Home practice in mindfulness-based interventions for psychosis groups: a systematic review and qualitative study

Abstract

Background Regular home practice is considered a core component of mindfulness groups and may be associated with better treatment outcomes. This study aimed to (1) review the existing evidence on how much home practice people do in mindfulness-based interventions for psychosis groups, and (2) explore participants’ experiences of the barriers and facilitators to completing home practice in a mindfulness for psychosis group using a qualitative study. Methods In study 1, we conducted a systematic review of mindfulness-based interventions for psychosis studies and extracted data on home practice rates. In study 2, we conducted semi-structured interviews with people who had completed a mindfulness for psychosis group (N = 5) as part of their routine community care, specifically focusing on experiences of home practice. Results Out of 43 studies included in the systematic review, only 5 reported any data on amount of home practice, and none examined the relationship between completion of home practice and treatment outcomes. In the qualitative study, participants described home practice as being difficult but important. Arising themes were similar to findings from previous (non-psychosis) studies suggesting that generic challenges are common, rather than being specific to psychosis. Conclusions We recommend that future mindfulness-based interventions for psychosis studies record data on home practice rates, in order to investigate any association between home practice and treatment outcome. Our qualitative findings suggest home practice can be a valued part of mindfulness for psychosis group, and a normalising approach could be taken when and if participants encounter common challenges.

Types of Digital Mindfulness: Improving Mental Health Among College Students – A Scoping Review

“… 45 High levels of digital literacy in developed countries indicate that their people are better able to access and use mental health technology, strengthening the adoption of digital mindfulness. 46 This adoption is also related to the unique cultural, social and economic context in each developed country. Governments and health institutions in developed countries need to consider these dynamics in designing effective strategies to promote mental health through digital solutions, while ensuring inclusivity and accessibility for all levels of society.…”

New Adaptations in the Application of Mindfulness to Psychosis Spectrum Disorders

“…Aunque se pueden entregar ejercicios y prácticas en soporte digital para estimular la práctica en casa, esto debe plantearse como una opción no obligatoria, para que cada persona adapte con flexibilidad la práctica a su situación personal. Hay personas con psicosis que pueden beneficiarse significativamente de dar continuidad en casa a la práctica (Jacobsen et al, 2022), mientras que para otras puede significar un importante estresor, a lo que se une no contar con la presencia física del terapeuta guía que actúa como regulador dando seguridad y confianza. Una práctica que podría ser recomendable entre sesiones puede ser la meditación de tres minutos de Segal (Chadwick, 2009), por su brevedad y simplicidad.…”

Mindfulness for psychosis: Current evidence, unanswered questions and future directions

“…The ethos when working with people with psychosis is that home practice is encouraged and supported, but is not a formal requirement or expectation (Chadwick., 2006). In a recent systematic review of home practice in mindfulness for psychosis interventions, 5/43 studies reported data on amount of home practice and none examined the association between home practice and clinical outcomes ( Jacobsen et al, 2022). Monitoring and evaluation of mindfulness practice between therapies and during any follow-up phase is a clear priority for future research.…”