complementary and Alternative Medicine, 11, 44. doi: 10.1186/1472-6882-11-44. CrossRefPubMedPubMedCentral
Vallejo, Z., & Amaro, H. (2009). Adaptation of mindfulness-based stress reduction program for addiction relapse prevention. The Humanistic Psychologist, 37, 192–206.
- Perceptions of Mindfulness in a Low-Income, Primarily African American Treatment-Seeking Sample
Claire Adams Spears
Sean C. Houchins
Wendy P. Bamatter
Diana Stewart Hoover
- Springer US