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Mindfulness in Military Medicine: A Mixed-Methods Analysis of Army Medical Specialist Corps Officers’ Mindfulness Competency, Beliefs, and Tendencies

Alyssa D Frazier, Brian T Gregg, Elaina J DaLomba, Maria L Barefield

Military Medicine July 2, 2026 DOI: 10.1093/milmed/usag306 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Concurrent triangulation mixed-methods study Qualitative Peer reviewed
Sample size 135
Population Active duty Army Medical Specialist Corps officers
Measures Five Facet Mindfulness Questionnaire–Short Form (FFMQ-SF), Mindfulness Competency Questionnaire, Complementary and Alternative Medicine Health Belief Questionnaire
Topics Meditation
Key points Trait mindfulness, perceived competency in delivering mindfulness-based interventions, and integrative health beliefs were positively correlated (r = 0.25 to 0.45), with higher scores among officers reporting formal mindfulness training and higher perceived competency among occupational therapists. Interview findings identified perceived effectiveness, need for structured education, and limited implementation confidence, leading the authors to propose that structured mindfulness education in military medical training may enhance doctrinal alignment and provider readiness.

Abstract

Abstract Introduction Mindfulness-based interventions (MBIs) are formally endorsed within Army Holistic Health and Fitness doctrine to enhance mental readiness, cognitive performance, and psychological resilience. Despite growing empirical support for MBIs across civilian and military populations, provider preparedness for implementation within Army Medical Specialist Corps (SP) populations has not been systematically examined. This study evaluated relationships among trait mindfulness, perceived competency in delivering MBIs, and integrative health beliefs and explored implications for professional military medical education reform.

Materials and Methods: A concurrent triangulation mixed-methods design was employed. Active duty Army SP Corps officers (N = 135) completed the Five Facet Mindfulness Questionnaire–Short Form (FFMQ-SF), Mindfulness Competency Questionnaire, and Complementary and Alternative Medicine Health Belief Questionnaire. Pearson correlations, analysis of variance, and multiple regression analyses were conducted (α = .05). Fourteen semi-structured interviews underwent thematic analysis.

Results: Significant positive correlations were observed among trait mindfulness, perceived competency, and integrative health beliefs (r = 0.25–0.45, P < .05). Officers reporting formal mindfulness training demonstrated higher scores across measures (P < .05). Occupational therapists demonstrated higher perceived competency compared to other specialties (P < .001). Qualitative findings identified perceived effectiveness, need for structured education, and limited implementation confidence.

Conclusions: Structured integration of mindfulness education within professional military medical training may enhance doctrinal alignment and provider readiness.

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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