Mindfulness-based Program Research Articles

Optimal Dosage and Session Structure of Mindfulness-Based Programming for Youth Across Developmental Periods: Delphi Approach Outcomes

Purpose Research of mindfulness-based programming/interventions (MBP) for youth has proliferated in recent years; however, heterogeneity of MBP for youth impede determination of optimal programmatic structure across developmental periods. Design/Approach/Methods Expert MBP scientists and instructors were iteratively surveyed using the Delphi method to assess optimal MBP session structure across developmental periods. Findings Survey Round 1 defined the participants’ perspective of ideal structure across early childhood, middle childhood, and adolescence. In Survey Rounds 2 and 3, participants considered the preceding Round's results (means and SDs) and indicated what they believed was the ideal structure of a single MBP class. Final results following the Round 3 survey indicated that MBP session period should be progressively longer relative to the developmental time period (early childhood mean = 20.0 min; middle childhood mean = 34.5 min; adolescence mean = 50.0 min); that roughly half of a youth MBP session should be dedicated to mindfulness practice; and that progressively more time should be allocated to didactic instruction and discussion, relative to mindfulness practice, as youth become older. Originality/Value These findings are the first to report expert feedback on the ideal structure of a youth MBP session, and results have significant implications for future youth MBP evaluation, implementation, and curriculum development.

The effects of mindfulness-based psycoeducation program on the perceived stress levels and emotion regulation strategies of patients diagnosed with bipolar disorder

ObjectivesIn recent years, mindfulness-based practices in psychiatric patients have become a new trend. It is applied to many mental disorders and is stated to have various benefits. There is not enough research yet on how mindfulness-based practices effect patients with diagnosed bipolar disorder. This study aimed to evaluate the effects of mindfulness-based psychoeducation program on emotion regulation strategies and perceived stress levels of patients diagnosed with bipolar disorder. MethodsThe study, which was carried out as a pre-test and post-test quasi-experimental research design with a control group, was carried out with a total of 71 patients diagnosed with bipolar disorder, 35 of whom were assigned to the experimental group, and 36 of them were assigned to the control group. Data of the study was collected with the Personal Information Form, Mindful Attention Awareness Scale (MAAS), Emotion Regulation Questionnaire (ERQ), and Perceived Stress Scale (PSS). The mindfulness-based psychoeducation program was implemented in the form of group training, 2 sessions per week, for a total of 6 sessions. ResultsCompared to the control group, it was determined that the MAAS and ERQ-Reappraisal total mean scores of the experimental group increased significantly, and the PSS and ERQ-Suppression total mean scores decreased significantly (p < 0.01). ConclusionsMindfulness-Based psycoeducation program improved mindfulness, emotion regulation and level of perceived stress of patients diagnosed with bipolar disorder.

Enhancing wellbeing and resilience in coaches: The impact of a mindfulnessbased intervention

Mindfulness training, characterised by the cultivation of present-moment awareness and non-judgmental attention, has emerged as a potent tool for enhancing mental wellbeing and resilience in the face of life’s challenges. In the realm of sports, its effectiveness in fortifying the mental resilience and performance of athletes and coaches has garnered significant attention. This study sought to investigate the impact of an online mindfulness-based intervention on the perceptions of stress, emotion regulation, and burnout among full-time coaches. Sixteen full-time coaches (nine females and seven males) engaged in a six-week online mindfulness-based intervention program, an adaptation of the Mindfulness Training for Coaches program, within the context of swimming as a sport. Participants completed a series of online questionnaires assessing their levels of mindfulness, emotion regulation, burnout, and stress. Data collection occurred before the intervention, at weeks three and five during the program, and post-intervention. Baseline data indicated that full-time coaches reported significant levels of burnout. The study’s results unveiled notable improvements, with coaches experiencing (a) a significant reduction in difficulties associated with regulating emotions (p = .02) and stress (p &lt; .001), (b) a noteworthy trend towards increased mindfulness scores (p = .08), and (c) a promising trend towards decreased burnout (p = .08). This investigation underscores the relevance of mindfulness participation in bolstering the wellbeing of full-time coaches, demonstrating its potential to enhance their mental fortitude and reduce the detrimental effects of stress and burnout. The implications extend beyond coaching, offering insights into the broader application of mindfulness interventions for improved mental wellbeing and performance within the sports arena.

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.

A randomised controlled trial of mindfulness-based stress reduction programme for substance abuse patients in deaddiction centre

A randomised controlled trial of mindfulness-based stress reduction programme for substance abuse patients in deaddiction centre

A Qualitative Investigation of a Prenatal Mindfulness Relationship-Based (PMRB) Program to Support Maternal Mental Health and Mother–Baby Relationship During Pregnancy and Post-Partum

BackgroundPregnancy and the postpartum period are times of significant transition for women, with changes in maternal physical and mental health. The formation of a relationship between a mother and her baby is vital and has been recognised as laying the foundation for later child development. There is considerable evidence that this early relationship is influenced by a woman’s well-being during pregnancy and in the early post-partum period. Mindfulness-based programs have previously revealed positive outcomes, primarily in reducing maternal stress, anxiety, and depression. However, there remains a need for considering the influence of mindfulness on the mother-baby relationship and embodiment during pregnancy and the first trimester post-partum. This study aimed to conduct an in-depth exploration of pregnant women’s experiences of a nine-session prenatal mindfulness relationship-based (PMRB) program to support its feasibility.MethodsInformation about pregnant women’s (n = 13) experiences of the PMRB program was collected through online interviews during the sessions, including their birth stories. Responses to an open-ended question about how the program had supported them during pregnancy, labour/birth, and the first post-partum trimester were summarised using thematic analysis.ResultsSixteen themes were identified and organised in four categories: (1) expectations and motivations (healthy pregnancy and mental health, non-medicalised birth, contribution to the field); (2) experiences of the PMRB program (positive experiences, shared experience, engagement with mindfulness practices, pain, stress, and anxiety relief); (3) changes attributed to the PMRB program (a new way of responding to stressors, trusting the process, connecting to body, breath, and unborn baby, awareness of the unborn baby as a sentient being); (4) changes attributed to the mindfulness practice (increased mindfulness/self-awareness, stop look listen, embracing the moment, acceptance).ConclusionsThe evaluation suggested the PMRB program may help women cope with pain and emotional challenges and be more connected to their bodies and infant. The program may also help women become more aware of their unborn baby as a sentient being and the influence of their health and mental well-being on the baby development and health. Furthermore, the program may facilitate the mother-baby relationship during pregnancy, post-partum, and breastfeeding.PreregistrationThe trial has been successfully registered with the Australian New Zealand Clinical Trials Registry (ANZCTR) following ethical approval from Bond University Human Research Ethics Committee (BUHREC—Application AS03534, approved 20 December 2022) and allocated the Australian clinical trials registration number (ACTRN): ACTRN12623000679684.

Effect of the mindfulness-based program on stress, anxiety and physiological changes among nurse aid students attending the 9 months course of nurse aid training in Myanmar

Effect of the mindfulness-based program on stress, anxiety and physiological changes among nurse aid students attending the 9 months course of nurse aid training in Myanmar

The Impact of a Mindfulness-Based Intervention on Developing Health Behavior and Reducing Death Anxiety among Cardiac Patients: A Quasi-experimental Study

Objectives: This study examines the effectiveness of mindfulness-based intervention in fostering healthy behaviour and reducing death anxiety among cardiac patients in Jordan. Methods: To achieve the research objectives, scales were developed to evaluate healthy behavior and death anxiety. Furthermore, the mindfulness-based intervention guidence program is designed and administered. A sample of 21 heart patients was purposefully selected and distributed into two groups: an experimental group of (11) patients who underwent the mindfulness-based guidene program and a control group of (10) patients who did not receive any intervention. The mental intervention was performed for a month and a half with the experimental group. Results: The results demonstrated significant improvements in healthy behaviour, and a decrease in death anxiety among participants in the experimental group compared to those in the control group. Furthermore, follow-up assessments revealed that these beneficial effects were sustained in the experimental group. Conclusions: The study supports focusing on mindfulness-based intervention as a therapeutic approach to enhance healthy behavior and reduce death anxiety among heart patients. The researchers conclude that heart patients need such interventions to improve their quality of life, and to positively reflect on their psychological wellbeing.

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.

Integrative Therapies in Cancer Care: An Update on the Guidelines.

ASCO and the Society for Integrative Oncology have collaborated to develop guidelines for the application of integrative approaches in the management of anxiety, depression, fatigue and use of cannabinoids and cannabis in patients with cancer. These guidelines provide evidence-based recommendations to improve outcomes and quality of life by enhancing conventional cancer treatment with integrative modalities. All studies that informed the guideline recommendations were reviewed by an Expert Panel which was made up of a patient advocate, an ASCO methodologist, oncology providers, and integrative medicine experts. Panel members reviewed each trial for quality of evidence, determined a grade quality assessment label, and concluded strength of recommendations. Strong recommendations for management of cancer fatigue during treatment were given to both in-person or web-based mindfulness-based stress reduction, mindfulness-based cognitive therapy, and tai chi or qigong. Strong recommendations for management of cancer fatigue after cancer treatment were given to mindfulness-based programs. Clinicians should recommend against using cannabis or cannabinoids as a cancer-directed treatment unless within the context of a clinical trial. The recommended modalities for managing anxiety included Mindfulness-Based Interventions (MBIs), yoga, hypnosis, relaxation therapies, music therapy, reflexology, acupuncture, tai chi, and lavender essential oils. The strongest recommendation in the guideline is that MBIs should be offered to people with cancer, both during active treatment and post-treatment, to address depression. The evidence for integrative interventions in cancer care is growing, with research now supporting benefits of integrative interventions across the cancer care continuum.

The Effect of Mindfulness -Based Stress Reduction Program on Work Stress in Nurses: A Systematic Review

Purpose: This study was conducted to examine the randomized controlled studies investigating the effects of mindfulness-based training programs given to nurses on occupational stress and to systematically evaluate the data obtained from the studies. Methods: In order to determine the effect of mindfulnessbased training programs on occupational stress in nurses, PubMed, Web of Science, Science Direct, Google Scholar, EBSCO host and Cochrane data bases were searched. The search was in English and was conducted using 3 key words (nurse, mindfulness, occupational stress). As a result of the literature rewiew, 7.382 articles were reached and 5 studies were included in the study. Studies were evaluated using the PRISMA checklist. As a result of the literature review, 5 articles including 380 participants were included in there view. Results: When the content of the 5 studies included in this study is examined, it is noteworthy that after the training, the awareness levels of nurses increased, their job stress levels decreased, their job satisfaction and patient care quality increased. It was determined that MBSR education reduced the depression and anxiety levels of nurses and played an important role in increasing their awareness levels and sleep quality significantly. In addition, with the data obtained, it was found that the mindfulness-based stress eduction program also reduced sleep problems and fatigue levels. Conclusion: The studies examined showed that mindfulness-based stress reduction program greatly decreased occupational stress in nurses. So it can be recommended to use the MBSR program in nursing inservice training.

The Mediterranean Diet in Pregnancy: Implications for Maternal Brain Morphometry in a Secondary Analysis of the IMPACT BCN Randomized Clinical Trial.

A Mediterranean diet has positive effects on the brain in mid-older adults; however, there is scarce information on pregnant individuals. We aimed to evaluate the effect of a structured Mediterranean diet intervention on the cortical structure of the maternal brain during pregnancy. This study was a secondary analysis of the IMPACT BCN, a randomized clinical trial with 1221 high-risk pregnant women randomly allocated into three groups at 19-23 weeks of gestation: Mediterranean diet intervention, a mindfulness-based stress reduction program, or usual care. Maternal brain magnetic resonance imaging was performed during the third trimester of pregnancy in a random subgroup of participants. For this study, data from the Mediterranean diet and usual groups were analyzed. Maternal dietary intake, adherence to the Mediterranean diet and metabolite biomarkers were evaluated using a food frequency questionnaire, a 17-item dietary screener and plasma/urine samples, respectively. The cluster-wise analysis showed that the Mediterranean diet group participants (n = 34) had significantly larger surface areas in the right precuneus (90%CI: <0.0001-0.0004, p < 0.001) and left superior parietal (90%CI: 0.026-0.033, p = 0.03) lobules compared to the usual care group participants (n = 37). A larger right precuneus area was associated with high improvements in adherence to the Mediterranean diet, a high intake of walnuts and high concentrations of urinary hydroxytyrosol. A larger left superior parietal area was associated with a high intake of walnuts and high concentrations of urinary hydroxytyrosol. The promotion of a Mediterranean diet during pregnancy has a significant effect on maternal brain structure.

Management of Fatigue in Adult Survivors of Cancer: ASCO-Society for Integrative Oncology Guideline Update.

To update the ASCO guideline on the management of cancer-related fatigue (CRF) in adult survivors of cancer. A multidisciplinary panel of medical oncology, geriatric oncology, internal medicine, psychology, psychiatry, exercise oncology, integrative medicine, behavioral oncology, nursing, and advocacy experts was convened. Guideline development involved a systematic literature review of randomized controlled trials (RCTs) published in 2013-2023. The evidence base consisted of 113 RCTs. Exercise, cognitive behavioral therapy (CBT), and mindfulness-based programs led to improvements in CRF both during and after the completion of cancer treatment. Tai chi, qigong, and American ginseng showed benefits during treatment, whereas yoga, acupressure, and moxibustion helped to manage CRF after completion of treatment. Use of other dietary supplements did not improve CRF during or after cancer treatment. In patients at the end of life, CBT and corticosteroids showed benefits. Certainty and quality of evidence were low to moderate for CRF management interventions. Clinicians should recommend exercise, CBT, mindfulness-based programs, and tai chi or qigong to reduce the severity of fatigue during cancer treatment. Psychoeducation and American ginseng may be recommended in adults undergoing cancer treatment. For survivors after completion of treatment, clinicians should recommend exercise, CBT, and mindfulness-based programs; in particular, CBT and mindfulness-based programs have shown efficacy for managing moderate to severe fatigue after treatment. Yoga, acupressure, and moxibustion may also be recommended. Patients at the end of life may be offered CBT and corticosteroids. Clinicians should not recommend L-carnitine, antidepressants, wakefulness agents, or routinely recommend psychostimulants to manage symptoms of CRF. There is insufficient evidence to make recommendations for or against other psychosocial, integrative, or pharmacological interventions for the management of fatigue.Additional information is available at www.asco.org/survivorship-guidelines.

“I’m Not Sure I Can See Myself in This World”: Experience of Mindfulness Teacher Training among Trainees from Diverse Backgrounds

ObjectivesThere is a growing recognition of the importance of Equality, Diversity and Inclusion (EDI) in mindfulness-based Teacher Training Programs (TTPs), given current imbalances in representation of teachers and trainers, and a recognised need to build awareness of personal and organisational biases. Little is known about how EDI issues may impact the experience of trainees on a TTP. This study aimed to explore underrepresented trainees’ experiences on a TTP, including what hindered or helped them access training or feel included, and their views on how best to foster EDI in TTPs.MethodSemi-structured qualitative interviews were conducted with seven current and graduate mindfulness teacher trainees from underrepresented groups. Their experiences of EDI throughout training were explored. Data was analyzed using inductive thematic analysis.ResultsKey findings were that feelings of inclusion were influenced by how represented and acknowledged trainees felt by their trainers and peers; feelings of safety influenced their choices around disclosure; a main access barrier was cost; and more explicit teaching about EDI in TTP curricula is needed. There was a need for wider access to entry trainings such as 8-week mindfulness-based programmes.ConclusionsThis study provides valuable insight into how underrepresented teacher trainees experience TTPs and highlights opportunities to better support mindfulness teacher trainees. TTPs need to integrate EDI awareness and understanding into their ethos and curriculum. Further research is needed to inform and develop approaches to further embed EDI in mindfulness-based program teaching and training.

The effect of conscious mindfulness-based informative approaches on managing symptoms in hemodialysis patients.

The research was conducted to determine the effect of conscious mindfulness based informative approaches applied in hemodialysis patients on reducing stress and managing symptoms. This research was conducted as a real experimental model with a control group. Research population consisted of 160 hemodialysis patients. The sample of the study was determined as 120 hemodialysis patients in total, 60 in the experimental and 60 in the control group, as a result of the power analysis. After the pre-test application, a mindfulness-based stress reduction program was applied to the experimental group. In the analysis of the data collected in the research, percentage, frequency, chi-square analysis, t-test for independent groups, t-test for dependent groups were used by means of SPSS for Windows 22.00 statistical software package. The t-test analyses of the differences between pre-test and post-test scores of hemodialysis patients in the experimental group were found to be significant in favor of the post-tests. It was found out that the conscious mindfulness-based informative approaches decreased the perceived stress and anxiety of the patients in the experimental group, whereas increased their levels of conscious mindfulness and symptom management.

Older people's experiences of participation in mindfulness-based intervention programmes: A qualitative systematic review.

This systematic review aimed to synthesise the qualitative evidence of mindfulness-based interventions and focused on the perceptions and experience of older people. A literature search was conducted using electronic databases including CINAHL, EMBASE, EMCare, and MEDLINE. The inclusion criteria for the review were an original study that includes qualitative data on experience and perceptions of mindfulness interventions, a study population involving older people aged 60 years and above, and articles published in English. Eleven articles are included in this review. Four major descriptive themes were generated from the data synthesis: benefits on physical health, improved psychosocial well-being, development of new perspectives, and motivators and challenges of mindfulness practice. Mindfulness practice provided health benefits for pain management, promoting sleep quality, psychosocial well-being, and development of positive strategies such as a new way of coping in negative situations, acceptance, and a sense of freedom. Health benefits and positive reinforcement were reported as motivators, whereas time commitment and an easily distracted mind were barriers to continued mindfulness practice. In addition to the descriptive themes, two analytical themes were derived: inner peace and well-being through mindfulness and development of acceptance-based coping. The positive outcomes indicated in this review suggest that mindfulness-based interventions could be an effective therapeutic tool for the well-being of older people.

The Impact of Mindfulness-based Cognitive Therapy in enhancing Psychological Resilience among basic education teachers in Oman: Longitudinal Study

The current study aimed to investigate the impact of Mindfulness-based cognitive therapy counseling program in enhancing the psychological resilience of basic education teachers in the Dhofar Region, south of the Sultanate of Oman. The experimental study sample consisted of (60) male teachers in cycle two of basic education in Dhofar Governorate with low psychological resilience scores. This sample was randomly divided into two equivalence groups: one experimental group and the other control group. Each group consisted of (30) male teachers. The counseling program was applied for the male teachers in the experimental group rather than the control group to develop psychological resilience with them. The researchers have used the psychological resilience scale (prepared by the researchers) and a counseling program based on mindfulness-based cognitive therapy (prepared by the researchers). The results of the study indicated that there were statistically significant differences at level (0.01) between the mean scores of the experimental and the control group in the post-test on the psychological resilience scale in favor of the experimental group. There are also statistically significant differences at the level of (0.01) between the mean scores of the experimental group in both the pre-test and post-test on the psychological resilience scale in favor of the post-test. This revealed the effectiveness of mindfulness-based cognitive therapy in increasing the level of psychological resilience among male teachers as the scores of teachers rose significantly on the pre-test. In addition, the study has also concluded with finding non-statistically significant differences at the level of (0.05) between the mean scores of the experimental group in both pre-test and follow-up tests on the psychological resilience scale. The results emphasise continuing mindfulness-based cognitive therapy's effectiveness in increasing psychological resilience among male teachers. In the light of the results, it can be recommended by: Organizing workshops and open discussion forums between teachers, as this approach will significantly motivate social relations, reinforce confidence among teachers, and enhance occupational performance.

Testing Mindfulness Mechanisms of Action on the Stress and Burnout of Social Workers

ObjectivesGrowing evidence suggests that mindfulness-based programmes (MBPs) can reduce stress and burnout among social workers. How MBPs support changes in these outcomes is unclear. This study attempts to identify what some of these mechanisms might be, using the clinically modified Buddhist psychological model (CBPM) as a guiding framework.MethodThis study used data from two randomised controlled trials investigating the impact of MBP participation on social worker stress and burnout. The data from participants (n = 94) who completed a Mindfulness-based Social Work and Self-Care (MBSWSC) programme, or a mindfulness and self-compassion programme (MSC) were combined. Structural equation models were constructed, and conditional direct and indirect effect models of changes in the CBPM domains (mindfulness, self-compassion, attention regulation, acceptance, non-attachment, non-aversion), mediating variables (rumination and worry) and outcomes (stress and burnout) were tested.ResultsThe results suggest that CBPM models, through mediated effects on stress, depersonalisation, and personal accomplishment, as well as direct and mediated effects on stress, emotional exhaustion, and depersonalisation, can provide useful frameworks for explaining how MBPs reduce stress and burnout among social workers. This study also found several other significant conditional direct and indirect effects. The pattern of these relationships indicate that multiple outcomes could be improved through different CBPM domains.ConclusionThis study provides initial evidence on the potential mechanisms through which MBP participation acts to reduce stress and burnout in social workers.Preregistrationhttps://www.clinicaltrials.gov; Unique identifier: NCT05519267 and NCT05538650.

Mechanisms of Mindfulness: A Longitudinal Study of a Mindfulness-Based Stress Reduction Program

Mechanisms of Mindfulness: A Longitudinal Study of a Mindfulness-Based Stress Reduction Program

Effects of an online mindfulness-based program for parents of children with attention deficit/hyperactivity disorder: a pilot, mixed methods study.

Online mindfulness-based program (MBP) for parents and families especially in clinical population is limited. Engagement and significant dropout are major issues in MBP implementation. This pilot study examined the effects of an online mindfulness-based program (MBP) on parents of children with Attention Deficit/Hyperactivity Disorder (ADHD). A mixed methods study was applied to evaluate the effects of the MBP. A total of 43 parents were recruited and were randomly assigned into intervention group and waitlist control group. The online MBP lasted for 28 days, including 20 psychoeducation videos, homework audio guidance, and four instructor-led online group meetings. Purposive sampling was used to recruit parents who completed the program to share their experiences and suggestions for improving the program in semi-structured online interviews. Quantitative data showed that participants from the online MBP reported a medium to large effect on the reduction of child ADHD symptoms. In semi-structured interviews, participants reported positive experiences in their help seeking intention, and personal changes, such as emotion regulation and quality attention to their children. Participants further made suggestions for improvement. The effect of online MBP is promising, and the program should be conducted. A large scale randomized controlled trial should be conducted to investigate the effects of MBP in clinical populations. ClinicalTrials.gov NCT05480423.