Informal Mindfulness Research Articles

Optimizing Compassion Training in Medical Trainees Using an Adjunct mHealth App: A Preliminary Single-Arm Feasibility and Acceptability Study.

While structured compassion training programs have shown promise for increasing compassion among medical trainees, a major challenge is applying the concepts and practices taught during the program into the complex, dynamic, time-pressured, and often hectic hospital workplace. The purpose of this pilot study was to examine the feasibility, acceptability, and preliminary effects of Compassion Coach, a mobile health (mHealth) smartphone app designed to bolster a 6-week mindfulness and self-compassion training program for medical trainees. In Compassion Coach, notifications to remind, encourage, and measure the perceived impact of informal mindfulness and compassion practices taught during the program were delivered at 7 AM, 12 PM, and 7 PM, respectively, 3 times per week over the course of the training program. The app also contained a library of guided audio formal mindfulness and compassion practices to allow quick and easy access. In this pilot study, we collected data from 29 medical students and residents who downloaded Compassion Coach and completed surveys assessing perceived effectiveness and acceptability. Engagement with the Compassion Coach app was passively tracked through notification response rate and library resource access over time. The average response rate to notifications was 58% (SD 29%; range 12%-98%), with a significant decline over time (P=.009; odds ratio 0.98, 95% CI 0.96-0.99). Across all participants and occasions, the majority agreed the informal practices prompted by Compassion Coach helped them feel grounded and centered (110/150, 73%), improved compassion (29/41, 71%), reduced burnout (106/191, 56%), and improved their mood (133/191, 70%). In total, 16 (55%) of the 29 participants accessed guided audio recordings on average 3 (SD 3.4) times throughout the program. At the posttreatment time point, most participants (13/18, 72%) indicated that Compassion Coach helped them engage in compassion practices in daily life, and half (9/18, 50%) indicated that Compassion Coach helped improve interactions with patients. Overall, preliminary results of Compassion Coach are encouraging and suggest the integration of a smartphone app with an ongoing mindfulness and self-compassion training program may bolster the effects of the program on medical trainees. However, there was variability in engagement with Compassion Coach and perceived helpfulness. Additional research is indicated to optimize this novel mHealth approach and conduct a study powered to formally evaluate effects.

The effectiveness and acceptability of formal versus informal mindfulness among university students with and without recent self-injury: A randomized controlled trial.

Mindfulness instruction comprising both formal (FM) and informal (IM) mindfulness practice is increasingly offered to university students. FM involves sustaining attention on thoughts, emotions and bodily sensations through structured practices, while IM involves incorporating mindfulness into daily activities. However, recent evidence suggests that FM may pose challenges for students with recent non-suicidal self-injury (NSSI), whereas the flexibility and brevity inherent in IM may be better tolerated. This randomized controlled trial compared a FM induction, IM induction and control task among university students with (n = 103) and without (n = 123) past-year NSSI in terms of acceptability and pre-post state mindfulness, stress and well-being. Notably, results did not differ as a function of NSSI history. Two-way ANOVAs revealed that only IM was consistently preferred over the control task. Furthermore, three-way mixed ANOVAs revealed that-when assessed using brief Visual Analogue Scales-state well-being increased in all conditions, state mindfulness increased after both IM and FM, and state stress only decreased after IM. Notably, these differences by condition appeared to be of short duration as they were not found with lengthier measures. Results highlight the potential promise of IM and the importance of measurement selection when assessing the transient effects of mindfulness inductions in research.

Altered states of consciousness caused by a mindfulness-based programme up to a year later: Results from a randomised controlled trial.

Mindfulness-based programmes (MBPs) have shown beneficial effects on mental health. There is emerging evidence that MBPs may also be associated with marked deviations in the subjective experience of waking consciousness. We aimed to explore whether MBPs can have a causal role in different types of such states. We conducted a pragmatic randomised controlled trial (ACTRN12615001160527). University of Cambridge students without severe mental illness were randomised to an 8-week MBP plus mental health support as usual (SAU), or to SAU alone. We adapted the Altered States of Consciousness Rating Scale (OAV, 0-100-point range) to assess spontaneous experiences in daily life, and included it as a post-hoc secondary outcome at the end of the one-year follow-up questionnaire. Two-part model analyses compared trial arms, and estimated dose-response effects of formal (meditation) and informal (daily activities) mindfulness practice during the year. Sensitivity analyses correcting for multiple comparisons were conducted. We randomised 670 participants; 205 (33%) completed the OAV. In comparison with SAU, MBP participants experienced unity more frequently and intensively (two-part marginal effect (ME) = 6.26 OAV scale points, 95% confidence interval (CI) = 2.24, 10.27, p = 0.006, Cohen's d = 0.33) and disembodiment more frequently (ME = 4.84, 95% CI = 0.86, 8.83, p = 0.019, Cohen's d = 0.26). Formal practice predicted spiritual, blissful and unity experiences, insightfulness, disembodiment, and changed meanings. Informal practice predicted unity and blissful experiences. Trial arm comparisons and informal practice effects lost significance after corrections for multiple comparisons, but formal practice dose-response effects remained significant. Results provide a novel suggestion of causal links between mindfulness practice and specific altered states of consciousness. To optimise their impact, practitioners and teachers need to anticipate and handle them appropriately. Future studies need to confirm findings and assess mechanisms and clinical implications.

Informal Mindfulness Practices: A New Approach to the Prevention and Treatment of Parental Burnout

The present study assessed the effectiveness of informal mindfulness practice among parents in terms of parental burnout prevention and treatment. The objective was to test the new approach of informal mindfulness practice, the FOVEA program, implemented in daily activities rather than based on formal meditations. Indeed, traditional mindfulness programs (e.g., mindfulness-based cognitive therapy, MBSR) require a 45-min daily meditation practice which can be difficult to include in parents’ tight schedules, and even more for the parents suffering from or at risk of parental burnout. In contrast, the FOVEA program was designed to enhance the awareness of the present moment in ecological context mainly using the five senses and awareness of breath and body sensations. We tested the hypothesis that compared to the waitlist control group parents participating in the program would present a greater reduction of parental burnout scores following the intervention. The results revealed a statistically significant large effect of FOVEA intervention on parental burnout severity. There was a statistically significant decrease in parental burnout symptoms between T1 and T2 within the intervention group and no statistically significant difference in parental burnout within the waitlist control group. Thus, informal mindfulness practice seems to effectively prevent and reduce parental burnout.

Surprise and delight: Response to informal versus formal mindfulness among university students with self-injury.

Nonsuicidal self-injury (NSSI) is defined as the deliberate destruction of one's bodily tissue without suicidal intent. Mindfulness practice is commonly incorporated into universities' stress management programming and may benefit students with a history of NSSI. However, recent findings suggest that these students may respond differentially to specific types of mindfulness practice (i.e., formal vs. informal practice). The present study qualitatively explored the acceptability of different types of mindfulness practice among university students with a history of NSSI. University students with a recent history of NSSI (n = 36) completed a semistructured interview following a brief mindfulness practice (i.e., either a formal body scan, formal sitting meditation, or informal practice). Reflexive thematic analysis of interview transcripts revealed five key themes. First, there appeared to be general misconceptions regarding what constitutes mindfulness practice (Theme 1). Nevertheless, within the present study, all mindfulness practices were carried out with relative ease (Theme 2). Notably, favorable physical and psychological experiences were predominant in response to informal practice (Theme 3). Preferences regarding level of guidance were more mixed in response to formal versus informal practice (Theme 4). Finally, only informal practice inspired feelings of delight and surprise following practice (Theme 5). Informal mindfulness practice is deemed highly acceptable by university students with a history of NSSI and clinicians should strongly consider emphasizing it in mindfulness-based interventions offered to these students, to provide them with the best opportunity to build a regular mindfulness practice and develop their emotion regulation abilities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Changes in State Mindfulness are the Key to Success in Mindfulness Interventions: Ecological Momentary Assessments of Predictors, Mediators, and Outcomes in a Four-Week Koru Mindfulness Intervention

It is often assumed that changes in state mindfulness coupled with a decrease in intrusive thinking (e.g., rumination or worry) are the crucial ingredients in mindfulness interventions. We investigate this claim by examining within-person day-to-day changes and causal relationships among these changes in state measures of mindfulness, cognitive interference (a measure of intrusive thinking), depression, well-being, stress, sleep, physical activity, and quality of formal and informal mindfulness practice in a four-week randomized controlled mindfulness intervention with a sample of college students using the Koru mindfulness program; n = 55 for intervention, n = 57 for control; mean age = 21.4). The intervention was effective in improving day-to-day state mindfulness, cognitive interference, and sleep (the effects on all three were linear), but the effects on physical activity, depression, and well-being were not significant. Day-to-day mindfulness (the independent variable) was a predictor of change in daily cognitive interference (the mediating variable), which in turn predicted depression and well-being (dependent variables). The beneficial effects of state mindfulness were demonstrable over a lag of four days, suggesting it is indeed a key ingredient in the effectiveness of mindfulness interventions. Physical activity, sleep, and practice quality did not mediate any effects. One clear implication is that maintaining or restoring high levels of mindfulness, for instance by engaging in meditation or in more informal mindfulness exercises, would be of obvious and direct benefit to mental health and well-being.

An Asynchronous Evidence-Based Mindfulness Intervention for Professional Nurses.

Purpose: To evaluate the impact of an abbreviated (4-week) and asynchronous, mindfulness-based intervention (MBI) on nurses' perceived stress and mindful attention and awareness. Design: An evidence-based quality improvement pilot program. Methods: The participants (n = 15 nurses) attended a 4-week, asynchronous MBI. The participants attended a 90-minute webinar on mindfulness as a prerequisite, followed by 4 weeks of guided meditation and informal mindfulness practice materials. The MBI was offered remotely with self-modulated practice. Participants also provided the number of days per week they participated in formal meditation practice. Project participants completed pre- and post-intervention questionnaires. Project instruments included the Mindful Attention Awareness Scale (MAAS) and the 10-item Perceived Stress Scale (PSS). Findings: 12 complete pre-and post-intervention surveys were analyzed. Significant improvements were noted in participant mean MAAS scores post-intervention (p = .004). Cumulative PSS scores also decreased post-intervention (p = .009). Conclusion: The 4-week MBI demonstrated a statistically significant impact on nurses' perceived stress and mindful attention and awareness. Additionally, this Doctor of Nursing Practice (DNP) student led program was offered in an asynchronous and remote format, which was received well by program participants and may be a practical option for future MBIs.

The effectiveness and acceptability of formal versus informal mindfulness among university students with and without recent nonsuicidal self-injury: Protocol for an online, parallel-group, randomized controlled trial

BackgroundMindfulness-based programming comprising both formal (FM) and informal (IM) mindfulness practice is increasingly offered to university students. However, difficulties with emotion regulation, self-criticism, and a potentially complex relationship with their body may undermine the benefits of FM for students with a history of nonsuicidal self-injury (NSSI), given its requirement of sustained attention on thoughts, emotions, and bodily sensations. IM may be better tolerated by these students. This protocol describes a randomized controlled trial comparing a brief FM practice, a brief IM practice, and an active control task in university students with and without recent NSSI. MethodsRecruitment began in November 2022. An online, parallel-group, single-blind, randomized controlled trial will compare a 10-min, single-session FM practice, a 10-min, single session IM practice, and a 10-min, single session active control task in university students with and without recent NSSI. Outcomes will be assessed immediately pre-intervention and within five minutes post-intervention. The primary outcome will be state mindfulness. Secondary outcomes will be state stress, state well-being, and acceptability. Students with a history of NSSI are expected to report (i) greater improvements in state mindfulness, stress, and well-being, and (ii) greater acceptability in the IM condition, relative to the FM and control conditions. This distinction is not expected to occur in the no-NSSI comparison group. ConclusionThis trial is the first to parse out the impacts of FM versus IM practice among university students with and without a history of self-injury. Findings will be relevant to academic and clinical audiences within university settings.

Understanding the Experiences of How Mindfulness is Used by People with Cystic Fibrosis: Barriers and Enablers

ObjectivesMindfulness practices are increasingly being recognised as beneficial in supporting health, wellbeing, and psychological functioning. There is currently limited evidence of how mindfulness is used within a population of individuals with cystic fibrosis (CF). In order to effectively inform the development of future psychological mindfulness-based interventions for this population, it is imperative to first understand how individuals with CF are currently engaging with mindfulness.MethodInternet-mediated research (IMR) was used to explore attitudes, beliefs, and experiences regarding the use of mindfulness practices across a CF population. IMR allowed for a natural, unobtrusive method of data collection that involved the collection of publicly available posts from two global online CF forums.ResultsA variety of formal and informal mindfulness practices were positively experienced by the CF community, with beneficial impacts upon emotional and psychological wellbeing, and physical health. The data highlighted a clear interest in proactive mindfulness practice, whilst also exploring some of the associated challenges with certain practices.ConclusionsProactive psychological support that considers the use of mindfulness and self-care practices may form a particularly valuable tool in supporting the quality of life for present and future generations of people with CF. Increased awareness and education regarding the use of different formal and informal mindfulness practices in CF care would be beneficial in enabling people to make more informed choices.

How Mindfulness Strategies Can Support Social and Emotional Learning Skill Development for Elementary Grade Students With Emotional and Behavioral Disorders

The best social and emotional learning (SEL) curriculum can be difficult to implement when students with or at risk for emotional and behavioral disorders (EBD) are unregulated and unprepared to engage in instruction. Daily mindfulness practices can help students with and at risk for EBD regulate their emotions and behaviors and be prepared for instruction. In this article, we provide examples and models of how informal mindfulness strategies can be incorporated into the elementary classroom to support student SEL growth. We also address how SEL instruction can be intensified using explicit mindfulness intervention programs to help meet the needs of students with EBD.

A constructivist grounded theory exploration of Mindfulness for Healthcare Professional students

Background and purposeTo better understand the effects of an intervention, Mindfulness for Healthcare Professional (MIHP), and how it may improve healthcare professional student (HCP) functioning, a constructivist grounded theory exploration was conducted. Materials and methodsTen participants with the lowest or highest changes on quantitative measures of burnout and perceived stress at the end of MIHP were interviewed at a long-term follow-up. A theoretical framework was developed from the resultant themes to describe the mechanisms by which MIHP had effects on work-relevant functioning. ResultsThree overarching themes emerged as mechanisms of change both from their presence in those participants reporting an improvement in stress and their missingness from those participants who reported no change: developing a mindfulness practice, integrating practice into daily life, and enhanced awareness. These mechanisms led to optimized work-relevant functioning: 1) emotional competencies, including nonjudgement, emotion regulation, and burnout prevention; and 2) patient-centered care, including improved listening, patience, and efficiency at work. ConclusionThe resultant framework is discussed in the context of previous literature on MIHP and mindfulness theory more broadly. Implications for future disseminations of MIHP encourage the use of group interventions with emphasis on developing at-home practice and informal mindfulness integrated into daily work.

Are mindfulness groups more mindful face to face or online? A comparison of delivering a mindfulness based well-being group for parents of children with a chronic health condition.

Mindfulness has been shown to be an effective group intervention for adults and children living with a range of medical conditions. Recently, research has also explored the impact of mindfulness interventions offered to parents of children with health conditions. Few studies have examined whether the mode of delivery (face-to-face vs online) has an impact on outcomes. Four mindfulness based wellbeing courses for parents (MBWP) of children with a chronic medical condition were run (two face to face and two online). All parents (N=37) completed the WHO Well-being Questionnaire and Neff Self-Compassion Scale Questionnaire-Short Form at the beginning and end of each course. Parents' experience of the course was also explored using a semi-structured interview 6weeks after completing the course, with their responses analysed using Thematic analysis. The groups had a statistically significant positive impact on both parent well-being and self-compassion and were equally effective face-to-face or online. All parents reported incorporating informal mindfulness practices into their day-to-day lives 6weeks post-course The qualitative analysis highlighted improvements in present moment focus, kindness to self, and family relationships. Parents valued connecting with other parents of young people with both similar and different medical conditions, within both face-to-face and online groups, increasing the accessibility of MBWP.

Exploring Meditation Profiles and Predictors in Nursing Students.

Background: Nursing students face unique academic and clinical workloads linked to increased stress. Previous studies indicate formal and informal mindfulness meditation provide stress-reducing benefits. This practice aligns with holistic nursing core values of self-care and self-reflection; little is known about meditation practice in nursing students. Objectives: Our study aimed to describe meditation practice and predictors in pre-licensure nursing students. Design: Cross-sectional, multi-site. Methods: Qualtrics surveys queried individual demographics, personal meditation and exercise habits, and indicators of wellbeing. Results: Of 417 participants, 65% (n = 271) reported at least one type of meditation practice. Prayer/spiritual activities were most prevalent (almost 70%), followed by breathing exercises (41%). Meditators reported good or excellent self-rated health status or engaged in exercise (p < .05). Meditators also reported more self-compassion, happiness, and satisfaction with life, and perceived less stress than non-meditators (p < .05). Of all factors studied, only engaging in exercise significantly predicted practicing meditation (OR = 2.05, 95%CI 1.10-3.82). Conclusion: Nursing students who engage in meditation report signs of health and well-being and utilize holistic methods such as prayer and breathing. The intrinsic motivation to engage in healthy habits such as exercise may also help students engage in mindfulness meditation and is an important finding for nursing educators.

Experiences of Clinical Clerkship Students With Mindfulness-Based Stress Reduction: A Qualitative Study on Long-Term Effects.

PurposeTo explore the mindfulness practice, its long-term effects, facilitators and barriers, in clinical clerkship students 2 years after participation in an 8-week mindfulness-based stress reduction (MBSR) training.MethodA qualitative study was performed by semi-structured in-depth interviews with 16 clinical clerkship students selected by purposive sampling. Students had participated in a MBSR training 2 years before and were asked about their current mindfulness practice, and the long-term effects of the MBSR training. Thematic analysis was conducted using the constant comparison method. Data saturation was reached after 16 interviews.ResultsMost interviewees were still engaged in regular, predominantly informal, mindfulness practice, although some discontinued mindfulness practice and reported an “unchanged lifestyle.” Three main themes came forward; (1) “focused attention and open awareness” during daily activities as core elements of long-term mindfulness practice; (2) “changes in behavior and coping” that resulted from taking a pause, reflecting, recognizing automatic behavioral patterns and making space for a conscious response; (3) “integration in personal and professional life” by enhanced enjoyment of daily activities, improved work-life-balance and making different career choices. Barriers and facilitators in starting and maintaining mindfulness practice were (1) understanding and intention as “pre-conditions”; (2) practical, personal, and professional factors of students in maintaining practice.ConclusionTwo years after participation in a MBSR training, many interviewees were still engaged in (mostly informal) mindfulness practice contributing to both personal and professional changes. In light of the high clerkship demands, MBSR training could be a valuable addition to medical curricula, supporting medical students in developing necessary competencies to become well-balanced professionals.

Dispositional mindfulness and trauma symptom severity associated with uptake of mindfulness practice among women in treatment for substance use disorder

ABSTRACT Objective This study assessed the preintervention predictors of participant initial satisfaction and uptake of mindfulness practices during an MBI (Moment-by-Moment in Women’s Recovery). Methods Data from 100 women (Mage = 32.38 years, 60% Latina) in residential SUD treatment randomly assigned to the MBI were used to assess baseline participant demographics and clinical characteristics and three acceptability variables (satisfaction and formal and informal mindfulness practice) after the second and third of 12 intervention sessions, respectively. Results: Multiple linear regression analyses found that the frequency of formal mindfulness practice was associated with preintervention mindfulness disposition (β = 0.245, p < .05) and age (β = .266, p < .05; R 2 = .137, F[4, 77] = 3.047, p < .05). The frequency of informal mindfulness practice was associated with preintervention mindfulness disposition (β = .239, p < .05), and preintervention trauma symptom severity was significant (β = .226, p < .05; R 2 = .139, F[4, 77] = 3.116, p < .05). Conclusions It is important to consider participant, and intervention characteristics may be associated with participant adoption of intervention teachings and practices early in intervention implementation. Identifying these characteristics and adapting the intervention accordingly is necessary for the long-term goal of improving intervention acceptability among vulnerable populations at high risk of treatment dropout.

Sustaining the Quality of Life for University Employees with Obesity Using Mindfulness Activities and Work Engagement: A Quasi-Experimental Design

Using an e-calendar, a web-based intervention program, informal mindfulness activities, and work engagement, this study evaluated the sustainability of the quality of life for staff with obesity at a Malaysian public university. The participants were identified through the human resources department of the university. The inclusion criteria required an age of 20–59 years and BMI ≥ 25. The exclusion criteria were pregnancy, the use of weight loss pills or supplements that can influence weight, chronic illness, and the use of medication that requires physician monitoring. Thirty-one university staff were assessed for quality of life using a within-subject repeated-measures design. The participants were asked to use the study website for 10 to 15 min/day for 36 weeks. Data was captured by a pretest, posttest, and two follow-up surveys. The results showed an increase in the posttest mean scores for all domains representing the quality of life. As expected, three domains increased at follow-up 1 and were maintained at follow-up 2. This suggests that informal mindfulness practices and work engagement using an e-calendar are practical means to increase and sustain the quality of life of employees. In conclusion, the quality of life among university staff with obesity can be improved using informal mindfulness activities and work engagement, and an e-calendar is another alternative method of practicing mindfulness at home and at the workplace. The implications of this study are also discussed.

Formal mindfulness practice predicts reductions in PTSD symptom severity following a mindfulness-based intervention for women with co-occurring PTSD and substance use disorder

BackgroundWomen with co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) experience systemic barriers that place them in danger of poorer treatment outcomes. Some mindfulness-based interventions (MBIs) have demonstrated efficacy in reducing PTSD and SUD symptoms. Mindfulness practice is a core component of MBIs, thought to elicit and maintain positive behavioral change; however, no research to our knowledge has assessed the role of mindfulness practice on sustained treatment gains among women with co-occurring PTSD-SUD. Such research is necessary to better inform MBIs for dually diagnosed women.MethodsThis secondary analysis assessed whether post-intervention formal and informal mindfulness practice predicted reductions in PTSD symptoms and substance craving 6 months following an 8-session mindfulness-based relapse prevention intervention for women diagnosed with co-occurring PTSD-SUD (N = 23). Data were derived from a pilot randomized controlled trial evaluating the feasibility and preliminary efficacy of a trauma-integrated mindfulness-based relapse prevention program for women with co-occurring PTSD-SUD.ResultsGreater duration of formal mindfulness practice (i.e., minutes per practice) predicted reduced total PTSD symptoms (upbeta = − .670, p < .00), trauma-related avoidance (upbeta = − .564, p = .01), arousal and reactivity (upbeta = − .530, p = .02), and negative cognitions and mood (upbeta = − .780, p < .01) six months following treatment. Informal practice did not predict any outcomes.ConclusionsThis research highlights the potential role of formal mindfulness practice in sustaining reductions in PTSD symptoms over time among women with co-occurring PTSD-SUD. Further study of strategies to promote ongoing formal mindfulness practice in this population following a MBI are warranted.Trial registration The parent trial was registered with ClinicalTrials.gov (Identifier: NCT03505749).

The Use of Mindfulness to Improve Emotional Regulation and Impulse Control among Adolescents with ADHD

ABSTRACT This article reviews a mindfulness intervention and its effect on emotional regulation and impulse control among middle school students with attention deficit hyperactivity disorder (ADHD). Substantial literature exists to support the use of mindfulness among adolescents with ADHD to improve negative symptoms of emotional regulation and impulsivity. Middle school students were recruited to participate in a six-week intervention that involved formal and informal mindfulness practices. Pre- and post-intervention mixed methods outcomes measures indicate that a mindfulness intervention improves ADHD symptoms, reduces the frequency for external cues to identify negative symptoms, improves the ability to implement mindfulness techniques during events that produce negative symptoms of emotional regulation and impulse control, and improves the understanding of what mindfulness is. Further research is indicated to determine additional uses for mindfulness as an occupational therapy intervention to improve social and educational participation and among adolescents with ADHD.

The importance of formal versus informal mindfulness practice for enhancing psychological wellbeing and study engagement in a medical student cohort with a 5-week mindfulness-based lifestyle program

PurposeMedical students commonly experience elevated psychological stress and poor mental health. To improve psychological wellbeing, a 5-week mindfulness-based lifestyle course was delivered to a first-year undergraduate medical student cohort as part of the core curriculum. This study investigated the effects of the program on mental health, perceived stress, study engagement, dispositional mindfulness, and whether any improvements were related to amount of formal and/or informal mindfulness practice.MethodsParticipants were first year undergraduate medical students (N = 310, 60% female, M = 18.60 years) with N = 205 individuals completing pre and post course questionnaires in a 5-week mindfulness-based lifestyle intervention. At pre- and post-intervention, participants completed the Mental Health Continuum-Short Form, the Perceived Stress Scale, the Utrecht Work Engagement Scale for Students, the Freiburg Mindfulness Inventory, and the Mindfulness Adherence Questionnaire.ResultsMental health, perceived stress, study engagement, and mindfulness all improved from pre- to post-intervention (all p values < .001). Improvements on these outcome measures were inter-related such that PSS change scores were negatively correlated with all other change scores, FMI change scores were positively correlated with MHC-SF and UWES-S change scores, the latter of which was positively correlated with MHC-SF change scores (all p values < .01). Finally, observed improvements in all of these outcomes were positively related to informal practice quality while improved FMI scores were related to formal practice (all p values < .05).ConclusionsA 5-week mindfulness-based program correlates with improving psychological wellbeing and study engagement in medical students. These improvements particularly occur when students engage in informal mindfulness practice compared to formal practice.

Mindfulness-based programs, perceived stress and well-being at work: The preferential use of informal practices

IntroductionOrganizations which engage in the promotion of well-being are likely to prevent mental health issues in workers. Mindfulness-based interventions offer new perspectives to increase well-being at work. However, the issue of finding time and framework to practice at work is important. Recent studies suggested that informal mindfulness practices could be useful in reducing stress and increasing well-being. ObjectiveThe present study aimed to study how the duration and type of mindfulness practice may enhance employees’ well-being. MethodA multi-method (qualitative and quantitative), controlled pre/post design study (N=72) was conducted to collect data about the type of preferred mindfulness practices used during an 8-week MBSR program, and to analyse the effects of the program on employees’ well-being. Number of sessions, number of days of practice, and practice time per day were used as moderators. ResultsParticipants reported a preferential use of brief, informal practices. Employees who followed the MBSR program reported higher levels of well-being compared to the wait-list control group (η2=.194). Those who preferentially used informal practices showed the same increase in well-being as those who reported preferentially using formal practices. The number of days of practice did not moderate the effect of the intervention on well-being. ConclusionBrief and informal mindfulness practices appear to be a promising means of increasing well-being in everyday life. Further research is needed to compare an 8-week mainly informal mindfulness-based program to a classical MBSR program to identify whether informal practices may be sufficient to increasing employees’ well-being.