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Online Mindfulness-Based Intervention in the Advertising Industry: Analyzing the Effectiveness and Exploring Adherence Factors

Lena Evertz, Ingo Klingenberg, Larissa Schwinges-Hess

Mindfulness April 8, 2026 DOI: 10.1007/s12671-026-02813-x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-methods: pre-post quasi-experimental design and qualitative semi-structured interviews Preregistered Peer reviewed
Sample size 38
Population Employees of a German advertising agency
Intervention Online mindfulness-based intervention
Duration Eight-week online mindfulness program
Topics Meditation
Keywords Psychological intervention Intervention counseling Public health Cognition German Control management Ehealth Applied psychology Clinical psychology Digital health Digital media Qualitative research Stress linguistics Stress management
Key findings The online mindfulness-based intervention significantly reduced cognitive irritation and perceived stress, and increased mindfulness, in the intervention group compared to the control group.

Abstract

Abstract Objectives Stress-related illnesses are common in high-pressure industries such as advertising, emphasizing the need for effective interventions to enhance employee well-being. This study assessed the effectiveness of an online mindfulness-based intervention (OMBI) and identified adherence factors in employees of a German advertising agency.

Method: A mixed-methods approach was used. Study 1 employed a pre-post quasi-experimental design with 38 participants (21 in the intervention group, 17 in the control group) undergoing an eight-week online mindfulness program. Study 2 used semi-structured interviews to explore individual, organizational, and training-specific adherence factors.

Results: The intervention group showed significant reductions in cognitive irritation ( t (20) = 3.34, p < 0.01, d = 0.73) and perceived stress ( t (20) = 3.54, p < 0.01, d = 0.77), alongside increased mindfulness ( t (20) = 3.19, p = 0.01, d = 0.70), while no significant changes occurred in the control group. Interviews identified factors influencing adherence, synthesized into the OMBI Adherence Matrix (OAM), highlighting Pre-Entry, First-Training, and Maintenance phases. Contextual factors included individual, organizational, and training-specific dimensions.

Conclusions: OMBIs effectively reduce stress and enhance mindfulness. The proposed model offers a framework for optimizing adherence in digital mindfulness programs and provides practical insights for high-stress environments such as advertising. Future research should refine the model and evaluate its application across industries to enhance the impact of digital mindfulness interventions. Preregistration: This study is not preregistered.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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