Mindfulness Activities Research Articles

The MINT Program: A Mixed-Method Approach to Identifying Nature-Based Resources to Promote Adolescent Parent Social and Psychological Well-Being.

Adolescent parents are at an increased risk for loneliness and mental health challenges compared to childless peers. Nature-based interventions are shown to promote social connectedness. To identify elements of a nature-based intervention to reduce loneliness and foster nature connection among pregnant and parenting adolescents. Sequential exploratory mixed methods. In 2020 and 2021, we piloted the 8-week MINT program at a school for pregnant and parenting teens. Our qualitative approach (n = 17) included online and in-person group meetings with nature-based educational content, discussion, park excursions, mindfulness activities, journaling and nature photography. Subsequently, we recruited 131 young mothers at a children's hospital for a cross-sectional survey based on qualitative school findings. Qualitative results from the school-based intervention showed a preference for meditative and contemplative activities and for spending time in nature with extended family. Participants typically accessed nature close to home. Our clinic-based teen parent survey illustrated that participants' access to nature were most limited by lack of time (25% of responses), company (18%) and energy (28%). While participants showed a close nature connection (mean NR-6 score = 3.9 (SD = 0.84)), they also showed moderate levels of loneliness (mean UCLA Loneliness score = 4.78 (SD = 1.60)). Walking, hiking and/or running were the most preferred nature activity. These findings provide key details to define nature-based activities to address loneliness and psychological well-being among teen mothers. Nature-based health interventions can address loneliness and nature disconnection by building community resilience, improving provider and patient well-being and motivating environmental stewardship. We identify key features of a nature-based intervention for adolescent mothers. These findings support teen mothers in the US and abroad and may serve as a foundation for using nature-based solutions for vulnerable mothers and for adolescents facing loneliness and mental health challenges. No patient or public contribution.

Using Systematic Desensitization to Create a Mindfulness Activity for Nursing Students With Test Anxiety.

Undergraduate nursing students are voicing high levels of test anxiety within their learning environments. The purpose of this study was to examine the impact of a mindfulness intervention, using systematic desensitization, on community college nursing students' test anxiety. Data were collected and analyzed with a sample of 107 students randomly selected for a control and intervention group. The intervention group, which listened to a mindfulness podcast while using muscle relaxation, had significantly lower post-intervention test anxiety scores (p <. 001) than the control group. Systematic desensitization is a type of mindfulness that nursing students can use to decrease test anxiety.

Exploring Mindful Teaching Practices: Strategies for Enhancing Early Childhood Education

Mindful teaching practices have gained increasing attention as effective strategies for enhancing early childhood education. This article explores the integration of mindfulness into teaching methods, focusing on how these practices can improve both educators' and young learners' experiences. Mindfulness in education involves bringing present-moment awareness to the teaching and learning process, which can help educators manage stress, increase emotional regulation, and create a more nurturing learning environment. The article discusses various strategies for implementing mindful teaching practices, including mindful breathing exercises, reflective listening, and the incorporation of mindfulness activities into daily routines. These practices not only support the social and emotional development of young children but also promote their cognitive growth by fostering greater focus, empathy, and resilience. The article reviews research findings that demonstrate the positive impact of mindfulness on early childhood education, such as improved classroom behavior, enhanced teacher-student relationships, and increased academic achievement. Additionally, the challenges of adopting mindful practices, such as time constraints and the need for professional development, are addressed. The article concludes with practical recommendations for educators seeking to integrate mindfulness into their teaching, emphasizing the importance of consistency, community support, and ongoing reflection. By adopting mindful teaching practices, educators can create a more supportive and effective learning environment, ultimately contributing to the holistic development of young children.

Integrating mindfulness and physical activity for diabetes prevention and management: systematic review

Integrating mindfulness and physical activity for diabetes prevention and management: systematic review

Mindfulness as an Intervention for Self-Regulation and School Reintegration in a Trauma-Informed Primary School Post COVID-19 Lockdown

ObjectivesThe unprecedented global pandemic and enforced isolation have increased emotional, cognitive, and social dysregulation in children, exacerbated by an educational environment dominated by a recovery agenda focusing on academic outcomes and regular testing, which continues. The use of a creative, agentic mindfulness activity was employed to support school reintegration, self-regulation, positive relationships, and a reduction in exclusions.MethodA case study of a Year 4 group of children over a 6-month period in a trauma-informed primary school explored a mindfulness and guided visualisation intervention in the form of a book entitled “My Magical Garden”. Semi-structured interviews with the Head of Pastoral and Wellbeing and the classroom teacher, along with a participative Zoom session with the children, and their poems and stories, were conducted and analysed using reflexive thematic analysis via a constructivist epistemology and experiential orientation to data interpretation.ResultsThe intervention led to reductions in children’s stress and anxiety levels and decreases in emotional and cognitive dysregulation. The intervention also resulted in an increase in positive relationships and school reintegration, and increased attention on cognitive tasks. The class also experienced zero exclusions over this period.ConclusionsMindfulness meditation and guided visualisation techniques that are creative, and intrinsically motivated, support cognitive and emotional regulation and support social and school success. In view of the ongoing impact of the pandemic and lack of support for social and emotional wellbeing, particularly for children facing adversity, mindfulness meditation programmes in schools should be available to all children.PreregistrationThis study is not preregistered.

Bridging the gap: national virtual education programme for professionals caring for adults with intellectual and developmental disabilities at the time of COVID-19.

The COVID-19 pandemic significantly impacted the mental health of adults with intellectual and developmental disabilities (IDD). During this period of uncertainty and need for up-to-date information, various virtual training programmes demonstrated the role of tele-mentoring programmes. The aim of this paper is to describe the educational evaluation of the National Extension for Community Healthcare Outcomes - Adults with Intellectual and Developmental Disabilities (ECHO-AIDD), a programme for service providers working with adults with IDD during COVID-19. The programme consisted of six sessions, conducted weekly, over two cycles. Each session included didactic teaching by hub team members, COVID-19 news updates, wellness check-ins and a brief mindfulness activity, followed by a 30 to 45 min case-based discussion. The hub structure had an inter-professional approach to team expertise. Those with lived experience were an integral part of the content experts' hub. Pre-, post- and follow-up evaluation data were collected. Care providers from health and social care sectors (n = 230) participated in the programme. High levels of engagement and satisfaction were reported. Self-efficacy ratings improved from pre- to post-, and were maintained at 8-week follow-up; improvement from pre- to post- was significant (P < 0.0001). Exposure to National ECHO-AIDD educational intervention led to improvement in perceived competencies. This study also shows the valuable role of people with lived experience in fostering adaptive expertise in learners. The outreach and scalability support the feasibility of building a national virtual community of practice for IDD service providers. Future studies should focus on studying the impact of these programmes on the health outcomes of people with IDD.

Examining the Role of Mindfulness in Alleviating Death Anxiety

Death anxiety, defined as strong worry and concern about death and dying, can have a substantial impact on a person's mental health and quality of life. This study investigates the effectiveness of mindfulness activities in reducing death anxiety by encouraging a present-focused and welcoming mindset. Mindfulness, which includes essential features such as observing, describing, responding with awareness, being nonjudgmental, and remaining nonreactive, is thought to lower the intensity of death dread through improved emotional control and cognitive processing. The study investigates how mindfulness promotes a more balanced and less reactive approach to existential problems. Mindfulness activities teach people to examine their thoughts and feelings without judgment, narrate their experiences in a non-evaluative manner, act with heightened awareness, and create an attitude of acceptance and non-reactivity. This strategy can reduce the avoidance and denial that are commonly linked with death dread, allowing for a more healthy processing of mortality-related ideas. The study's findings indicate that people who practice mindfulness on a daily basis have lower levels of fear about death. These strategies serve to shift the focus away from future- oriented anxieties and towards present-moment sensations, lessening the cognitive and emotional load of death-related thoughts. The study emphasizes the therapeutic potential of mindfulness-based therapies in clinical settings and advocates for their incorporation into mental health treatment regimens to address death anxiety and other existential issues. Individuals who cultivate a conscious approach to death may increase their psychological resilience, enjoy more emotional stability, and acquire a deeper sense of inner peace. The findings of this study highlight the value of mindfulness as a potent strategy for reducing death anxiety and promoting general mental well-being.

Implementation and evaluation of a community-based mindful walking randomized controlled trial to sustain cognitive health in older African Americans at risk for dementia

BackgroundWith an increasing proportion of older adults and the associated risk of Alzheimer’s Disease and Related Dementias (ADRD) around the globe, there is an urgent need to engage in ADRD risk reduction efforts. African American (AA) older adults in the U.S. are disproportionally impacted by ADRD compared to other races and ethnicities. Mindful walking integrates two potentially protective factors of ADRD by elevating mindfulness and physical activity (i.e., walking), resulting in a synergistic behavioral strategy that is feasible and safe for older adults. However, the efficacy of applying this intervention for cognitive health outcomes has not been evaluated using experimental designs.MethodsThis paper documents the goal and protocol of a community-based, mindful walking randomized controlled trial to examine the short- and longer-term efficacy on cognitive and other health-related outcomes in ADRD at-risk AA older adults. The study outcomes include various brain health determinants, including cognitive function, quality of life, psychological well-being, physical activity, mindfulness, sleep, and overall health status. In addition, the estimated costs of program implementation are also collected throughout the study period. This study will recruit 114 older adults (ages 60+ years) with elevated ADRD risk from the Midlands region of South Carolina. Older adults are randomly assigned to participate in 24 sessions of outdoor mindful walking over three months or a delayed mindful walking group (n=57 in each group). Participants in both groups follow identical measurement protocols at baseline, after 12 weeks, after 18 weeks, and after 24 weeks from baseline. The outcome measures are administered in the lab and in everyday settings. Costs per participant are calculated using micro-costing methods. The eliciting participant costs for mindful walking engagement with expected results are reported using the payer and the societal perspectives.DiscussionThis study will generate evidence regarding the efficacy of mindful walking on sustaining cognitive health in vulnerable older adults. The results can inform future large-scale effectiveness trials to support our study findings. If successful, this mindful walking program can be scaled up as a low-cost and viable lifestyle strategy to promote healthy cognitive aging in diverse older adult populations, including those at greatest risk.Trial registrationClinicalTrials.gov number NCT06085196 (retrospectively registered on 10/08/2023).

Psychological Principles in Education: Reviewing William James' Impact on Teaching Practices

The well-known psychologist William James made significant contributions to educational theory that significantly affected how teachers imparted knowledge. William James was a prominent psychologist in the late 19th and early 20th century who made substantial contributions to education. Theory and practice in education have been greatly influenced by his knowledge of human consciousness, emotion, and behavior. This review of the literature aims to find out how James' psychological theories have influenced contemporary teaching methods. This review attempts to provide educators with useful guidance for enhancing student growth and learning, with an emphasis on James' theories and their relevance to modern classrooms. The significance of the study is to know about James’ psychological theories that influence modern teaching pedagogies and learning and by studying this study educators can find guidance for improving and enhancing student learning and growth. The conclusion of the study shows that modern teaching methods are highly influenced by James’ ideas like habit formation, students’ attention and engagement, and the nature of awareness moreover, implementation of James’ ideas may help teachers improve the students’ results and performance as these provide more interesting, engaging, and effective learning environments. James’ philosophies are useful for the implication of modern educational trends like active learning techniques, the creation of mindful activities, social and emotional learning, and student-centered learning.

Psychological distress and sleep quality among Sri Lankan medical students during an economic crisis.

This study examined the evidence of the prevalence of psychological distress and poor sleep among medical students and its associations during an economic crisis. This was a cross-sectional study using an online questionnaire. It included the Depression Anxiety Stress Scales and Pittsburgh Sleep Quality Index (PSQI). This study included medical undergraduates from a large metropolitan university in Sri Lanka. We assessed the prevalence of psychological distress, sleep quality, and factors associated with psychological distress. To evaluate the associations, we used logistic regression. The majority (69.2%) had some form of distress (depression, anxiety or stress), while 23% had distress in all three. Anxiety was the most prevalent (50.7%). Poor sleep quality was reported in 41%. The highest contribution to global PSQI was from sleep latency, duration, and daytime dysfunction subscales. In bivariate analysis, sleep quality was directly related to depression (t245.65 = -6.75, p<0.001)., anxiety (t313.45 = -6.45, p <0.001), and stress (t94.22 = -5.14, p <0.001). In multinomial logistic regression models, sleep quality was independently associated with depression, anxiety and stress. In addition, frequent contact with friends was inversely associated with depression and anxiety. Also, social media use was inversely linked to depression, anxiety and stress. Clinical-year students had lower depression and anxiety than non-clinical students. Engaging in mindfulness activities was inversely associated with depression. However, models explained only a moderate amount of variance (Nagelkerke R-squared values were 0.21, 0.18, and 0.13 for depression, anxiety and stress, respectively). Poor sleep quality and psychological distress are high among the undergraduates. The findings emphasize the importance of addressing sleep quality and psychological wellbeing in medical undergraduates. Further research with larger and more diverse samples is needed for a more comprehensive understanding of the factors associated with psychological distress among undergraduates.

The Potential for Digital Phenotyping in Understanding Mindfulness App Engagement Patterns: A Pilot Study.

Background: Low app engagement is a central barrier to digital mental health efficacy. With mindfulness-based mental health apps growing in popularity, there is a need for new understanding of factors influencing engagement. This study utilized digital phenotyping to understand real-time patterns of engagement around app-based mindfulness. Different engagement metrics are presented that measure both the total number of app-based activities participants completed each week, as well as the proportion of days that participants engaged with the app each week. Method: Data were derived from two iterations of a four-week study exploring app engagement in college students (n = 169). This secondary analysis investigated the relationships between general and mindfulness-based app engagement with passive data metrics (sleep duration, home time, and screen duration) at a weekly level, as well as the relationship between demographics and engagement. Additional clinically focused analysis was performed on three case studies of participants with high mindfulness activity completion. Results: Demographic variables such as gender, race/ethnicity, and age lacked a significant association with mindfulness app-based engagement. Passive data variables such as sleep and screen duration were significant predictors for different metrics of general and mindfulness-based app engagement at a weekly level. There was a significant interaction effect for screen duration between the number of mindfulness activities completed and whether or not the participant received a mindfulness notification. K-means clusters analyses using passive data features to predict mindfulness activity completion had low performance. Conclusions: While there are no simple solutions to predicting engagement with mindfulness apps, utilizing digital phenotyping approaches at a population and personal level offers new potential. The signal from digital phenotyping warrants more investigation; even small increases in engagement with mindfulness apps may have a tremendous impact given their already high prevalence of engagement, availability, and potential to engage patients across demographics.

Mindfulness-based social-emotional learning program: Strengths and limitations in Vietnamese school-based mindfulness practice

Mindfulness practices in schools have emerged as an educational effort that aims to promote the development of the competency and mental well-being of students. Specifically, mindfulness-based social–emotional learning (MBSEL) programs are an educational strategy that focuses on the improvement of social–emotional competence by cultivating awareness of the present moment through mindfulness activities. This study intended to investigate the benefits and limitations of the implementation of school-based mindfulness practice in a developing nation with a culturally diverse and multi-religious population. Using an interpretive phenomenological method, the researchers interviewed eight mindfulness practitioners experienced in teaching or overseeing MBSEL programs in schools. The findings demonstrated how a western-based mindfulness program can be matched with the fundamental concepts of eastern mindfulness practices, as influenced by the Eastern Trinity philosophy. Furthermore, the study emphasized the difficulties that emerged from misconceptions about the concepts of mindfulness practice and the position of school-based mindfulness programs within the scope of school counseling, which impeded the successful implementation of the practitioners of the MBSEL model. These initial findings elucidated the nuances of implementing MBSEL initiatives within the context of a developing country marked by a rich tradition of mindfulness practice and accessible resources for advancing mindfulness studies.

Impact of a mindfulness and self-care intervention on stress, self-compassion, and attentiveness in university healthcare students and faculty

Objective To evaluate impact of a 12-week, online, guided, self-paced intervention of mindfulness and self-care practices on self-compassion, attentiveness, and perceived stress. Participants University healthcare faculty and students. Methods Participants received 7 different mindful and self-care activity options every week for 12 wk. A pre-survey, weekly surveys, and one-month post-survey assessed outcome measures of the Perceived Stress Scale 4, Self-Compassion Scale-SF, Mindful Attention Awareness Scale, health behaviors, and feasibility. Results A total of 232 participants had one or more outcome measures and 68 completed all 14 measures. Students and faculty demonstrated significantly increased mindful attention awareness, days of mindfulness practice, self-compassion, and trended toward more physical activity. They reported significantly lower stress and that mindful practice altered the way they dealt with stress. Days of mindfulness practice were significantly negatively correlated to stress and positively correlated to self-care. Conclusions This intervention demonstrated both effectiveness and feasibility, with most participants choosing shorter meditation, yoga, and self-care options.

A Pilot Study on Sexuality Education Using Mindfulness Activities

A Pilot Study on Sexuality Education Using Mindfulness Activities

마음챙김이 초등학생의 불안에 미치는 영향

Objectives This study aim to explore the relationship between mindfulness and anxiety and the mediating effects of emotion regulation and worry on the relationship between mindfulness and anxiety. Methods The data were analyzed from 289 elementary school children in Seoul. Reliability analysis, technical sta-tistics, correlation analysis, and mediating effect analysis of each scale were conducted using the SPSS 18.0 and PROCESS Macro Model 4.2. Results Research results were as follows. First, the correlation between mindfulness and anxiety were significant, and regression analysis showed that mindfulness significantly predicted anxiety. Second, the mediating effect of emotion regulation and worry were significant in the relationship between mindfulness and anxiety. Conclusions This study was verified that children's mindfulness is a useful variable that directly affects anxiety re-duction and indirectly through emotional control and worry. It also provides useful information for making mindful-ness-based interventions. Considering the results that the indirect effect through worry was greater than the di-rect effect of mindfulness on anxiety, it suggests the need to include mindfulness activities on children's worry.

Trainee burnout: Are there modifiable factors?

Burnout is a complex phenomenon and a major concern in graduate medical education as it directly impacts trainee well-being. Identifying modifiable lifestyle factors over which trainees have immediate control could support timely, actionable, individual and programme-level interventions to combat it. The objective of this pilot study is to describe modifiable lifestyle factors that may limit the development of burnout in medical residents and fellows. We performed a cross-sectional survey of residents and fellows at academic medical centre from September 2017 to October 2017. Participants completed the Maslach Burnout Inventory and a questionnaire designed to identify factors hypothesised to be protective against burnout. A total of 205/805 (25%) trainees completed the survey with a mean (SD) age of 29.7 (2.6) years. 52% (n= 107) were female. Averaging at least 7 h of sleep per night was found to have a significant association with lower scores for the emotional exhaustion (24.8 [11, p= 0.04]) and depersonalisation (11.1 [6.4, p= 0.02]) dimensions of burnout. Additionally, self-identifying as a healthy eater was found to have a significant association with lower scores for emotional exhaustion (25 [11.5, p= 0.03]) and depersonalisation (11.5 [6.6, p= 0.04]) as well. Workouts, hobbies, identifying with organised religion, praying, meditation and mindfulness activities were not associated with a difference. Adequate sleep (7 or more hours per night) and healthy eating are modifiable individual-level lifestyle factors associated with lower burnout scores in trainees. These items could be a target for trainee education and programme level support initiatives.

Successes and lessons learned from a mobile health behavior intervention to reduce pain and improve health in older adults with obesity and chronic pain: a qualitative study.

Chronic pain is a prevalent issue among older adults in the United States that impairs quality of life. Physical activity has emerged as a cost-effective and non-pharmacological treatment for chronic pain, offering benefits such as improved physical functioning, weight loss, and enhanced mood. However, promoting physical activity in older individuals with chronic pain is challenging, given the cyclical relationship between pain and sedentary behavior. The Mobile Intervention to Reduce Pain and Improve Health (MORPH) trial was designed as an innovative, mobile health (mHealth) supported intervention to address this issue by targeting daylong movement, weight loss, and mindfulness to manage pain in older adults with chronic multisite pain. The objective of this paper is to provide the result of a qualitative analysis conducted on post-intervention interviews with MORPH participants. At the conclusion of the MORPH study, 14 participants were interviewed regarding their experience with the program. All interviews were conducted by phone before being transcribed and verified. A codebook of significant takeaways was created based on these accounts. Summaries were further synthesized into themes using the principles of thematic analysis. Three key themes of the MORPH intervention emerged from the qualitative interviews: MORPH technology (smart scales, Fitbit, MORPH Companion App) facilitated program adherence and accountability; MORPH intervention components (food tracking and mindfulness activities) facilitated program adherence and awareness, respectively; and, group meetings provided motivational support and accountability. Mobile health technologies, including a dedicated MORPH app, facilitated self-monitoring strategies, helped to break the cycle of old habits, and provided participants with immediate feedback on successes; however, technical issues required timely support to maintain engagement. Food tracking contributed to adherence and accountability for weight loss. Mindfulness activities increased participants' awareness of anxiety provoking thoughts and pain triggers. Finally, social support via group meetings and connection, played a crucial role in behavior change, but participants noted consistency in the delivery medium was essential to fostering genuine connections. Overall, the study results highlight the key considerations related to program technology, intervention components, and the value of social support that can help to guide the development of future interventions similar to MORPH.

Strengths Perspective: How Social Work Students Use Mindfulness as a Self-Care Strategy

(1) Background: As helping professionals, social workers are more susceptible to compassion fatigue, vicarious trauma, and burnout due to regular exposure to clients’ trauma, traumatic situations, and heavy caseloads. Social work students also face similar experiences during their field placement as they prepare to enter the profession. In addition, stress, a significant factor affecting academic performance, is prevalent among social work students. Prolonged stress can lead to chronic health conditions, emphasizing the need to develop effective stress management practice techniques. (2) Objective: To examine the impact of a four-week mindfulness strengths-perspective synchronous series and the impact on social work students’ personal strengths, self-care, stress, and coping strategies. (3) Methods: The purpose of this study was to examine social work students’ experiences with using mindfulness from a strengths perspective. Twenty-three (n = 23) social work students participated in a four-week synchronous mindfulness series that incorporated a strengths perspective, focusing on stress reduction and self-care practices. The series consisted of weekly mindfulness activities and writing prompts, concluding with a focus group in the final week. A thematic analysis was utilized to identify key themes. (4) Results: The researchers identified six themes: consistency and commitment, affirmations and self-love, a caring community, mindfulness strategies, physical restoration, and enrichment and learning. (5) Conclusion: Students were able to develop a better understanding of self-care and the benefits of taking time to incorporate practices for their health and wellness.

Understanding Adolescents' Experiences With Menstrual Pain to Inform the User-Centered Design of a Mindfulness-Based App: Mixed Methods Investigation Study.

Digital interventions are increasingly popular for the provision of nonpharmacological pain interventions, but few exist for adolescents with menstrual pain. User-centered design involves incorporating users across phases of digital health intervention design, development, and implementation and leads to improved user engagement and outcomes. A needs assessment is the first step of this approach. The goal of this study was to conduct a needs assessment to understand menstrual pain management needs and preferences and mindfulness experiences, preferences, and knowledge of adolescents with menstrual pain to inform the future development of an app for managing menstrual pain. We used an explanatory sequential mixed method design that included a survey followed by focus groups. Adolescents aged 13-17 years completed a survey (n=111) and participated in focus groups (n=16). Data were analyzed using descriptive statistics and thematic content analysis and synthesized to provide specific recommendations based on adolescent responses. Adolescents (n=111) who completed the survey reported a moderate understanding of mindfulness and menstrual pain. Over three-quarters (n=87, 78%) of participants practiced some form of mindfulness and 87% (n=97) of survey participants used nonpharmacological pain management strategies. Teens had a moderate perception that mindfulness could help their menstrual pain (mean 4.51/10, SD 2.45, with higher scores suggesting more interest). Themes were generated related to mindfulness experiences, menstrual pain knowledge and experiences, and app functionality. These themes underscored adolescents' need for continued support and flexible access to mindfulness activities; their awareness of multiple influences to pain, with potential for further education in this area; and the need for menstrual pain-specific content, along with content relevant to typical day-to-day experiences of adolescents. Adolescents with menstrual pain have an interest in using a mindfulness app for pain but have unique needs that need to be addressed to ensure app engagement and relevance for this population. Concrete recommendations for future app development are provided.

An Integrated Health and Wellness Model in a College Setting: A Path Analysis Pilot Investigation

ABSTRACT Conceptual promises of integrated healthcare have been well-established, yet little empirical evidence is available related to its benefits (or lack thereof) within universities. In parallel, college students’ depression has gained consistent scholarly attention, with data illustrating exacerbated trends since the outbreak of COVID-19. Through this study, we examined an integrated health and wellness model implemented in a college setting. Specifically, we tested relationships among students’ engagement in mindfulness activities and pet therapy, use of recreation services, counseling utilization, and depression outcomes. Participants comprised 1,028 college students at a midsize private university in the United States. Our results supported the significant relationships between students’ engagement in mindfulness, pet therapy, recreation services, and depression outcomes. The path model also provided support for the mediating role of recreation on the relationship between students’ self-guided mindfulness and pet therapy and their depression outcomes the following year. This study sheds light on implications for applying integrated healthcare to a university setting.