Skip to main content
Top
Gepubliceerd in:

13-10-2023 | Original Paper

Preliminary Evaluation of Learning to BREATHE PLUS for University Students: Does a Multi-Modal Adaptive Supplement Strengthen Effects of a Mindfulness-Based Intervention?

Auteurs: Rachel G. Lucas-Thompson, Mark A. Prince, Brock A. Rigsby, Melanie S. Adams, Reagan L. Miller, Addie Rzonca, Jill Krause, Megan Moran, Timothy Piehler, Nicole Morrell, Lauren Shomaker

Gepubliceerd in: Mindfulness | Uitgave 11/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Effects of mindfulness-based interventions on mental health outcomes are typically small to moderate in magnitude. Outside of the mindfulness-based intervention (MBI) literature, there is evidence that supplements to traditional group interventions (delivered in people’s daily lives, often via cell phone) increase intervention efficacy. We have developed the first supplement delivered via cell phone to an MBI and, in the current study, provide a preliminary test of the extent to which this supplement (and its individual components) strengthens intervention effects on mindful attention, self-compassion, and mental health. We also examine whether the addition of the supplement alters feasibility.

Method

Participants were 50 university students who attended at least one session of a 6-week MBI and completed baseline and post-test assessments. Participants were randomly assigned to receive varying intervention support between sessions (i.e., no support, only intervention messages; only just-in-time support during stress; both messages and stress support), and provided baseline and post-test reports of mindful attention, self-compassion, and mental health; at the end of the program, they rated intervention acceptability and facilitator quality. Facilitators recorded attendance

Results

Compared to participants who received no support, participants who received any support between sessions displayed greater increases in mindful attention and fewer increases in mental health symptoms. Support between sessions predicted greater attendance at group sessions, but additional support did not affect intervention acceptability.

Conclusions

This study provides preliminary evidence that incorporating supplements to MBIs via cell phones between group meeting sessions may be a successful strategy to increase intervention effectiveness.

Preregistration

This study is not preregistered.
Literatuur
go back to reference Bai, S., Elavsky, S., Kishida, M., Dvořáková, K., & Greenberg, M. T. (2020). Effects of mindfulness training on daily stress response in college students: Ecological momentary assessment of a randomized controlled trial. Mindfulness, 11(6), 1433–1445. https://doi.org/10.1007/s12671-020-01358-x Bai, S., Elavsky, S., Kishida, M., Dvořáková, K., & Greenberg, M. T. (2020). Effects of mindfulness training on daily stress response in college students: Ecological momentary assessment of a randomized controlled trial. Mindfulness, 11(6), 1433–1445. https://​doi.​org/​10.​1007/​s12671-020-01358-x
go back to reference Berkel, C., Sandler, I. N., Wolchik, S. A., Brown, C. H., Gallo, C. G., Chiapa, A., Mauricio, A. M., & Jones, S. (2018). “Home practice is the program”: Parents’ practice of program skills as predictors of outcomes in the new beginnings program effectiveness trial. Prevention Science: The Official Journal of the Society for Prevention Research, 19(5), 663–673. https://doi.org/10.1007/s11121-016-0738-0CrossRefPubMed Berkel, C., Sandler, I. N., Wolchik, S. A., Brown, C. H., Gallo, C. G., Chiapa, A., Mauricio, A. M., & Jones, S. (2018). “Home practice is the program”: Parents’ practice of program skills as predictors of outcomes in the new beginnings program effectiveness trial. Prevention Science: The Official Journal of the Society for Prevention Research, 19(5), 663–673. https://​doi.​org/​10.​1007/​s11121-016-0738-0CrossRefPubMed
go back to reference Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 855–866. https://doi.org/10.1037/a0016241CrossRefPubMed Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 855–866. https://​doi.​org/​10.​1037/​a0016241CrossRefPubMed
go back to reference Broderick, P. C. (2013). Learning to breathe: A mindfulness program for adolescents. New Harbinger. Broderick, P. C. (2013). Learning to breathe: A mindfulness program for adolescents. New Harbinger.
go back to reference Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Assessing adolescent mindfulness: Validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychological Assessment, 23(4), 1023–1033. https://doi.org/10.1037/a0021338CrossRefPubMed Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Assessing adolescent mindfulness: Validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychological Assessment, 23(4), 1023–1033. https://​doi.​org/​10.​1037/​a0021338CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed., Vol. 2nd). Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed., Vol. 2nd). Erlbaum.
go back to reference Dawson, A. F., Brown, W. W., Anderson, J., Datta, B., Donald, J. N., Hong, K., Allan, S., Mole, T. B., Jones, P. B., & Galante, J. (2020). Mindfulness-based interventions for university students: A systematic review and meta-analysis of randomised controlled trials. Applied Psychology. Health and Well-Being, 12(2), 384–410. https://doi.org/10.1111/aphw.12188CrossRefPubMed Dawson, A. F., Brown, W. W., Anderson, J., Datta, B., Donald, J. N., Hong, K., Allan, S., Mole, T. B., Jones, P. B., & Galante, J. (2020). Mindfulness-based interventions for university students: A systematic review and meta-analysis of randomised controlled trials. Applied Psychology. Health and Well-Being, 12(2), 384–410. https://​doi.​org/​10.​1111/​aphw.​12188CrossRefPubMed
go back to reference Dunning, D. L., Griffiths, K., Kuyken, W., Crane, C., Foulkes, L., Parker, J., & Dalgleish, T. (2019). Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents - a meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 60(3), 244–258. https://doi.org/10.1111/jcpp.12980CrossRefPubMed Dunning, D. L., Griffiths, K., Kuyken, W., Crane, C., Foulkes, L., Parker, J., & Dalgleish, T. (2019). Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents - a meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 60(3), 244–258. https://​doi.​org/​10.​1111/​jcpp.​12980CrossRefPubMed
go back to reference Dvořáková, K., Kishida, M., Li, J., Elavsky, S., Broderick, P. C., Agrusti, M. R., & Greenberg, M. T. (2017). Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial. Journal of American College Health, 65(4), 259–267. https://doi.org/10.1080/07448481.2017.1278605 Dvořáková, K., Kishida, M., Li, J., Elavsky, S., Broderick, P. C., Agrusti, M. R., & Greenberg, M. T. (2017). Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial. Journal of American College Health, 65(4), 259–267. https://​doi.​org/​10.​1080/​07448481.​2017.​1278605
go back to reference Eskin, M., Sun, J.-M., Abuidhail, J., Yoshimasu, K., Kujan, O., Janghorbani, M., Flood, C., Carta, M. G., Tran, U. S., Mechri, A., Hamdan, M., Poyrazli, S., Aidoudi, K., Bakhshi, S., Harlak, H., Moro, M. F., Nawafleh, H., Phillips, L., Shaheen, A., Taifour, S., Tsuno, K., Voracek, M. (2016). Suicidal behavior and psychological distress in university students: A 12-nation study. Archives of Suicide Research, 20(3), 369–388. https://doi.org/10.1080/13811118.2015.1054055 Eskin, M., Sun, J.-M., Abuidhail, J., Yoshimasu, K., Kujan, O., Janghorbani, M., Flood, C., Carta, M. G., Tran, U. S., Mechri, A., Hamdan, M., Poyrazli, S., Aidoudi, K., Bakhshi, S., Harlak, H., Moro, M. F., Nawafleh, H., Phillips, L., Shaheen, A., Taifour, S., Tsuno, K., Voracek, M. (2016). Suicidal behavior and psychological distress in university students: A 12-nation study. Archives of Suicide Research, 20(3), 369–388. https://​doi.​org/​10.​1080/​13811118.​2015.​1054055
go back to reference Fisher, W. A., Fisher, J. D., & Harman, J. (2003). The information-motivation-behavioral skill model: A general social psychological approach to understanding promoting health behavior. In J. Suls & K. A. Wallston (Eds.), Social psychological foundation of health and illness (pp. 82–106). Blackwell.CrossRef Fisher, W. A., Fisher, J. D., & Harman, J. (2003). The information-motivation-behavioral skill model: A general social psychological approach to understanding promoting health behavior. In J. Suls & K. A. Wallston (Eds.), Social psychological foundation of health and illness (pp. 82–106). Blackwell.CrossRef
go back to reference Frank, J. L., Broderick, P. C., Oh, Y., Mitra, J., Kohler, K., Schussler, D. L., Geier, C., Roeser, R. W., Berrena, E., Mahfouz, J., Levitan, J., & Greenberg, M. T. (2021). The effectiveness of a teacher-delivered mindfulness-based curriculum on adolescent social-emotional and executive functioning. Mindfulness, 12(5), 1234–1251. https://doi.org/10.1007/s12671-021-01594-9CrossRef Frank, J. L., Broderick, P. C., Oh, Y., Mitra, J., Kohler, K., Schussler, D. L., Geier, C., Roeser, R. W., Berrena, E., Mahfouz, J., Levitan, J., & Greenberg, M. T. (2021). The effectiveness of a teacher-delivered mindfulness-based curriculum on adolescent social-emotional and executive functioning. Mindfulness, 12(5), 1234–1251. https://​doi.​org/​10.​1007/​s12671-021-01594-9CrossRef
go back to reference Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034–1040. https://doi.org/10.1037/a0022713CrossRefPubMed Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034–1040. https://​doi.​org/​10.​1037/​a0022713CrossRefPubMed
go back to reference Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. https://doi.org/10.1016/j.jbi.2008.08.010 Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. https://​doi.​org/​10.​1016/​j.​jbi.​2008.​08.​010
go back to reference Hutchesson, M. J., Duncan, M. J., Oftedal, S., Ashton, L. M., Oldmeadow, C., Kay-Lambkin, F., & Whatnall, M. C. (2021). Latent class analysis of multiple health risk behaviors among Australian university students and associations with psychological distress. Nutrients, 13(2), 425.https://doi.org/10.3390/nu13020425 Hutchesson, M. J., Duncan, M. J., Oftedal, S., Ashton, L. M., Oldmeadow, C., Kay-Lambkin, F., & Whatnall, M. C. (2021). Latent class analysis of multiple health risk behaviors among Australian university students and associations with psychological distress. Nutrients, 13(2), 425.https://​doi.​org/​10.​3390/​nu13020425
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stres, pain, and illness. Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stres, pain, and illness. Delacorte.
go back to reference Kouros, C. D., Papp, L. M., Goeke-Morey, M. C., & Cummings, E. M. (2014). Spillover between marital quality and parent-child relationship quality: Parental depressive symptoms as moderators. Journal of Family Psychology, 28(3), 315–325. https://doi.org/10.1037/a0036804 Kouros, C. D., Papp, L. M., Goeke-Morey, M. C., & Cummings, E. M. (2014). Spillover between marital quality and parent-child relationship quality: Parental depressive symptoms as moderators. Journal of Family Psychology, 28(3), 315–325. https://​doi.​org/​10.​1037/​a0036804
go back to reference Morrison, W., Guerdan, L., Kanugo, J., Trull, T., & Shang, Y. (2018). TigerAware: An Innovative Mobile Survey and Sensor Data Collection and Analytics System. IEEE Third International Conference on Data Science in Cyberspace (DSC), 2018, 115–122.CrossRef Morrison, W., Guerdan, L., Kanugo, J., Trull, T., & Shang, Y. (2018). TigerAware: An Innovative Mobile Survey and Sensor Data Collection and Analytics System. IEEE Third International Conference on Data Science in Cyberspace (DSC), 2018, 115–122.CrossRef
go back to reference Nahum-Shani, I., Smith, S. N., Spring, B. J., Collins, L. M., Witkiewitz, K., Tewari, A., & Murphy, S. A. (2018). Just-in-time adaptive interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 52(6), 446–462. https://doi.org/10.1007/s12160-016-9830-8CrossRefPubMed Nahum-Shani, I., Smith, S. N., Spring, B. J., Collins, L. M., Witkiewitz, K., Tewari, A., & Murphy, S. A. (2018). Just-in-time adaptive interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 52(6), 446–462. https://​doi.​org/​10.​1007/​s12160-016-9830-8CrossRefPubMed
go back to reference Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401CrossRef Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401CrossRef
go back to reference Sheeran, P., Maki, A., Montanaro, E., Avishai-Yitshak, A., Bryan, A., Klein, W. M., Miles, E., & Rothman, A. J. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis. Health Psychology, 35(11), 1178–1188. https://doi.org/10.1037/hea0000387 Sheeran, P., Maki, A., Montanaro, E., Avishai-Yitshak, A., Bryan, A., Klein, W. M., Miles, E., & Rothman, A. J. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis. Health Psychology, 35(11), 1178–1188. https://​doi.​org/​10.​1037/​hea0000387
Metagegevens
Titel
Preliminary Evaluation of Learning to BREATHE PLUS for University Students: Does a Multi-Modal Adaptive Supplement Strengthen Effects of a Mindfulness-Based Intervention?
Auteurs
Rachel G. Lucas-Thompson
Mark A. Prince
Brock A. Rigsby
Melanie S. Adams
Reagan L. Miller
Addie Rzonca
Jill Krause
Megan Moran
Timothy Piehler
Nicole Morrell
Lauren Shomaker
Publicatiedatum
13-10-2023
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 11/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-023-02229-x