Pilot Mindfulness Intervention for Children Born with Esophageal Atresia and Their Parents

Andreotti, Eva; Antoine, Pascal; Hanafi, Manel; Michaud, Laurent; Gottrand, Frédéric

doi:10.1007/s10826-017-0657-0

Cited by 12 publications

(13 citation statements)

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“…This post-hoc analysis used mindfulness (CAMM) as the exposure var- [49][50][51][52][53][54][55][56] Linear mixed models were used to test the primary hypothesis that increased dispositional mindfulness scores from CAMM are associated with improved glycemia from HbA1c. We included a repeated statement for participant ID nested within clinical site in the mixed models to account for non-independence of observations as some participants had HbA1c and CAMM data at both the 12-and 18-month visits and were therefore included in statistical models up to two times.…”

Section: Discussionmentioning

confidence: 99%

“…For multivariable analyses of both HbA1c and CGM metrics, we confirmed linearity of relationships between CAMM and each outcome by including a squared term and assessing the shape of trends using a smoothing function (SAS PROC LOESS). In presenting results, we multiplied all beta coefficients from modeled results for HbA1c and CGM metrics by a factor of 5 to represent the change in glycemia associated with a 5‐point change in CAMM score, which we deemed appropriate based on the body of literature measuring mean change in CAMM scores in adolescents following mindfulness interventions 49‐56 …”

Section: Methodsmentioning

confidence: 99%

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Mindfulness, disordered eating, and impulsivity in relation to glycemia among adolescents with type 1 diabetes and suboptimal glycemia from the Flexible Lifestyles Empowering Change ( FLEX ) intervention trial

et al. 2022

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Objective To assess the relationship between mindfulness and glycemia among adolescents with type 1 diabetes (T1D) with suboptimal glycemia, and evaluate the potential mediation by ingestive behaviors, including disordered eating, and impulsivity. Research Design and Methods We used linear mixed models for hemoglobin A1c (HbA1c) and linear regression for continuous glucose monitoring (CGM) to study the relationship of mindfulness [Child and Adolescent Mindfulness Measure (CAMM)] and glycemia in adolescents with T1D from the 18‐month Flexible Lifestyles Empowering Change (FLEX) trial. We tested for mediation of the mindfulness‐glycemia relationship by ingestive behaviors, including disordered eating (Diabetes Eating Problem Survey—Revised), restrained eating, and emotional eating (Dutch Eating Behavior Questionnaire); and impulsivity (total, attentional, and motor, Barrett Impulsiveness Scale). Results At baseline, participants (n = 152) had a mean age of 14.9 ± 1.1 years and HbA1c of 9.4 ± 1.2% [79 ± 13 mmol/mol]. The majority of adolescents were non‐Hispanic white (83.6%), 50.7% were female, and 73.0% used insulin pumps. From adjusted mixed models, a 5‐point increase in mindfulness scores was associated with a −0.19% (95%CI −0.29, −0.08, p = 0.0006) reduction in HbA1c. We did not find statistically significant associations between mindfulness and CGM metrics. Mediation of the relationship between mindfulness and HbA1c by ingestive behaviors and impulsivity was not found to be statistically significant. Conclusions Among adolescents with T1D and suboptimal glycemia, increased mindfulness was associated with lower HbA1c levels. Future studies may consider mindfulness‐based interventions as a component of treatment for improving glycemia among adolescents with T1D, though more data are needed to assess feasibility and efficacy.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Mindfulness, disordered eating, and impulsivity in relation to glycemia among adolescents with type 1 diabetes and suboptimal glycemia from the Flexible Lifestyles Empowering Change ( FLEX ) intervention trial

et al. 2022

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“…Some parental MBPs adopt a format in which children receive separate group training in conjunction with their parents' training (e.g., Duncan et al, 2009b;van der Oord et al, 2011;Lo et al, 2017b;Mak et al, 2018;Coatsworth et al, 2010). Other variations of this also include family-based mindfulness training, whereby children and parents partake in mindfulness programs together (e.g., Andreotti et al, 2017). Mindful parenting training typically implements both meditative and non-meditative mindfulness practices in order to cultivate emotional awareness, non-judgmental acceptance, compassion, self-regulation, and effective problem solving (e.g., Bogels & Restifo, 2014;Duncan et al, 2009a).…”

Section: Mindfulness Based Parenting Programs: a Reviewmentioning

confidence: 99%

Mindful parenting: a Meta-analytic review of intrapersonal and interpersonal parental outcomes

et al. 2021

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Mindfulness-based programs (MBPs) are increasingly used to reduce parental stress and to enhance dyadic interactions between parents and children. Prior reviews examining the effects of MPBs for parents have assessed restricted target populations, limited outcomes measures, and have relied on uncontrolled studies. This systematic and meta-analytic review quantified the efficacy of MBPs for parents using comprehensive intrapersonal and interpersonal outcome measures and methodologically robust studies. Randomized controlled trials (RCTs) examining the effect of MBPs on parents were identified, data were extracted, and assessed for risk of bias by two independent reviewers. Twenty studies (n = 1003) were included in the analyses. Programs had moderate effects for general stress (Hedge's g = 0.410), internalizing psychological symptoms (Hedge's g = 0.519), and well-being (Hedge's g = 0.588). Small-to-moderate effects were observed for combined mindfulness (Hedge's g = 0.295), parenting stress (Hedge's g = 0.284), and parenting behavior (Hedge's g = 0.299). Effects were not significant for parental interactions with children, marital outcomes, self-compassion, emotion regulation, general mindfulness, and mindful parenting. Subgroup analyses revealed that populations with medical conditions (Hedge's g = 1.203) benefited more from MBPs compared to populations with psychological symptoms (Hedge's g = 0.452). Furthermore, parents showed greater improvement on well-being when both parents and children engaged in mindfulness training (Hedge's g = 0.838) compared to parents alone (Hedge's g = 0.700). Results support the efficacy of MBPs in improving intrapersonal and interpersonal outcomes for parents. Diversity within the programs may contribute towards non-significant changes in general mindfulness and mindful parenting. Future studies should use standardized mindfulness-based parenting programs to enhance methodological rigor.

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“…We reviewed 25 published, peer-reviewed mindfulness studies for chronic and/or clinical physical health conditions. Twenty-three were group-interventions, one was delivered individually by trained parents to their children [37], and the last was delivered in individual homes via audio recordings [38]. Almost all reported quantitative data, some mixed methods, and two included only qualitative data.…”

Section: Mindfulness For Chronic And/or Clinical Physical Health Conditionsmentioning

confidence: 99%

“…Andreotti et al [38] conducted an RCT with waitlisted controls. Twenty children born with esophageal atresia participated in a 6-week home-based program of audio-guided daily mindfulness practices.…”

Section: Other Chronic or Clinical Health Diagnosesmentioning

confidence: 99%

State of the Research: Physical and Mental Health Benefits of Mindfulness-Based Interventions for Children and Adolescents

Semple¹,

Burke²

2018

obm icm

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Background: Research support for a variety of health benefits of mindfulness-based interventions for adults is robust. These include management of stress, anxiety, and depression; as a supportive treatment for eating disorders, PTSD, and psychosis; improved sleep; chronic pain management; support for tobacco, alcohol, and substance abstinence; and as adjunctive treatments for serious or chronic medical illnesses such as HIV, cancer, and heart conditions. As is typical with newer interventions, mindfulness intervention research that evaluates similar benefits for youth began later and is less advanced. This paper presents an in-depth, critical analysis of the state of the research on mental and physical health benefits of mindfulness-based interventions for children and adolescents. Methods: Electronic databases and other resources were searched for the period from January 2000 to July 2018 to locate empirical studies of mindfulness-based interventions for children or adolescents that primarily assessed physical or mental health outcomes.

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Pilot Mindfulness Intervention for Children Born with Esophageal Atresia and Their Parents

Cited by 12 publications

References 50 publications

Mindfulness, disordered eating, and impulsivity in relation to glycemia among adolescents with type 1 diabetes and suboptimal glycemia from the Flexible Lifestyles Empowering Change ( FLEX ) intervention trial

Mindfulness, disordered eating, and impulsivity in relation to glycemia among adolescents with type 1 diabetes and suboptimal glycemia from the Flexible Lifestyles Empowering Change ( FLEX ) intervention trial

Mindful parenting: a Meta-analytic review of intrapersonal and interpersonal parental outcomes

State of the Research: Physical and Mental Health Benefits of Mindfulness-Based Interventions for Children and Adolescents

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