Challenges to Enrollment and Participation in Mindfulness-Based Stress Reduction Among Veterans: A Qualitative Study

Martinez, Michelle; Kearney, David J.; Simpson, Tracy L.; Felleman, Benjamin I.; Bernardi, Nicole; Sayre, George

doi:10.1089/acm.2014.0324

Cited by 34 publications

(27 citation statements)

References 55 publications

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“…In line with previous research (Hindman et al 2015 ; Martinez et al 2015 ; Moore and Martin 2015 ; Morgan et al 2015 ), many participants in the present study who took part in a mindfulness course experienced difficulties with home practice such as staying awake or being unable to complete all of the recommended home practice. Although only a small number of people in this study said they did not feel able to discuss home practice difficulties with the course teacher, this is a concern.…”

Section: Discussionsupporting

confidence: 86%

“…Difficulties with formal and informal home practice have been reported by participants of MBIs such as remembering to practice, motivation, finding time, concerns about “getting it right,” and falling asleep during practice (Allen et al 2009 ; Hindman et al 2015 ; Kabat-Zinn 2004b ; Martinez et al 2015 ; Moore and Martin 2015 ; Morgan et al 2015 ; Segal et al 2013 ). Participants sometimes fall asleep during the longer mindfulness practices such as the body scan, particularly those new to mindfulness meditation (Kabat-Zinn 2004b ; Segal et al 2013 ).…”

Section: Introductionmentioning

confidence: 99%

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An Exploration of Formal and Informal Mindfulness Practice and Associations with Wellbeing

et al. 2018

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Mindfulness has transdiagnostic applicability, but little is known about how people first begin to practice mindfulness and what sustains practice in the long term. The aim of the present research was to explore the experiences of a large sample of people practicing mindfulness, including difficulties with practice and associations between formal and informal mindfulness practice and wellbeing. In this cross-sectional study, 218 participants who were practicing mindfulness or had practiced in the past completed an online survey about how they first began to practice mindfulness, difficulties and supportive factors for continuing to practice, current wellbeing, and psychological flexibility. Participants had practiced mindfulness from under a year up to 43 years. There was no significant difference in the frequency of formal mindfulness practice between those who had attended a face-to-face taught course and those who had not. Common difficulties included finding time to practice formally and falling asleep during formal practice. Content analysis revealed “practical resources,” “time/routine,” “support from others,” and “attitudes and beliefs,” which were supportive factors for maintaining mindfulness practice. Informal mindfulness practice was related to positive wellbeing and psychological flexibility. Frequency (but not duration) of formal mindfulness practice was associated with positive wellbeing; however, neither frequency nor duration of formal mindfulness practice was significantly associated with psychological flexibility. Mindfulness teachers will be able to use the present findings to further support their students by reminding them of the benefits as well as normalising some of the challenges of mindfulness practice including falling asleep.Electronic supplementary materialThe online version of this article (10.1007/s12671-018-0951-y) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

An Exploration of Formal and Informal Mindfulness Practice and Associations with Wellbeing

et al. 2018

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“…In summary, there are few first-person accounts in the literature that report on veterans’ subjective experiences and how they use mindfulness practices to alleviate symptoms of PTSD. 24 , 25 , 27 In this study, we found that benefits endorsed by veterans who engaged in brief mindfulness and breathing practices appeared to address many of the clinical hallmarks of PTSD (avoidance of external or internal cues that can trigger re-experiencing the trauma, hypervigilance/hyperarousal, distractibility, irritability or angry outbursts, and disrupted sleep patterns 14 ) and were associated with proposed theoretical models of mindfulness. 45 , 46 Furthermore, different types of mindfulness treatments targeted different symptoms and aspects of well-being and, therefore, may inform how practices can be tailored to the needs of the veteran trauma survivors.…”

Section: Discussionmentioning

confidence: 71%

“…Data from interviews and focus groups led to the important inclusion of self-efficacy measures and provided insight into how to improve recruitment, intervention delivery, and physical environment/comfort. To identify barriers to enrollment and participation, Martinez et al 25 conducted a content analysis of 48 semistructured interviews with veterans who had enrolled in a mindfulness-based stress reduction (MBSR) intervention. The authors concluded that Women Only and tele-health MBSR groups could improve accessibility to MBSR for veterans by addressing barriers such as commute anxiety, time restrictions, and an aversion to mixed gender groups among women.…”

mentioning

confidence: 99%

A Qualitative Study of Mindfulness Among Veterans With Posttraumatic Stress Disorder: Practices Differentially Affect Symptoms, Aspects of Well-Being, and Potential Mechanisms of Action

Colgan

Wahbeh

Pleet

et al. 2017

J Evid Based Complementary Altern Med

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This qualitative study explored and compared the subjective experiences of 102 veterans with posttraumatic stress disorder (PTSD) who were randomly assigned to 1 of 4 arms: (a) body scan, (b) mindful breathing, (c) slow breathing, or (d) sitting quietly. Qualitative data were obtained via semistructured interviews following the intervention and analyzed using conventional content analysis. The percentage of participants within each intervention who endorsed a specific theme was calculated. Two-proportion z tests were then calculated to determine if the differences among themes endorsed in specific groups were statistically significant. Six core themes emerged from analysis of participant responses across the 4 groups: (a) enhanced present moment awareness, (b) increased nonreactivity, (c) increased nonjudgmental acceptance, (d) decreased physiological arousal and stress reactivity, (e) increased active coping skills, and (f) greater relaxation. More participants in the mindfulness intervention groups reported improvement in PTSD symptoms when compared to participants in non-mindfulness groups. Different types of intervention targeted different symptoms and aspects of well-being. Furthermore, type of intervention may have also differentially targeted potential mechanisms of action. This article highlights the importance of employing both quantitative and qualitative research methods when investigating the dynamic process of mindfulness and may inform how practices can be tailored to the needs of the veteran with PTSD.

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“…Patient preference for psychological interventions is commonly reported [156], but it is imperative that systems are put in place to ensure people's preferences are met to maximise likelihood of improving outcomes [157]. For example, we showed that mindfulness was an effective treatment for depression among veterans, but optimising delivery of such interventions as part of multicomponent packages needs to be cognisant of patient preferences about timing, setting, and format [158]. There is scope to explore how established evidence-based patient-centred frameworks such as the chronic care model can enhance and optimise the delivery of multicomponent care packages for people with complex trauma.…”

Section: Plos Medicinementioning

confidence: 96%

Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis

et al. 2020

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Background Complex traumatic events associated with armed conflict, forcible displacement, childhood sexual abuse, and domestic violence are increasingly prevalent. People exposed to complex traumatic events are at risk of not only posttraumatic stress disorder (PTSD) but also other mental health comorbidities. Whereas evidence-based psychological and pharmacological treatments are effective for single-event PTSD, it is not known if people who have experienced complex traumatic events can benefit and tolerate these commonly available treatments. Furthermore, it is not known which components of psychological interventions are most effective for managing PTSD in this population. We performed a systematic review and component network meta-analysis to assess the effectiveness of psychological and pharmacological interventions for managing mental health problems in people exposed to complex traumatic events.

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Challenges to Enrollment and Participation in Mindfulness-Based Stress Reduction Among Veterans: A Qualitative Study

Cited by 34 publications

References 55 publications

An Exploration of Formal and Informal Mindfulness Practice and Associations with Wellbeing

An Exploration of Formal and Informal Mindfulness Practice and Associations with Wellbeing

A Qualitative Study of Mindfulness Among Veterans With Posttraumatic Stress Disorder: Practices Differentially Affect Symptoms, Aspects of Well-Being, and Potential Mechanisms of Action

Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis

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