It has
been well-known for many years that mindfulness-based approaches for adults are
effective at enhancing mental health, but few controlled trials have evaluated
their effectiveness among young people.
The
aim of a recent British study, reported in the August 2013 edition of the British Journal of Psychiatry, was to assess the acceptability and
efficacy of a schools-based universal mindfulness intervention---known as the Mindfulness in Schools Programme (MiSP)---to
enhance mental health and well-being.
The MiSP curriculum’s primary
aim is to teach young people skills to work with mental states, everyday life
and stressors so as to cultivate well-being and promote mental health. One of
the strengths of the study was the choice of a follow-up period in the most
stressful part of the school year to test whether the MiSP curriculum conferred
protection as evidenced through less self- reported stress and greater
well-being.
A total
of 522 young people aged 12-16 in 12 secondary schools either participated in
the MiSP (intervention),
which has been operating in the United Kingdom for some time now, or took part
in the usual school curriculum (control).
The
results of the study were more than acceptable, even allowing for the fact that
the study had several limitations noted in the report. Rates of acceptability were high.
Relative to the controls, and after adjusting for baseline imbalances, children
who participated in the intervention reported fewer depressive symptoms
post-treatment (P = 0.004) and at follow-up (P = 0.005) and lower stress (P = 0.05) and greater well-being (P = 0.05) at follow-up. The degree to
which students in the intervention group practised the mindfulness skills was
associated with better well-being (P<0.001)
and less stress (P = 0.03) at 3-month follow-up.
The
findings provide promising evidence of the programme’s acceptability and
efficacy, with the authors concluding:
'In summary, although schools-based
interventions can sometimes be implemented as a result of short-term policy
drivers or charismatic innovators, interventions that demonstrate
acceptability, efficacy, cost-effectiveness and potential for implementation
are most likely to be sustainable. This feasibility study is the first step
towards evaluating the MiSP curriculum and provides preliminary evidence of
acceptability and efficacy.'
Resource:
Kuyken W, Weare K, Ukoumunne O C, Vicary R, Motton N, Burnett R, Cullen C,
Hennelly S, and Huppert, F. ‘Effectiveness of the Mindfulness in SchoolsProgramme: non-randomised controlled feasibility study,’ British Journal of Psychiatry (2013) vol 203, issue 2 (August), 126–131.
doi: 10.1192/bjp.bp.113.126649
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.