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Restoration Skills Training in a Natural Setting Compared to Conventional Mindfulness Training: Sustained Advantages at a 6-Month Follow-Up

Freddie Lymeus, Mathew P. White, Per Lindberg, Terry Hartig

Frontiers in Psychology August 1, 2022 DOI: 10.3389/fpsyg.2022.763650 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational follow-up study Peer reviewed
Sample size 29
Population Adults who had completed either a Restoration skills training (ReST) or conventional mindfulness training (CMT) course
Interventions Restoration skills training (ReST) conventional mindfulness training (CMT)
Duration 6-month follow-up
Measures dispositional mindfulness, cognitive lapses, perceived stress, reliable change index
Topics Meditation
Citations 14
Key findings Six months after course completion, former ReST participants on average continued to show higher dispositional mindfulness and fewer cognitive lapses than before the course, with 35% showing reliable improvement in at least one domain. ReST showed no substantive disadvantage relative to CMT, and more ReST participants continued practicing at least occasionally (92% vs. 67%). Continued practice was linked to sustained improvements for ReST but not clearly for CMT.

Abstract

Restoration skills training (ReST) is a mindfulness-based course in which participants draw support from a natural practice setting while they learn to meditate. Well-established conventional mindfulness training (CMT) can improve psychological functioning but many perceive it as demanding and fail to sustain practice habits. Applying non-inferiority logic, previous research indicated that ReST overcomes compliance problems without compromising the benefits gained over 5 weeks' training. This article applies similar logic in a 6-month follow-up. Of 97 contacted ReST and CMT course completers, 68 responded and 29 were included with multiple imputation data. The online survey included questions about their psychological functioning in three domains (dispositional mindfulness, cognitive lapses, and perceived stress) and the forms and frequencies with which they had continued to practice mindfulness after the course. Former ReST participants continued, on average, to show higher dispositional mindfulness and fewer cognitive lapses compared to pre-course ratings. Improved psychological functioning in one or more domains was demonstrated by 35%, as determined by a reliable change index. Again, analyses detected no indications of any substantive disadvantages compared to the more demanding, established CMT approach. Compared to the CMT group, more ReST participants had also continued to practice at least occasionally (92 vs. 67%). Continued practice was linked to sustained improvements for ReST but not clearly so for CMT. ReST participants thus continued to use the skills and sustained the improvements in psychological functioning that they had gained in the course, further supporting the utility of ReST as a health intervention.

Comparable studies

Other observational and cohort studies on meditation, most cited first.

Study Year Design Participants
Using Self-Report Assessment Methods to Explore Facets of Mindfulness Undergraduate students 2006 Observational cohort
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice Long-term Buddhist practitioners and controls 2004 Observational cohort

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