Evaluation of the mindfulness-augmented “Trampoline” programme – a German prevention programme for children from substance-involved families tested in a cluster-randomised trial
Diana Moesgen, Katharina Ise, Janina Dyba, Michael Klein
BMC Public Health May 14, 2019 DOI: 10.1186/s12889-019-6875-1 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cluster randomised controlled trial (protocol) Randomized Peer reviewed |
|---|---|
| Sample size | 420 |
| Population | Children aged 8 to 12 from substance-involved families, receiving non-substance-specific care in psychiatric or youth welfare services |
| Topics | Addiction Meditation |
| Keywords | Substance use Children Family Intervention Crct |
| Key findings | The authors propose that a mindfulness-augmented version of the "Trampoline" programme will produce larger effects on adaptive stress-coping strategies, internalising and externalising problem behaviours, and distress due to parental substance use than the standard programme in children from substance-involved families. The trial also aims to assess the feasibility of mindfulness-based interventions in psychiatric care and youth welfare services for children with emotional and behavioural problems. |
Abstract
Abstract Background Children of substance-abusing parents are at a substantial risk of developing substance-use and other mental disorders. Children involved in substance abuse – not diagnosed with substance-use problems but integrated in psychiatric treatment or youth welfare services – constitute a particular high-risk group that is in need of substance use prevention. Emerging evidence indicates that self-regulatory determinants of substance use and other mental disorders, particularly stress reactivity, are modifiable by mindfulness-based interventions, such as mindfulness-based stress reduction.
Methods: In this ongoing cluster randomised-controlled trial, a mindfulness-augmented version of the modularised evidence-based “Trampoline” programme for children affected by parental substance use problems is evaluated in a sample of 420 children who are from substance-involved families, aged from 8 to 12 and receiving non-substance-specific care in psychiatric or youth welfare services. Larger effects on adaptive stress-coping strategies (primary outcome), internalising and externalising problem behaviours and distress due to parental substance use are expected compared to the standard “Trampoline”-programme version. Mindfulness components will be added and regularly practiced for 30 min in each validated “Trampoline” module. Moreover, the feasibility of mindfulness-based interventions in psychiatric care and youth welfare services for children suffering from emotional and behavioural problems will be investigated in this study.
Discussion: Despite recruitment challenges, this study provides a unique opportunity to develop and test a promising addiction-specific, mindfulness-based intervention for a target group at risk, i.e. children from substance-involved families. Trial registration The trial was registered in the German Clinical Trials Register on July 16th 2018 (trial registration number (TRN): DRKS00013533). Any important protocol modifications are to be reported immediately. Protocol version v.2.1, 15th April 2019.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cites 4
- Mindfulness: A proposed operational definition. Clinical Psychology Science and Practice 2004
- How Does Mindfulness Meditation Work? Proposing Mechanisms of Action From a Conceptual and Neural Perspective Perspectives on Psychological Science October 14, 2011
- Mindful attention reduces neural and self-reported cue-induced craving in smokers Social Cognitive and Affective Neuroscience November 22, 2011
- Mindful Emotion Regulation: Exploring the Neurocognitive Mechanisms behind Mindfulness. BioMed Research International June 7, 2015