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Identifying adaptations for a mindfulness program for Spanish-speaking mothers of children with chronic conditions or disabilities

Kimberly C. Arthur, Araceli Mendez Sanchez, Angie Tamayo Montero, Patricia Delgado, Ofelia Rosas Ramos, Felice Orlich, Arti D. Desai

Health Education Research January 5, 2024 DOI: 10.1093/her/cyad043 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study with thematic analysis using a realist evaluation framework Peer reviewed
Sample size 16
Population Spanish-speaking mothers of children with chronic conditions or disabilities
Intervention Peer-led mindfulness program
Duration 6-week program
Topics Meditation
Keywords Clinical psychology Developmental psychology
Citations 2
Key findings Faith, self-concept, trauma, and social support influenced how mothers experienced mindfulness mechanisms, leading to emotion regulation, savoring, self-care empowerment, and common humanity.

Abstract

Mothers of children with chronic conditions or disabilities have benefited from mindfulness programs, yet culturally relevant mindfulness programs for Spanish-speaking mothers are lacking. We aimed to explore how this population experienced a peer-led mindfulness program to inform adaptations. Sixteen mothers attended a 6-week program and completed semi-structured interviews. Using a realist evaluation framework, we explored relationships between participants' context, the program's mechanisms and outcomes. Our thematic analysis found that four contextual factors-faith, self-concept as a woman and mother, trauma, and level of social support-influenced how participants experienced the mechanisms. Mechanisms included having positive experiences when trying practices, engaging in self-reflection, and sharing life experiences and learning in community. The mechanisms led to four outcomes: emotion regulation, savoring daily life experiences, empowerment to practice self-care and common humanity. Faith was an important enabling factor because participants had positive experiences when integrating their faith with program content. Future research should examine adaptations that invite participants to explore this synergy. Self-reflection should also be emphasized because it increased motivation to use practices and helped address barriers to engagement. Because the four contextual factors apply to many Spanish-speaking immigrants, these adaptations could enhance mindfulness programs for this population more broadly.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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