Economic Evaluations of Mindfulness-Based Interventions: a Systematic Review

Zhang, Lingling; Lopes, Snehal; Lavelle, Tara A.; Jones, Karyn Ogata; Chen, Liwei; Jindal, Meenu; Zinzow, Heidi M.; Shi, Lu

doi:10.1007/s12671-022-01960-1

Cited by 18 publications

(10 citation statements)

References 83 publications

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“…Previous studies have examined MBSR cost-effectiveness (e.g., D’Amico et al, 2024 ; Feliu-Soler et al, 2018 ; Herman et al, 2017 ; Knight et al, 2015 ; Lengacher et al, 2015 ; Perez-Aranda et al, 2019 ), but methodological quality of these studies has been variable. A recent systematic review provides promising evidence that MBSR is cost-effective across nine countries, including the United States, even reducing costs to both payers and society (Zhang et al, 2022 ). There are impactful opportunities to replicate and extend cost-effectiveness findings on MBSR.…”

Section: Discussionmentioning

confidence: 99%

Mindfulness-Based Stress Reduction Health Insurance Coverage: If, How, and When? An Integrated Knowledge Translation (iKT) Delphi Key Informant Analysis

Frank,

Albanese,

Sun

et al. 2024

Mindfulness

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Objectives Hundreds of trials have evaluated Mindfulness-Based Stress Reduction (MBSR), but in the United States, it is generally not covered by health insurance. Consequently, the aims were to identify the following: (1) key questions to make decisions about if, how, and when MBSR should be covered by health insurance; (2a) barriers and (2b) facilitators to understand and resolve for MBSR to be covered by health insurance; and (3) highest priority evidence needed to inform health insurance coverage decisions. Methods Key informants (n = 26) included health insurers, healthcare administrators, policymakers, clinicians, MBSR instructors, and MBSR students. An initial pool of items related to the study aims was generated through qualitative interviews. Through the Delphi process, participants rated, discussed, and re-rated each item’s relevance. Items were required to reach a consensus of ≥ 80% agreement to be retained for final inclusion. Results Of the original 149 items, 42 (28.2%) met the ≥ 80% agreement criterion and were retained for final inclusion. The most highly rated items informing whether MBSR should be covered by health insurance included research demonstrating that MBSR works and that it is not harmful. The most highly rated barriers to coverage were that MBSR is not a medical treatment and patient barriers to attendance. Highly rated facilitators included the potential of MBSR to address common mental health and psychosomatic problems. Finally, understanding what conditions are effectively treated with MBSR and the impact of MBSR on stress were rated as the highest priority evidence needed to inform health insurance coverage decisions. Conclusions Findings highlight priorities for future research and policy efforts to advance health insurance coverage of MBSR in the United States.

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Section: Discussionmentioning

confidence: 99%

Mindfulness-Based Stress Reduction Health Insurance Coverage: If, How, and When? An Integrated Knowledge Translation (iKT) Delphi Key Informant Analysis

Frank,

Albanese,

Sun

et al. 2024

Mindfulness

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“…Yoga/mindfulness interventions may also be cost effective, an important consideration that influences implementation. 72 Community buy-in and family engagement paired with PA and/or nutrition interventions can be influential in promoting a healthy lifestyle and a positive SEC. 73 Implementing activity-friendly supports, such as playground greening and addition of community parks, are ways a community may update their physical environment to promote PA during, before and after school hours.…”

Section: Implications For School Health Policy Practice and Equitymentioning

confidence: 99%

“…Implementing mindfulness curriculum, engaging families and communities, and greening of the playground may be techniques districts and schools can use to nurture the SEC 71 and promote PA and healthy dietary behaviors. Yoga/mindfulness interventions may also be cost effective, an important consideration that influences implementation 72 …”

Section: Implications For School Health Policy Practice and Equitymentioning

confidence: 99%

The School Environment and Physical and Social‐Emotional Well‐Being: Implications for Students and School Employees

Hawkins,

Chung,

Hertz

et al. 2023

Journal of School Health

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BackgroundThe school environment, consisting of the physical environment and social‐emotional climate (SEC), plays a crucial role in both student and employee health; however, there is a lack of recent literature synthesizing school environment interventions in K‐12 settings. We describe updated evidence about school environment interventions to support K‐12 student and employee health in the United States.MethodsA 2‐phase search included a review of reviews (2010‐2018), followed by a search for individual articles (2010‐2020) that targeted school physical environment and/or SEC to address physical activity (PA) and/or nutrition. We also investigated how nutrition and PA interventions with an SEC component improves social‐emotional and/or mental health outcomes. Because research on dietary and PA behaviors for school employees is limited; we included studies on other worksites (eg, hospitals and offices) to provide insight for school employees.FindingsWe identified 40 articles describing 40 unique studies and 45 interventions and grouped them by intervention type. Physical environment interventions demonstrated significant and positive nutrition and PA behavioral outcomes for students; outcomes among employees were mixed. Interventions with SEC components reported improvements in some mental health outcomes.ImplicationsThe school environment can affect dietary and PA behaviors as well as mental health for students and employees.ConclusionsEstablishing healthy school environments can support student and employee PA, dietary behaviors, and mental health.

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“…Other reviews, for example, examining impact of CBT and mindfulness on sleep disturbances in survivors of cancer, have found both CBT and mindfulness for insomnia to be effective [ 30 ], although with CBT often being pointed to as having the strongest effect and the findings for MBIs being somewhat more inconsistent [ 28 ]. There are however studies pointing to MBIs as effective in coping with chronic health disorders including cancer [ 11 , 12 , 31 ], and a recent systematic review found mindfulness-based stress reduction interventions to be less costly and more effective when compared with the usual care of CBT among patients with health challenges including breast cancer [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Digital Cognitive Behavioral- and Mindfulness-Based Stress-Management Interventions for Survivors of Breast Cancer: Development Study

Børøsund,

Meland,

Eriksen

et al. 2023

JMIR Form Res

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Background Psychosocial stress-management interventions can reduce stress and distress and improve the quality of life for survivors of cancer. As these in-person interventions are not always offered or accessible, evidence-informed digital stress-management interventions may have the potential to improve outreach of psychosocial support for survivors of cancer. Few such digital interventions exist so far, few if any have been developed specifically for survivors of breast cancer, and few if any have attempted to explore more than 1 distinct type of intervention framework. Objective This study aimed to develop 2 digital psychosocial stress-management interventions for survivors of breast cancer; 1 cognitive behavioral therapy-based intervention (CBI), and 1 mindfulness-based intervention (MBI). Methods The development of the CBI and MBI interventions originated from the existing StressProffen program, a digital stress-management intervention program for survivors of cancer, based on a primarily cognitive behavioral therapeutic concept. Development processes entailed a multidisciplinary design approach and were iteratively conducted in close collaboration between key stakeholders, including experts within psychosocial oncology, cancer epidemiology, stress-management, and eHealth as well as survivors of breast cancer and health care providers. Core psychosocial oncology stress-management and cancer epidemiology experts first conducted a series of workshops to identify cognitive behavioral and mindfulness specific StressProffen content, overlapping psychoeducational content, and areas where development and incorporation of new material were needed. Following the program content adaptation and development phase, phases related to user testing of new content and technical, privacy, security, and ethical aspects and adjustments ensued. Intervention content for the distinct CBI and MBI interventions was refined in iterative user-centered design processes and adjusted to electronic format through stakeholder-centered iterations. Results For the CBI version, the mindfulness-based content of the original StressProffen was removed, and for the MBI version, cognitive behavioral content was removed. Varying degrees of new content were created for both versions, using a similar layout as for the original StressProffen program. New content and new exercises in particular were tested by survivors of breast cancer and a project-related editorial team, resulting in subsequent user centered adjustments, including ensuring auditory versions and adequate explanations before less intuitive sections. Other improvements included implementing a standard closing sentence to round off every exercise, and allowing participants to choose the length of some of the mindfulness exercises. A legal disclaimer and a description of data collection, user rights and study contact information were included to meet ethical, privacy, and security requirements. Conclusions This study shows how theory specific (ie, CBI and MBI) digital stress-management interventions for survivors of breast cancer can be developed through extensive collaborations between key stakeholders, including scientists, health care providers, and survivors of breast cancer. Offering a variety of evidence-informed stress-management approaches may potentially increase interest for outreach and impact of psychosocial interventions for survivors of cancer. International Registered Report Identifier (IRRID) RR2-10.2196/47195

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Economic Evaluations of Mindfulness-Based Interventions: a Systematic Review

Cited by 18 publications

References 83 publications

Mindfulness-Based Stress Reduction Health Insurance Coverage: If, How, and When? An Integrated Knowledge Translation (iKT) Delphi Key Informant Analysis

Mindfulness-Based Stress Reduction Health Insurance Coverage: If, How, and When? An Integrated Knowledge Translation (iKT) Delphi Key Informant Analysis

The School Environment and Physical and Social‐Emotional Well‐Being: Implications for Students and School Employees

Digital Cognitive Behavioral- and Mindfulness-Based Stress-Management Interventions for Survivors of Breast Cancer: Development Study

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