A randomised controlled trial of a brief online mindfulness-based intervention
Open accessAbstract
Objectives There is growing evidence that mindfulness has positive consequences for both psychological and physical health in both clinical and non-clinical populations. The potential benefits of mindfulness underpin a range of therapeutic intervention approaches designed to increase mindfulness in both clinical and community contexts. Self-guided mindfulness-based interventions may be a way to increase access to the benefits of mindfulness. This study explored whether a brief, online, mindfulness-based intervention can increase mindfulness and reduce perceived stress and anxiety/depression symptoms within a student population.Method One hundred and four students were randomly allocated to either immediately start a two-week, self-guided, online, mindfulness-based intervention or a wait-list control. Measures of mindfulness, perceived stress and anxiety/depression were administered before and after the intervention period.Results Intention to treat analysis identified significant group by time interactions for mindfulness skills, perceived stress and anxiety/depression symptoms. Participation in the intervention was associated with significant improvements in all measured domains, where no significant changes on these measures were found for the control group.Conclusions This provides evidence in support of the feasibility and effectiveness of shorter self-guided mindfulness-based interventions. The limitations and implications of this study for clinical practice are discussed.
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Main outcomes of self-help mindfulness interventions include small to large improvements in mindfulness and decreases in depression, rumination, anxiety, and perceived stress, whereas control groups display no such improvements.
“The main outcomes include small to large improvements in mindfulness and decreases in depression, rumination, anxiety, and perceived stress, whereas control groups display no such improvements (Cavanagh et al., 2013;Dimidjian et al., 2014;Hazlett-Stevens & Oren, 2017;Krusche et al., 2012;Lever Taylor et al., 2014;Morledge et al., 2013;Wimberley et al., 2016).”
From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Cavanagh et al., 2013
Growing evidence supports that mindfulness-based interventions induce somatic and psychological health improvements.
“Growing evidence supports the somatic and psychological health improvements induced by mindfulness-based interventions (Cavanagh et al., 2013).”
From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Cavanagh et al., 2013
Self-help mindfulness-based interventions have been validated in student, general, and clinical populations.
“Self-help, mindfulness-based interventions have been validated in student samples (Cavanagh et al., 2013;Hazlett-Stevens & Oren, 2017;Lever Taylor et al., 2014), the general population (Bhayee et al., 2016;Krusche, Cyhlarova, King, & Williams, 2012;Wimberley, Mintz, & Suh, 2016), and clinical populations (Dimidjian et al., 2014;Morledge et al., 2013).”
From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Cavanagh et al., 2013
The study's findings are consistent with literature on self-help mindfulness-based interventions, especially significant improvements in mindfulness, anxiety, depression, psychological distress, and negative self-oriented cognition in intervention but not control, with effect sizes similar to or slightly better than literature.
“This study's findings appear consistent with those in the literature regarding self-help, mindfulness-based interventions-especially the significant improvements in mindfulness, anxiety, depression, psychological distress, and negative self-oriented cognition throughout the program in the intervention condition but not in the control condition-and the effect sizes were similar to or slightly”
From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Cavanagh et al., 2013
In the general population, several studies have shown that web-based mindfulness programs result in small but significant improvements in symptoms such as depression and anxiety.
“In the general population, several studies have shown that web-based mindfulness programs result in small but significant improvements in symptoms such as depression and anxiety [14-16].”
The addition of mindfulness resources represents a promising addition to iCBT with PSP, given the growing research attention on the benefits of mindfulness and its use in CBT.
“The addition of mindfulness resources represents a promising addition to iCBT with PSP, given the growing research attention on the benefits of mindfulness [14-16] and its use in CBT [17].”
MBCT adapted as a brief online intervention is effective in a non-clinical population of students.
“Also, Cavanagh et al. [21] adapted MBCT as a brief online intervention and found it to be effective in a non-clinical population of students.”
From The efficacy of mindfulness-based cognitive therapy as a public mental health intervention for adults with mild to moderate depressive symptomatology: A randomized controlled trial (2014) · cites this paper as Cavanagh et al. [21]
The meditation script has been used in clinical and nonclinical populations including those experiencing depression.
“The meditation script, originally developed for individuals with distressing psychotic experiences (Chadwick, 2006), has been used in studies with clinical (e.g. Chadwick et al., 2005; Chadwick et al., 2016; Dannahy et al., 2011; Ellett, 2013) and nonclinical (Cavanagh et al., 2013; Evans et al., 2019; Kingston et al., 2019; Shore et al., 2017) populations including those experiencing depression (”
From A randomised trial comparing a brief online delivery of mindfulness-plus-values versus values only for symptoms of depression: Does baseline severity matter? (2020) · cites this paper as Cavanagh et al., 2013
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- Authors
- Cavanagh, K., Strauss, C., Cicconi, F., Griffiths, N., Wyper, A., & Jones, F.
- Affiliations
- University of Sussex (GB)
- Sussex Partnership NHS Foundation Trust (GB)
- Canterbury Christ Church University (GB)
- Corresponding author
- Cavanagh, Kate
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 51
- Issue
- 9
- Pages
- 573-578
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2148707744
- Cited by
- 350
- References
- 52
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 30 · 2023: 26 · 2022: 26 · 2021: 42 · 2020: 33 · 2019: 40 · 2018: 28 · 2017: 34 · 2016: 28 · 2015: 18 · 2014: 16
- FWCI
- 23.34
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- mindfulness-based interventions, online intervention, self-guided intervention, brief intervention, mindfulness skills, perceived stress, anxiety, depression, university students, feasibility
- MeSH terms
- Adult, Analysis of Variance, Anxiety, Depression, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Care, Stress, Psychological, Students, Therapy, Computer-Assisted, Treatment Outcome, Internet, Young Adult, Intention to Treat Analysis, Mindfulness
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