Integrating mindfulness with parent training: effects of the Mindfulness-Enhanced Strengthening Families Program
Open accessAbstract
There is growing support for the efficacy of mindfulness training with parents as an intervention technique to improve parenting skills and reduce risk for youth problem behaviors. The evidence, however, has been limited to small scale studies, many with methodological shortcomings. This study sought to integrate mindfulness training with parents into the Strengthening Families Program: For Parents and Youth 10-14 (SFP 10-14), an empirically-validated family-based preventive intervention. It used a randomized-controlled comparative effectiveness study design (N = 432 families, 31% racial/ethnic minority) to test the efficacy of the Mindfulness-Enhanced Strengthening Families Program (MSFP), compared to standard SFP 10-14 and a minimal-treatment home study control condition. Results indicated that, in general, MSFP was as effective as SFP 10-14 in improving multiple dimensions of parenting, including interpersonal mindfulness in parenting, parent-youth relationship quality, youth behavior management, and parent well-being, according to both parent and youth reports at both postintervention and 1-year follow-up. This study also found that in some areas MSFP boosted and better sustained the effects of SFP 10-14, especially for fathers. Although the pattern of effects was not as uniform as hypothesized, this study provides intriguing evidence for the unique contribution of mindfulness activities to standard parent training.
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Participants' inadequate understanding of mindfulness before intervention could have led them to score themselves higher, and after intervention they scored more accurately, contributing to lower post-intervention mindfulness scores.
“Moreover, their inadequate understanding of mindfulness pre-intervention could have resulted in them scoring themselves higher. After undergoing the intervention, they would have acquired a better understanding of mindfulness and hence scored themselves more accurately (Coatsworth et al. 2015).”
From The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: A Systematic Review and Meta-Analysis. (2022) · cites this paper as Coatsworth et al. 2015
The Discussion reports that several mothers thought their post-intervention questionnaire scores would look worse because they viewed their parenting differently and noticed more missed opportunities for mindful parenting. The authors suggest the mothers may therefore have reported its challenges more accurately, but say their data cannot answer that question. The paper does not establish that participants initially had an inadequate understanding of mindfulness or that this caused lower post-intervention scores. (LLM, conf=0.83)
Experimental — accuracy not yet measuredBenefits of parent participation in a mindfulness intervention spill over from parents to the parent-child relationship and youth outcomes.
“the benefits of parent participation in a mindfulness intervention spill over from parents’ themselves as individuals to the parent-child relationship and, in turn, youth outcomes (Bogels et al. 2013; Chaplin et al. 2018; Coatsworth et al. 2015).”
From Mindfulness Interventions to Reduce Impact of Interparental Conflict on Adolescents. (2020) · cites this paper as Coatsworth et al. 2015
The Abstract and Results report improvements in parent well-being and aspects of parent–youth relationship quality after the mindfulness-enhanced program. But the Method > Measures section lists parenting and family-functioning outcomes, not youth outcomes; the Discussion describes reduced risk of youth problems as a possible implication rather than a demonstrated spillover. The paper also does not establish the claimed sequence from individual parent benefits through the relationship to youth outcomes. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThree studies included multiple respondents for child emotional and behavioural adjustment, parenting skills, and parent mindfulness outcomes.
“Three studies included multiple respondents for child emotional and behavioural adjustment, parenting skills, and parent mindfulness outcomes, including mother, father and/or child reports (Coatsworth 2010; Coatsworth 2015; Gewirtz 2018).”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Method > Measures section (page unavailable) says mothers, fathers and youths reported on parental mindfulness, parent–youth relationships and youth behavior management, supporting the multiple-respondent and parenting-outcome parts of the claim. It does not list child emotional or behavioural adjustment as an outcome; the Results section (page unavailable) mentions child behavior problems only as a covariate. (LLM, conf=0.88)
Experimental — accuracy not yet measuredFor Coatsworth 2015, the risk of reporting bias was judged low because all expected outcomes were reported, though uncertainty exists due to the absence of a trial protocol.
“Low risk All expected outcomes were reported.However, in the absence of a trial protocol, there is some uncertainty here.”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Present Study states the expected outcome domains, and the Method (Measures) and Results describe measures and report intervention outcomes. These passages support that the paper reported relevant outcomes, but they do not establish that all expected outcomes were reported or document the absence of a trial protocol. The low-risk judgment is the citing authors’ assessment, not a conclusion stated in this paper; page numbers are unavailable in our copy. (LLM, conf=0.77)
Experimental — accuracy not yet measuredFor Coatsworth 2015, the risk of detection bias was judged high because measures to blind outcome assessment were not reported and only self-report measures were used.
“High risk The mesures adopted to blind outcome assessment from the knowledge of which intervention a participant received were not reported in the study.The study uses only self-report measures, and so the risk of bias as been assessed as high.”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Method (Measures) and Results sections describe questionnaire-based outcomes and do not report measures to blind outcome assessment. However, the outcomes include youths’ reports about their parents as well as parents’ self-reports, so the claim that only self-report measures were used is imprecise. The high-risk rating is the citing authors’ assessment, not a rating stated in the source paper. (LLM, conf=0.84)
Experimental — accuracy not yet measured
For Coatsworth 2015, the risk of other bias was judged high because there were minimal treatment differences in the base parent program but changes to incorporate mindfulness and an attentional control rather than no treatment control.
“High risk There appeared to be minimal treatment differences in the base parent program across the groups, however there were some changes in the program to incorporate the mindfulness training and an attentional control was use rather than a no treatment control.For these reason, the risk of performance bias has been assessed as high.”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Present Study says the mindfulness-enhanced program retained the core content and format of the base program while adding mindfulness activities and making some changes to existing activities. But it calls the third group an information-only home-study control, not an attentional control; Method > Intervention Procedures says that group received two mailed booklets and no additional services. The high-risk bias judgment is the citing authors’ assessment, not a finding attributed to this source. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMultiple studies suggest mindfulness training can improve relationship satisfaction and quality in adults in romantic relationships or parents.
“Multiple studies suggest that mindfulness training can improve relationship satisfaction and quality, although these studies have targeted adults in romantic relationships (e.g., Carson et al. 2004) or parents (e.g., Coatsworth et al. 2015).”
From Mindfulness Interventions to Reduce Impact of Interparental Conflict on Adolescents. (2020) · cites this paper as Coatsworth et al. 2015
Four studies compared an eligible intervention group with two eligible control groups.
“In four studies, an eligible intervention group was compared to two eligible control groups (Coatsworth 2010; Coatsworth 2015; Dawe 2007; Whittingham 2013).”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
In Coatsworth 2015, no detailed information was provided about how the imputed datasets were used.
“Though an intention-to-treat analysis was conducted, no detailed information was provided about how the imputted datasets were used”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
For Coatsworth 2015, the risk of performance bias was judged high because no information on blinding was provided and blinding is generally not feasible in this type of study.
“High risk There was no information provided about whether participants or researchers were blinded.Given the nature of this type of study, blinding of both participants and researchers is not generally feasible, and so we have judged the risk of performance bias as high.”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The attrition rate in Coatsworth 2015 was approximately 21%.
“The attrition rate was approximately 21%.”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Method sections on Participants and Study Procedures give the initial sample of 432 families and describe later assessments, but do not give the number retained. The Results section discusses missing-data imputation without reporting an attrition rate. I searched for attrition, retention, dropout, and 21%; our copy refers to a participant-flow diagram in supplemental materials but does not provide the figures needed to verify the claim. (LLM, conf=0.76)
Experimental — accuracy not yet measuredFor Coatsworth 2015, the risk of attrition bias was judged high.
“High risk The attrition rate was approximately 21%.”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Method (Study Procedures; page unavailable) gives the numbers randomized and refers to a CONSORT flow diagram in supplemental materials, but does not give an attrition rate. The Results (page unavailable) describes multiple imputation for missing data. Searches for attrition, follow-up retention, and 21% found no passage in our copy establishing the stated rate; the high-risk judgment is the citing authors’ assessment. (LLM, conf=0.72)
Experimental — accuracy not yet measuredIn Coatsworth 2015, an intention-to-treat analysis was conducted.
“Though an intention-to-treat analysis was conducted, no detailed information was provided about how the imputted datasets were used”
From Mindfulness-enhanced parenting programmes for improving the psychosocial outcomes of children (0 to 18 years) and their parents (2024) · cites this paper as Coatsworth 2015
The Method (Study Procedures; page unavailable) reports random assignment, and the Results (page unavailable) report hierarchical linear models and combined estimates from 50 multiply imputed datasets. Neither passage says whether all randomized families were analyzed in their assigned groups, so an intention-to-treat analysis cannot be verified; searches for “intention-to-treat” and “intent to treat” found no such statement. (LLM, conf=0.72)
Experimental — accuracy not yet measured
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“After undergoing the intervention, they would have acquired a better understanding of mindfulness and hence scored themselves more accurately (Coatsworth et al. 2015).”
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A Psychometric Evaluation of the Revised Parental Emotion Regulation Inventory
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La dimension interpersonnelle de la pleine conscience
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Self-citationExploring the Links between Facets of Mindfulness and Parenting Efficacy and Stress
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Self-citation
- Authors
- Coatsworth, J. D., Duncan, L. G., Nix, R. L., Greenberg, M. T., Gayles, J. G., Bamberger, K. T., Berrena, E., & Demi, M. A.
- Affiliations
- Colorado State University (US)
- University of California, San Francisco (US)
- Pennsylvania State University (US)
- ORCID
- Venue
- Developmental Psychology
- Published
- 2015
- Volume
- 51
- Issue
- 1
- Pages
- 26-35
- ISSN
- 0012-1649 (ISSN-L)
- 1939-0599
- PMC
- PMC4485922
- OpenAlex
- W1976348101
- Cited by
- 238
- References
- 46
- Citations by year
- 2026: 14 · 2025: 20 · 2024: 19 · 2023: 24 · 2022: 19 · 2021: 33 · 2020: 16 · 2019: 26 · 2018: 24 · 2017: 12 · 2016: 19 · 2015: 7 · 2014: 3 · 2012: 1
- FWCI
- 16.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Developmental Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (RO1DA026217, T32 DA017629, F31DA03849)
- Pennsylvania State University Children Youth and Families Consortium
- National Institutes of Health (K01AT005270)
- The National Center for Complementary and Alternative Medicine
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Demography › Family Dynamics and Relationships
- Keywords
- mindfulness training, parent training, Strengthening Families Program, parenting skills, parent-youth relationships, parental well-being, family-based prevention, fathers, comparative effectiveness
- MeSH terms
- Adolescent, Child, Emotions, Family, Female, Humans, Internal-External Control, Interpersonal Relations, Male, Parent-Child Relations, Parents, Personal Satisfaction, Program Evaluation, Parenting, Mindfulness
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