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Mindfulness

, Volume 10, Issue 4, pp 737–748 | Cite as

Exploring the Benefits of Mindfulness Training in Healthy Community-Dwelling Older Adults: a Randomized Controlled Study Using a Mixed Methods Approach

  • Alexandra J. FioccoEmail author
  • Sasha Mallya
  • Mitra Farzaneh
  • Diana Koszycki
ORIGINAL PAPER

Abstract

The current randomized controlled study employed a mixed methods approach to better elucidate the benefits of mindfulness meditation for stress management among healthy older adults. Ninety-six older adults were randomly assigned to either a mindfulness-based intervention (MBI, n = 57) or a reading and relaxation program (RRP, n = 39). Participants completed the stress profile pre- and post-intervention and a series of open-ended questions post-intervention for qualitative analysis. Results suggest that both groups displayed improvements from baseline for perceived hassles, global health habits, and psychological wellbeing. Between-groups differences at post-intervention were only found for threat minimization, with the MBI group displaying a relative increase in this coping strategy relative to the RRP group. Results were not moderated by baseline perceived stress. Qualitative benefits and challenges of each program were identified. Current findings contribute to the scarce literature examining mindfulness in older adults and suggest that employing a mixed -methods approach can help to more accurately evaluate the benefits of mindfulness training in this population.

Keywords

Mindfulness Intervention Older adults Stress Wellbeing 

Notes

Author Contributions

AJF: designed and executed the study, ran data analyses, and wrote the paper. SM: collaborated with executing the study and writing of the study. MF: collaborated with executing the study. DK: collaborated in the writing and editing of the final manuscript.

Funding

This study was partially funded by the Ryerson University Health Research Fund (Fiocco-2012).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Ryerson University Research Ethics Board (#2012-192-1). Informed consent was obtained from all individual participants included in the study.

Supplementary material

12671_2018_1041_MOESM1_ESM.docx (20 kb)
ESM 1 (DOCX 19 kb)

References

  1. Arif, M., Sadlier, M., Rajenderkumar, D., James, J., & Tahir, T. (2017). A randomized controlled study of mindfulness meditation versus relaxation therapy in the management of tinnitus. Journal of Laryngology and Otology, 131, 501–507.CrossRefGoogle Scholar
  2. Bath, P. A., & Deeg, D. (2005). Social engagement and health outcomes among older people: introduction to a special section. European Journal of Ageing, 2(1), 24–30.CrossRefGoogle Scholar
  3. Bernstein, D. A., Borkovec, T. D., & Hazlett-Stevens, H. (2000). New directions in progressive relaxation training: a guidebook for helping professionals. Westport: Praeger.Google Scholar
  4. Cohen, S., Kamarch, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefGoogle Scholar
  5. Coll-Planas, L., Myqvist, F., Puig, T., Urrutia, G., Sola, I., & Monteserin, R. (2017). Social capital interventions target older people and their impact on health: a systematic review. Journal of Epdemiology and Commuity Health, 71(7), 663–672.CrossRefGoogle Scholar
  6. Creswell, J.J., Irwin, M.R., Burklund, L.J., Lieberman, M.D., Arevalo, J.M.G., Ma, J., Breen, E.C., & Cole, S.W. (2012). Mindfulness-based stress reduction training reduces loneliness and pro-inflammatory gene expression in older adults: A small randomized controlled trial. Brain, Behavior, and Immunity, 26, 1095–1101.Google Scholar
  7. Das, A. (2013). Spousal loss and health in late life: moving beyond emotional trauma. Journal of Aging and Health, 25(2), 221–242.CrossRefGoogle Scholar
  8. Finucane, A., & Mercer, S. W. (2006). 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. BMC Psychiatry, 6(1), 1–14.CrossRefGoogle Scholar
  9. Fiocco, A., & Mallya, S. (2015). The importance of cultivating mindfulness for cognitive and emotional well-being in late life. Journal of Evidence Based Complementary & Alternative Medicine, 20(1), 35–40.CrossRefGoogle Scholar
  10. Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition & Emotion, 19(3), 313–332.CrossRefGoogle Scholar
  11. Gallin, J.I., & Ognibene, F.P. (2012). Principles and practice of clinical research. Academic Press.Google Scholar
  12. Geiger, P. J., Boggero, I. A., Brake, C. A., Caldera, C. A., Combs, H. L., Peters, J. R., & Baer, R. A. (2016). Mindfulness-based interventions for older adults: a review of the effects on physical and emotional well-being. Mindfulness, 7(2), 296–307.CrossRefGoogle Scholar
  13. Glenn, G. (2007). Retirement: effects of a psychoeducation program. Psychology. Gold Coast, Queensland,Australia, Bond University. Doctor of Philosophy.Google Scholar
  14. Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., et al. (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368.CrossRefGoogle Scholar
  15. Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.CrossRefGoogle Scholar
  16. Hayes-Skelton, S. A., Roemer, L., & Orsillo, S. M. (2013). A randomized clinical trial comparing an acceptance based behavior therapy to applied relaxation for generalized anxiety disorder. Journal of Consulting & Clinical Psychology, 81(5), 761–773.CrossRefGoogle Scholar
  17. Hohaus, L. C., & Spark, J. (2013). Getting better with age: do mindfulness and psychological wellbeing improve in old age? European Psychiatry, 28, 1–1.CrossRefGoogle Scholar
  18. IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.Google Scholar
  19. Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21.CrossRefGoogle Scholar
  20. Kabat-Zinn, J. (1990). Full catastrophe living. New York: Dell Publishing.Google Scholar
  21. Kahana, E., Kahana, B., & Lee, J. E. (2014). Proactive approaches to successful aging: one clear path through the forest. Gerontology, 60(5), 466–474.CrossRefGoogle Scholar
  22. Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163–169.CrossRefGoogle Scholar
  23. Mallya, S., & Fiocco, A. J. (2015). Effects of mindfulness training on cognition and well-being in healthy older adults. Mindfulness, 7(2), 453–465.CrossRefGoogle Scholar
  24. Morone, N. E., Greco, C.M. & Weiner, D.K. (2008). Mindfulness meditation for treatment of chronic low back pain in older adults: a randomized controlled pilot study. Pain, 134(3), 310–319.Google Scholar
  25. Moynihan, J. A., Chapman, B. P., Klorman, R., Krasner, M. S., Duberstein, P. R., Brown, K. W., & Talbot, N. L. (2013). Mindfulness-based stress reduction for older adults: effects of executive function, frontal alpha asymmetry and immune function. Neuropsychobiology, 68, 34–43.CrossRefGoogle Scholar
  26. Mularski, R. A., Munjas, B. A., Lorenz, K. A., Sun, S., Robertson, S. J., Schmelzer, W., Kim, A. C., & Shekelle, P. G. (2009). Randomized controlled trial of mindfulness-based therapy for dyspnea in chronic obstructive lung disease. The Journal of Alternative and Complementary Medicine, 15, 1083–1090.CrossRefGoogle Scholar
  27. Nordenmark, M., & Stattin, M. (2009). Psychosocial well-being and reasons for retirement in Sweden. Ageing and Society, 29(3), 413–430.CrossRefGoogle Scholar
  28. Nowack, K. (1990). Initial development of an inventory to assess stress and health risk. American Journal of Health Promotion, 4(3), 173–180.CrossRefGoogle Scholar
  29. Nowack, K. (2013). Coaching for stress: StressScan. Psychometircs in Coaching, J. Passmore, United Kingdom: 305–324.Google Scholar
  30. Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., & Szanton, S. L. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health, 89(2), 308–316.CrossRefGoogle Scholar
  31. QSR International Pty Ltd. (2012). NVivo qualitative data analysis Software; Version 10.Google Scholar
  32. Rahl, H. A., Lindsay, E. K., Pacilio, L. E., Brown, K. W., & Creswell, J. D. (2017). Brief mindfulness meditation training reduces mind wandering: the critical role of acceptance. Emotion, 17(2), 224–230.CrossRefGoogle Scholar
  33. Richardson, V. E., Bennett, K. M., Carr, D., Gallagher, S., Kim, J., & Fields, N. (2015). How does bereavement get under the skin? The effects of late-life spousal loss on cortisol levels. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 70(3), 341–347.CrossRefGoogle Scholar
  34. Sandstrom, G. M., & Dunn, E. W. (2014). Social interactions and well-being: the surprising power of weak ties. Personality & Social Psychology Bulletin, 40(7), 910–922.CrossRefGoogle Scholar
  35. Stirman, S. W., Shields, N., Deloriea, J., Landy, M. S., Belus, J. M., Maslej, M. M., & Monson, C. M. (2013). A randomized controlled dismantling trial of post-workshop consultation strategies to increase effectiveness and fidelity to an evidence-based psychotherapy for posttraumatic stress disorder. Implementation Science, 8(82), 1–8.Google Scholar
  36. Teixeira, E. (2010). The effect of mindfulness meditation on painful diabetic peripheral neuropathy in adults older than 50 years. Holistic Nursing Practice, 24, 277–283.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Psychology and the Institute for Stress and Wellbeing ResearchRyerson UniversityTorontoCanada
  2. 2.Department of EducationUniversity of OttawaOttawaCanada
  3. 3.Institut du Savoir MontfortOttawaCanada

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