Mindfulness on the Palm of Your Hand: A Systematic Review of Mobile Mindfulness Apps and Their Effects on Well-Being, Compassion, and Aggression in Non-Clinical Adults.
Félix Alberto Véliz-Montoya, Sandra Nieto-González, Antonio Salinas-Layana, Juan Pablo Pizarro-Ruiz
Healthcare May 29, 2026 DOI: 10.3390/healthcare14111512 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review Randomized Peer reviewed |
|---|---|
| Population | Non-clinical adult populations |
| Topics | Meditation |
| Keywords | Aggression Well-being Compassion Mobile applications |
| Key findings | Across 23 randomized controlled trials, mindfulness-based mobile applications produced small to moderate improvements in well-being, including positive affect, life satisfaction, and psychological well-being. Evidence on compassion was limited and mixed, no eligible studies addressed aggression, adherence varied substantially, and overall risk of bias was high. The authors conclude that these apps may be accessible tools for enhancing individual well-being, but their effect on broader socio-emotional functioning remains unclear. |
Abstract
Background/Objectives: Mindfulness has emerged as a widely studied approach for promoting psychological well-being, evolving from its contemplative origins into a secular, evidence-based intervention. In recent years, the proliferation of mobile applications has enabled the delivery of mindfulness-based interventions (MBIs) in accessible and scalable formats. This systematic review examined the efficacy of MBIs delivered via mobile applications in non-clinical adult populations, with a focus on well-being, compassion, and aggression.
Methods: A comprehensive search was conducted across six databases (Web of Science, PubMed, MEDLINE, Scopus, SciELO, and Dialnet) for studies published from 2014 onward, following PRISMA 2020 guidelines. A total of 23 randomized controlled trials met the inclusion criteria. Additionally, a risk-of-bias assessment was performed using the Cochrane RoB-2 tool.
Results: Results indicated small to moderate improvements in well-being outcomes, including positive affect, life satisfaction, and psychological well-being. Evidence regarding compassion was limited and mixed, while no studies addressing aggression met the inclusion criteria. Additionally, substantial variability in adherence rates and a high overall risk of bias were observed.
Conclusions: These findings suggest that mindfulness applications may represent accessible tools for enhancing individual well-being; however, their effect on broader socio-emotional functioning remains unclear. Further research should prioritize more rigorous study designs, including active control conditions and behavioral outcome measures, to better establish their effectiveness and underlying mechanisms.
Comparable studies
Other systematic reviews and meta-analyses on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations | 2014 | Meta-analysis | n = 3,515 |
| Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects | 2009 | Systematic review and meta-analysis | |
| The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators | 2012 | Meta-analysis | n = 163 |
| Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission | 2016 | Meta-analysis of individual patient data from randomized controlled trials | n = 1,258 |
| Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials | 2011 | Systematic review |
Citations in the library
Cites 31
- Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology Science and Practice 2003
- Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders American Journal of Psychiatry July 1, 1992
- The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials Perspectives on Psychological Science February 16, 2021
- Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being. Journal of Occupational Health Psychology May 3, 2018
- Mindfulness and Compassion: An Examination of Mechanism and Scalability PLoS One February 17, 2015
and 26 more in the library