Overall and Differential Attrition in Mindfulness-Based Interventions: a Meta-Analysis

Lam, Sin U; Kirvin-Quamme, Andrew; Goldberg, Simon B.

doi:10.1007/s12671-022-01970-z

Cited by 13 publications

(9 citation statements)

References 78 publications

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“…Third, in Study 1, the attrition rate of the intervention group was higher than that of the control group. This aligns with findings from a previous meta-analysis, which reported that MBIs resulted in slightly higher attrition rates compared to control conditions in sensitivity analyses ( Lam et al., 2022 ). In Study 2, we addressed this issue by putting more effort into contacting participants to complete the questionnaires.…”

Section: Discussionsupporting

confidence: 91%

Distress tolerance as a mediator of mindfulness-based intervention for anxiety and depression: Evidence from two randomized controlled trials

Li,

He,

Wang

et al. 2024

International Journal of Clinical and Health Psychology

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Section: Discussionsupporting

confidence: 91%

Distress tolerance as a mediator of mindfulness-based intervention for anxiety and depression: Evidence from two randomized controlled trials

Li,

He,

Wang

et al. 2024

International Journal of Clinical and Health Psychology

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“…Attrition rates in previous mindfulness training trials with LEOs have been variable, ranging from 7% attrition at 5-month follow up [ 74 ] to up to 41% at the end of the 8-week intervention [ 78 ]. In a recent meta-analysis [ 129 ], authors identified a 19% attrition rate (operationalized as loss to follow-up at post-test) across 114 mindfulness training RCTs, which is slightly above the 16% attrition in this study.…”

Section: Discussionmentioning

confidence: 83%

A multisite feasibility randomized clinical trial of mindfulness-based resilience training for aggression, stress, and health in law enforcement officers

Christopher,

Bowen,

Witkiewitz

et al. 2024

BMC Complement Med Ther

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Background Law enforcement officers (LEOs) are exposed to significant stressors that can impact their mental health, increasing risk of posttraumatic stress disorder, burnout, at-risk alcohol use, depression, and suicidality. Compromised LEO health can subsequently lead to aggression and excessive use of force. Mindfulness training is a promising approach for high-stress populations and has been shown to be effective in increasing resilience and improving mental health issues common among LEOs. Methods This multi-site, randomized, single-blind clinical feasibility trial was intended to establish optimal protocols and procedures for a future full-scale, multi-site trial assessing effects of mindfulness-based resilience training (MBRT) versus an attention control (stress management education [SME]) and a no-intervention control, on physiological, attentional, and psychological indices of stress and mental health. The current study was designed to enhance efficiency of recruitment, engagement and retention; optimize assessment, intervention training and outcome measures; and ensure fidelity to intervention protocols. Responsiveness to change over time was examined to identify the most responsive potential proximate and longer-term assessments of targeted outcomes. Results We observed high feasibility of recruitment and retention, acceptability of MBRT, fidelity to assessment and intervention protocols, and responsiveness to change for a variety of putative physiological and self-report mechanism and outcome measures. Conclusions Results of this multi-site feasibility trial set the stage for a full-scale, multi-site trial testing the efficacy of MBRT on increasing LEO health and resilience, and on decreasing more distal outcomes of aggression and excessive use of force that would have significant downstream benefits for communities they serve. Trial registration ClinicalTrials.gov, NCT03784846. Registered on December 24th, 2018.

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“…We calculated a median of 23.4%. Prior work has reported attrition rates from 50% to 60% for research on electronic health care delivered via the internet [ 78 ] and an average attrition rate of 43.4% in mobile health interventions delivered via smartphones [ 79 ] (for face-to-face mindfulness interventions, attrition rates are approximately 19.1% on average [ 80 ]). This higher maximum and lower average rates partly confirm our second hypothesis.…”

Section: Discussionmentioning

confidence: 99%

“…Context factors also need to be considered in this case as differential attrition for the most investigated app, Headspace, concerned both the intervention and control groups in different studies. Attrition is a problem for intervention research overall, but differential attrition seems to be less of a problem for common, non–mobile-based mindfulness interventions [ 80 ].…”

Section: Discussionmentioning

confidence: 99%

Mindfulness-Based Mobile Apps and Their Impact on Well-Being in Nonclinical Populations: Systematic Review of Randomized Controlled Trials

Schwartz¹,

Ganster²,

Tran³

2023

J Med Internet Res

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Background Mindfulness-based mobile apps have become popular tools for enhancing well-being in today’s fast-paced world. Their ability to reduce geographical, financial, and social barriers makes them a promising alternative to traditional interventions. Objective As most available apps lack a theoretical framework, this review aimed to evaluate their effectiveness and assess their quality. We expected to find small sample sizes, high dropout rates, and small effect sizes in the included studies. Methods A systematic literature search was conducted using PsycInfo, PsycNet, PubMed, an institutional search engine (u:search), and Google Scholar. Randomized controlled trials assessing the impact of mobile mindfulness apps on well-being in nonclinical samples were included. Study selection, risk of bias (using the version 2 of the Cochrane risk-of-bias tool for randomized trials), and reporting quality (using selected CONSORT [Consolidated Standards of Reporting Trials] statement criteria) assessments were performed by 2 authors independently and discussed until a consensus was reached. Results The 28 included randomized controlled trials differed in well-being measures, apps, and intervention duration (7 to 56 days; median duration 28 days). A wide range of sample sizes (12 to 2282; median 161) and attrition rates (0% to 84.7%; median rate 23.4%) were observed. Most studies (19/28, 68%) reported positive effects on at least one aspect of well-being. The effects were presented using different metrics but were primarily small or small to medium in size. Overall risk of bias was mostly high. Conclusions The wide range of sample sizes, attrition rates, and intervention periods and the variation in well-being measures and mobile apps contributed to the limited comparability of the studies. Although most studies (16/28, 57%) reported small or small to medium effects for at least one well-being outcome, this review demonstrates that the generalizability of the results is limited. Further research is needed to obtain more consistent conclusions regarding the impact of mindfulness-based mobile apps on well-being in nonclinical populations.

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Overall and Differential Attrition in Mindfulness-Based Interventions: a Meta-Analysis

Cited by 13 publications

References 78 publications

Distress tolerance as a mediator of mindfulness-based intervention for anxiety and depression: Evidence from two randomized controlled trials

Distress tolerance as a mediator of mindfulness-based intervention for anxiety and depression: Evidence from two randomized controlled trials

A multisite feasibility randomized clinical trial of mindfulness-based resilience training for aggression, stress, and health in law enforcement officers

Mindfulness-Based Mobile Apps and Their Impact on Well-Being in Nonclinical Populations: Systematic Review of Randomized Controlled Trials

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