"Hidden gains"? Measuring the impact of mindfulness-based interventions for people with mild traumatic brain injury: a scoping review.
Brenda C Lovette, Millan R Kanaya, Sarah M Bannon, Ana-Maria Vranceanu, Jonathan Greenberg
Brain Injury July 29, 2022 DOI: 10.1080/02699052.2022.2109745 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Scoping review Qualitative Peer reviewed |
|---|---|
| Intervention | Mindfulness-based interventions |
| Topics | Meditation |
| Keywords | Outcome measurement |
| Key findings | Across 29 articles, mindfulness-based interventions for mild traumatic brain injury were linked to improvements most often in coping, somatic symptoms, emotional symptoms, stress response, and cognition, particularly attention. Qualitative results described benefits across all domains and suggested novel areas of benefit, while biomarkers showed no significant change. The authors argue that combining measurement approaches and expanding outcome breadth, including qualitative methods, may better capture underexplored effects. |
Abstract
Mindfulness-based interventions can support recovery from mild traumatic brain injury (mTBI). Although measurement is a key determinant of outcomes, there is no comprehensive assessment of measurement approaches used to capture outcomes of these programs. Here, we review the domains targeted, measurement techniques used, and domains and techniques most affected by mindfulness-based interventions for mTBI. We conducted a scoping review. After screening and full-text review, we included 29 articles and extracted data related to measurement domains, techniques, and results. We identified 8 outcome domains, each with multiple subdomains. The most common domains were cognitive symptoms and general health/quality of life. No quantitative studies directly assessed sleep, physical-function, or pain-catastrophizing. Self-report was the most common measurement technique, followed by performance-based methods. Coping, somatic symptoms, emotional symptoms, stress response, and domains of cognition (particularly attention) were the most frequently improved domains. Qualitative results described benefits across all domains and suggested novel areas of benefit. Biomarkers did not reflect significant change. Mindfulness-based interventions for mTBI impact a range of clinical domains and are best captured with a combination of measurement approaches. Using qualitative methods and expanding the breadth of outcomes may help capture underexplored effects of mindfulness-based interventions for mTBI.
Comparable studies
Other narrative reviews on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical populations | 2003 | Review | |
| Mindfulness: Theoretical Foundations and Evidence for its Salutary Effects | 2007 | Review | |
| Mindfulness Interventions | 2016 | Review | |
| Mind the Hype: A Critical Evaluation and Prescriptive Agenda for Research on Mindfulness and Meditation | 2017 | Review | |
| Mindfulness and acceptance: expanding the cognitive-behavioral tradition | 2005 | Review |
Citations in the library
Cited by 2
Cites 16
- A systematic review of neurobiological and clinical features of mindfulness meditations Psychological Medicine November 27, 2009
- Mindfulness, by any other name…: trials and tribulations of sati in western psychology and science Contemporary Buddhism May 1, 2011
- Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury Brain Injury July 13, 2012
- The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis Neuropsychology Review August 4, 2021
- Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomized controlled trial PLoS One January 7, 2021
and 11 more in the library