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Attentional and affective consequences of technology supported mindfulness training: a randomised, active control, efficacy trial.

Sheffy Bhayee, Patricia Tomaszewski, Daniel H Lee, Graeme Moffat, Lou Pino, Sylvain Moreno, Norman A. S. Farb

BMC Psychology November 29, 2016 DOI: 10.1186/s40359-016-0168-6 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized active-controlled trial Peer reviewed
Sample size 26
Population Community-dwelling healthy adult participants
Interventions Neurofeedback-assisted daily online math training
Duration 6 weeks of daily practice
Measures Stroop task, Brief Symptom Inventory, daily post-training surveys
Topics Meditation
Key findings N-tsMT produced training-specific improvements in overall reaction time on a Stroop task and reduced somatic symptoms on the Brief Symptom Inventory relative to an active control, with attention and well-being improvements correlated and strongest in the most neurotic participants. Secondary exploratory attention and well-being measures showed no training-specific effects. The authors describe the benefits as modest and call for replication in a larger sample.

Abstract

Mindfulness training (MT) programs represent an approach to attention training with well-validated mental health benefits. However, research supporting MT efficacy is based predominantly on weekly-meeting, facilitator-led, group-intervention formats. It is unknown whether participants might benefit from neurofeedback-assisted, technology-supported MT (N-tsMT), in which meditation is delivered individually, without the need for a facilitator, travel to a training site, or the presence of a supportive group environment. Mirroring the validation of group MT interventions, the first step in addressing this question requires identifying whether N-tsMT promotes measurable benefits. Here, we report on an initial investigation of a commercial N-tsMT system. In a randomized, active control trial, community-dwelling healthy adult participants carried out 6 weeks of daily practice, receiving either N-tsMT (n = 13), or a control condition of daily online math training (n = 13). Training effects were assessed on target measures of attention and well-being. Participants also completed daily post-training surveys assessing effects on mood, body awareness, calm, effort, and stress. Analysis revealed training effects specific to N-tsMT, with attentional improvements in overall reaction time on a Stroop task, and well-being improvements via reduced somatic symptoms on the Brief Symptom Inventory. Attention and well-being improvements were correlated, and effects were greatest for the most neurotic participants. However, secondary, exploratory measures of attention and well-being did not show training-specific effects. N-tsMT was associated with greater body awareness and calm, and initially greater effort that later converged with effort in the control condition. Preliminary findings indicate that N-tsMT promotes modest benefits for attention and subjective well-being in a healthy community sample relative to an active control condition. However, the findings would benefit from replication in a larger sample, and more intensive practice or more comprehensive MT instruction might be required to promote the broader benefits typically reported in group format, facilitated MT. Current Controlled Trials ISRCTN43629398 . Retrospectively registered on June 16, 2016.

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

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