Cited by 62Mindfulness and Compassion InterventionsStudent Stress and CopingPsychological Well-being and Life Satisfaction

Exploring the impact of mindfulnesss on mental wellbeing, stress and resilience of undergraduate social work students

Open access
Roulston, Audrey, Montgomery, Lorna, Campbell, Anne, Davidson, Gavin·2018·Social Work Education

Abstract

Mindfulness is becoming more popular as emerging research demonstrates its benefits for self-care, by cultivating calmness and decreasing stress or anxiety. This pilot study aimed to measure the impact of a six-week Mindfulness course, modelled on the manualised treatment programme developed by Kabat-Zinn on the mental well-being, stress and resilience of undergraduate social work students in Northern Ireland. This was a mixed methods study involving two groups: (1) intervention group participants who attended a six-week Mindfulness course (April–May 2016) and (2) control group participants. Basic socio-demographic data were collected from all participants and all were invited to complete the Warwick-Edinburgh Mental Well-being Scale, the Perceived Stress Scale and the Resilience Scale during weeks 1 and 6. Statistical tests were used to compare mean scores from the scales, and qualitative data were manually analysed using thematic content analysis. Findings indicated significant changes in the scores for well-being, stress and resilience for the intervention group, but not for the control group. Mindfulness may not appeal to all students so it should not be a mandatory component of training, but may be offered as one of the wider approaches to self-care for undergraduate social work degree students.

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Written from the paper’s full text.

TL;DR

This pilot mixed-methods study evaluated a six-week Kabat-Zinn-modelled mindfulness course for undergraduate social work students in Northern Ireland. It found significant pre-post improvements in well-being, stress, and resilience in the intervention group but not the control group, though the authors caution the study was small, convenience-sampled, and mindfulness should not be mandatory.

Key findings

  • WEMWBS well-being: intervention increased from 46.0 (SD 8.3) to 56.9 (SD 6.7), p=0.00; control showed a non-significant decrease from 53.7 (SD 9.2) to 46.9 (SD 8.5), p=0.06. Between-group change was 10.8 (SD 10.5) vs -4.0 (SD 7.3), p=0.00, d=1.63.
  • PSS perceived stress: intervention decreased from 18.9 (SD 6.1) to 10.9 (SD 4.3), p=0.01; control showed a non-significant decrease from 15.0 (SD 6.4) to 13.3 (SD 5.9), p=0.10. Between-group change was -7.9 (SD 6.2) vs -1.7 (SD 3.6), p=0.00, with a large effect reported (text d=-1.26; Table 3 d=-1.22).
  • RS-14 resilience: intervention increased from 76.0 (SD 12.6) to 83.5 (SD 8.9), p=0.01; control showed a non-significant decrease from 82.0 (SD 8.5) to 77 (SD 15.1), p=0.10. Between-group change was 7.4 (SD 8.3) vs -4.0 (SD 8.4), p=0.02, d=1.36.
  • Qualitative findings reported increased self-awareness, self-care, present-moment appreciation, and stress-management strategies; responses about recommending mindfulness to other social work students were mixed, and the authors concluded it should not be mandatory but offered as one self-care approach.

Methods

  • Mixed methods pilot with an intervention group attending a six-week mindfulness course of weekly two-hour sessions modelled on Kabat-Zinn, and a control group recruited from a reserve list of students interested in the course; participants were undergraduate BSW students in Northern Ireland.
  • Quantitative data used the Warwick-Edinburgh Mental Well-being Scale, Perceived Stress Scale, and Resilience Scale-14 at baseline and week 6; 15 students completed baseline measurement in each group, and 13 intervention and 12 control participants completed post-intervention questionnaires. Qualitative data came from a week-6 focus group and open-ended questions at week 12.
  • Analysis used paired and independent t-tests, Cohen’s d and effect size correlation for quantitative measures, and manual thematic content analysis for qualitative data.

Limitations

  • The authors state this was a pilot with a small sample, convenience sampling, low week-12 returns, and a sample not representative of the student social work population; there were differences in year of study, the focus group occurred within one hour of course completion and may have captured participants still in a mindful state, the trainer’s approach or personality could not be controlled, and improvements could not be attributed solely to mindfulness rather than other support systems.
  • Evident from the text: baseline WEMWBS scores differed significantly between groups, RS-14 baseline mean is reported inconsistently (text M 70.0 vs Table 2 M 76.0), and week-12 quantitative data were excluded because of insufficient returns.

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Integrity signals

Registry

Crossref · 10.1080/02615479.2017.1388776

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

3 tests recomputed · 0 with the reported and recomputed p on opposite sides of .05

Claims the paper makes

0 of 34 cited sources checked · 0 supported · 0 flagged

  • Findingown data
    § Findings Mental Well-being

    In the intervention group, WEMWBS score increased significantly from pre-test (M 46.0, SD 8.3) to post-test (M 56.9, SD 6.7), p=0.00.

    “There was a significant increase in the WEMWBS score in the intervention group (46 (SD 8.3) pre-test vs 56.9 (SD 6.7) post-test; p=0.00).”
    Quote in the paperSubstantial claim
  • Findingown data
    § Resilience

    In the intervention group, RS-14 score increased significantly from pre-test (M 76.0, SD 12.6) to post-test (M 83.5, SD 8.9), p=0.01.

    “There was a significant increase in the RS-14 score in the intervention group (76.0 (SD 12.6) pre-test vs. 83.5 (SD 8.9) post-test; p=0.01)”
    Quote in the paperSubstantial claim
  • Findingown data
    § Well-being qualitative findings

    Qualitative findings indicated that Mindfulness provided permission for students to prioritise themselves and to self-care.

    “Mindfulness had provided permission for students to prioritise themselves, to self-care, to feel content with their lives and more appreciative of the moment.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Stress

    In the control group, PSS score decreased non-significantly from pre-test (M 15.0, SD 6.4) to post-test (M 13.3, SD 5.9), p=0.10.

    “and no significant decrease in the control group score (15.0 (SD 6.4) pre-test vs.13.3 (SD 5.9) post-test; p=0.10) (see Table 2).”
    Quote in the paperSubstantial claim
  • Findingown data
    § Findings Mental Well-being

    In the control group, WEMWBS score decreased non-significantly from pre-test (M 53.7, SD 9.2) to post-test (M 46.9, SD 8.5), p=0.06.

    “There was a non significant decrease in the control group (53.7 (SD 9.2) pre-test vs. 46.9(SD 8.5) post-test; p= 0.06) (see Table 2).”
    Quote in the paperNot a substantial claim
  • May combine two claims. 43
  • Classified as probably not a substantial claim. 59
  • May combine two claims.

    Findingown data
    § Findings Mental Well-being

    At baseline, WEMWBS scores differed significantly between intervention and control groups, with a lower mean in the intervention group (M 46.0, SD 8.3 vs M 53.7, SD 9.2; t(28)=2.40, p=0.02).

    “An examination of the WEMWBS scores between study and control groups at baseline showed a significant difference between groups t (28) =2.40, p=0.02, with a lower mean value in the intervention group (M 46.0 / SD 8.3 vs M 53.7 /SD 9.2).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Resilience

    At baseline, RS-14 scores did not differ significantly between intervention and control groups, with a slightly lower mean in the intervention group (M 70.0, SD 12.6 vs M 82.0, SD 8.5; t(28)=1.52, p=0.13).

    “An examination of the RS-14 scores at baseline showed a non-significant difference between groups t (28) = 1.52, p= 0.13.with a slightly lower mean value in the intervention group (M 70.0 / SD 12.6 vs M 82.0 /SD 8.5).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Resilience qualitative findings

    Participants who returned questionnaires in week 12 indicated continued use of Mindfulness techniques and their perception that doing so had reduced stress and promoted resilience, particularly during the assessment period.

    “Participants who returned questionnaires in week 12 indicated a continued use of the Mindfulness techniques and their perception that doing so had reduced stress and promoted resilience, particularly during the assessment period.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Resilience

    The effect size for the RS-14 change analysis was d=1.36, greater than Cohen's indicator for a large effect (d=.80).

    “The effect size (d = 1.36) was greater than Cohen's (1988) indicator for a large effect (d = .80)(see Table 3).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data
    § Recommending Mindfulness to other social work students

    Some participants initially felt unclear about the metaphors or analogies used to explain Mindfulness, or felt uncomfortable with the body scan or undervalued the importance of self-care.

    “Some initially felt unclear about the metaphors or analogies being used to explain Mindfulness, or felt uncomfortable with the body scan or undervalued the importance of self-care.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data
    § Resilience qualitative findings

    Some participants only engaged with Mindfulness exercises more fully after the course, which coincided with being off for the summer holidays.

    “Some only engaged with exercises more fully after the course, which coincided with being off for the summer holidays.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    One student shared their ability to use breathing exercises from the body scan to manage stress better.

    “At week 12 some students indicated that they had felt less stressed during exams or assignment preparation, they felt better equipped to self-care and enjoy 'time out' and one shared their ability to 'use breathing exercises from the body scan to manage stress better.'”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    Another student indicated that the Mindfulness course had helped them to develop strategies to 'break negative cycles' of thinking.

    “Another indicated that the Mindfulness course had helped them to develop strategies to 'break negative cycles' of thinking”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Stress

    At baseline, PSS scores did not differ significantly between intervention and control groups, with a slightly higher mean in the intervention group (M 18.9, SD 6.1 vs M 15.0, SD 6.4; t(28)=1.70, p=0.09).

    “An examination of the PSS scores between study and control groups at baseline showed a non-significant difference between groups t (28) = 1.70, p= 0.09.with a slightly higher mean value in the intervention group (M 18.9 / SD 6.1 vs M 15.0 /SD 6.4).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    One student who had felt overwhelmed during placement last semester indicated that the Mindfulness course had helped develop confidence about how to manage stress in the future.

    “One student who had felt overwhelmed during placement last semester indicated that the Mindfulness course had helped develop confidence about how to manage stress in the future.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Stress

    The effect size for the PSS change analysis was d=-1.26, exceeding Cohen's convention for a large effect (d=.80).

    “The effect size for this analysis (d = -1.26)was found to exceed Cohen's (1988) convention for a large effect (d = .80)(see Table 3).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Resilience qualitative findings

    The remainder of intervention group participants at baseline were unsure how the course would benefit their resilience.

    “The remainder were unsure how the course would benefit their resilience.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Recommending Mindfulness to other social work students

    Some participants described 'the body scan' used for guided meditation as 'weird' or 'bizarre'.

    “Some described 'the body scan' used for guided meditation as 'weird' or 'bizarre.'”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Recommending Mindfulness to other social work students

    Some participants initially felt 'terrified' of being hypnotised by the trainer due to the soothing rhythm of his voice.

    “Some participants revealed they initially felt 'terrified' of being hypnotised by the trainer due to the soothing rhythm of his voice”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    During the focus group at week 6, one student acknowledged that her attitude towards stressful situations such as 'being late' had changed and she can now enjoy life in the present.

    “During the focus group at week 6 one student acknowledged how her attitude towards stressful situations such as 'being late' had changed and she can now enjoy life in the present.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Recommending Mindfulness to other social work students

    Focus group participants initially shared scepticism of Mindfulness and described it as a 'mystical' or 'alien concept'.

    “Focus group participants shared their initial scepticism of Mindfulness and described it as a 'mystical' or 'alien concept'.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Well-being qualitative findings

    Qualitative findings indicated that students felt content with their lives and more appreciative of the moment.

    “Mindfulness had provided permission for students to prioritise themselves, to self-care, to feel content with their lives and more appreciative of the moment.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Findings Mental Well-being

    The effect size for the WEMWBS change analysis was d=1.63, exceeding Cohen's convention for a large effect (d=.80).

    “The effect size for this analysis (d = 1.63) was found to exceed Cohen's (1988) convention for a large effect (d = .80)(see Table 3).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Recommending Mindfulness to other social work students

    A few participants suggested that the information could have been condensed into an abbreviated course.

    “a few suggested that the information could have been condensed into an abbreviated course.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Discussion

    Findings indicated that there were significant changes in the scores for well-being, stress and resilience for the intervention group, but not for the control group.

    “Findings indicated that there were significant changes in the scores for well-being, stress and resilience for the intervention group, but not for the control group.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Social work is a stressful profession.
    • Rests on an assumption: The intervention and control groups were comparable at baseline on well-being, stress, and resilience.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Limitations

    The focus group data indicates that participants were able to objectively reflect on the course content, delivery and impact.

    “However, the focus group data indicates that participants were able to objectively reflect on the course content, delivery and impact.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Recommending Mindfulness to other social work students

    Individual qualitative statements returned by eight participants in week 12 questionnaires indicated that they found the Mindfulness course beneficial and had continued to practice Mindfulness.

    “Individual qualitative statements returned by eight participants in week 12 questionnaires indicated that they found the Mindfulness course beneficial and had continued to practice Mindfulness.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data
    § Recommending Mindfulness to other social work students

    As the weeks passed, participants seemed to build a relationship of trust and Mindfulness made more sense, meaning they felt more comfortable engaging in the exercises.

    “However, as the weeks passed, participants seemed to build a relationship of trust and Mindfulness made more sense meaning they felt more comfortable engaging in the exercises.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Recommending Mindfulness to other social work students

    Those who remained sceptical confessed that they had been less committed to the homework tasks.

    “However, those who remained sceptical confessed that they had been less committed to the homework tasks.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data
    § Recommending Mindfulness to other social work students

    Others were less enthusiastic about the Mindfulness course, particularly if the course needed private funding or if delivered in its current format.

    “Others were less enthusiastic, particularly if the course needed private funding or if delivered in its current format.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Discussion

    Findings indicated that there was a significant decrease in perceived stress scores in the intervention group, whereas there was no significant decrease in the control group.

    “Similarly, findings indicated that there was a significant decrease in perceived stress scores in the intervention group, whereas there was no significant decrease in the control group.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Social work is a stressful profession.
    • Rests on an assumption: The intervention and control groups were comparable at baseline on well-being, stress, and resilience.
  • May combine two claims.

    Findingown data
    § Conclusion

    At baseline, participants had hoped the Mindfulness course would help improve their well-being (n=3), self-care (n=3), understanding of well-being (n=2), or anxiety management (n=2).

    “At baseline, participants had hoped the Mindfulness course would help improve their: well-being (n=3); self-care (n=3); understanding of well-being (n=2); or anxiety management (n=2).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Discussion

    The significant increase in the well-being scores for the intervention group was supported by qualitative comments confirming newfound self-awareness, positivity and self-care, as well as freedom to 'live in the moment'.

    “The significant increase in the well-being scores for the intervention group was supported by qualitative comments confirming newfound self-awareness, positivity and self-care, as well as freedom to 'live in the moment'.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    Managing stress by regaining control was echoed by two other students.

    “Managing stress by regaining control was echoed by two other students.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    Another student indicated that becoming more aware of the negative voice enabled them to consciously replace it with a positive mindset which they probably wouldn't have had beforehand.

    “The other indicated that becoming more aware of the negative voice enabled them to consciously replace it with a positive mindset which they 'probably wouldn't have had that mind-set beforehand.'”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation
    § Discussion

    Although some students found the introduction to Mindfulness 'mystical' or initially feared the 'hypnotic' potential of the trainer's voice, this altered as trust in the therapeutic relationship developed over time.

    “Although some students found the introduction to Mindfulness 'mystical' or initially feared the 'hypnotic' potential of the trainer's voice, this altered as trust in the therapeutic relationship developed over time.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingnone given
    § Discussion

    Although some were critical about the timing or duration of the sessions, there was a general sense of commitment to attending the sessions.

    “Likewise, although some were critical about the timing or duration of the sessions, there was a general sense of commitment to attending the sessions.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data
    § Conclusion

    This student went on to indicate that the course had helped her 'personally to recognise my emotions and deal with them appropriately. I also feel more determined and focused than before I started this course.'

    “This student went on to indicate that the course had helped her 'personally to recognise my emotions and deal with them appropriately.I also feel more determined and focused than before I started this course.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    Another student relayed how Mindfulness training had helped to manage stress regarding assignment submission.

    “Another relayed how Mindfulness training had helped to manage stress regarding assignment submission:”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Conclusion

    The remainder were unsure (n=5).

    “The remainder were unsure (n=5).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Conclusion

    One participant indicated that since attending the course 'mental well-being has improved as I have noticed that I am more focused when performing tasks.'

    “One indicated that since attending the course 'mental well-being has improved as I have noticed that I am more focused when performing tasks.'”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Discussion

    Qualitative comments supported the decrease in perceived stress and indicated that the Mindfulness programme had enabled students to manage stress surrounding exams or assignments with specific techniques and had heightened awareness of potential stressors.

    “Qualitative comments supported this and indicated that the Mindfulness programme had enabled students to manage stress surrounding exams or assignments with specific techniques and had heightened awareness of potential stressors.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data
    § Stress qualitative findings

    One student found that focusing on breathing and becoming aware of the present through sensory activity helped increase focus and concentration, most evident when studying or writing assignments, therefore reducing stress.

    “One found that 'focusing on my breathing and becoming aware of the present through sensory activity has helped to increase focus and concentrating which is most evident when studying or writing assignments, therefore reducing stress.'”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Discussion

    Although some participants remained sceptical about or felt uncomfortable with aspects of the course, focus group participants who had embraced the course content and homework exercises reported positive benefits and felt more able to manage exam related stress or anticipated using these exercises during future practice placements or stressful life events.

    “Although some of the participants remained sceptical about or felt uncomfortable with aspects of the course, focus group participants who had embraced the course content and homework exercises reported positive benefits and felt more able to manage exam related stress or anticipated using these exercises during future practice placements or stressful life events.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data
    § Stress qualitative findings

    For others, the Mindfulness course helped to raise awareness of stressors, which included the multiplying of thoughts in your mind, stressing about something that might never happen or making up worst possible scenario stories in your head.

    “For others, the Mindfulness course helped to raise awareness of stressors, which included the multiplying of thoughts in your mind, stressing about something that might never happen or making up worst possible scenario stories in your head.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Premisecitation
    § Background

    In social work, there is a need for organisations, educators and individual professionals to develop more positive approaches to managing the high levels of stress involved in practice.

    “In social work, Grant and Kinman (2014) have highlighted the need for organisations, educators and individual professionals to develop more positive approaches to managing the high levels of stress involved in practice.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Grant and Kinman, 2014

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Premisecitation
    § Background

    Enhancing the wellbeing of social work students is centrally important to ensure they are sufficiently resilient to manage the challenges of practice.

    “Additionally, they have identified the central importance of enhancing the wellbeing of social work students to ensure they are sufficiently resilient to manage the challenges of practice as they will be at the frontline of society's efforts to cope with many community, family and personal problems (Grant and Kinman, 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Grant and Kinman, 2014

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Background

    Health and social care professionals are increasingly integrating Mindfulness into their practice as emerging research demonstrates that it is one possible tool for self-care.

    “According to Botta, Cadet and Maramaldi (2015) health and social care professionals are increasingly integrating Mindfulness into their practice as emerging research demonstrates that it is one possible tool for self-care.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Botta, Cadet and Maramaldi (2015)

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Background

    Mindfulness is effective in facilitating neuroplasticity, improving emotion regulation, self-awareness and the ability to experience compassion.

    “Findings suggest that Mindfulness is effective in facilitating neuroplasticity, improving emotion regulation, self-awareness and the ability to experience compassion (Pidgeon, Ford and Klaassen, 2014)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Pidgeon, Ford and Klaassen, 2014

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Background

    Mindfulness is effective in cultivating calmness by decreasing stress or anxiety and improving the immune system.

    “and in cultivating calmness by decreasing stress or anxiety and improving the immune system (Jacobs et al., 2016).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Jacobs et al., 2016

      Not checked in the free run.

  • May combine two claims.

    Study design and conductown data
    § Stress

    The groups were comparable at baseline although there was a difference in the PSS score.

    “Therefore the groups were comparable at the baseline although there was a difference in the PSS score.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductown data
    § Findings Mental Well-being

    In general, the groups were reasonably comparable at baseline although there was a difference in the WEMWBS score.

    “In general, the groups were reasonably comparable at the baseline although there was a difference in the WEMWBS score.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data
    § Data collection

    Attempts to capture quantitative data at week 12 resulted in insufficient returns, so this data was excluded from the final analysis.

    “Attempts were made to capture quantitative data from all participants at week 12 using the validated questionnaires, but insufficient returns resulted in this data being excluded from the final analysis.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation
    § Background

    Mindfulness can help social work practitioners by developing their ability to concentrate, calm and stabilise their minds.

    “Other findings suggest that Mindfulness can help social work practitioners by developing their ability to concentrate, calm and stabilise their minds (Gockel and Deng, 2016)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Gockel and Deng, 2016

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Data collection

    The RS-14 is a shorter version of the original 25-item Resilience Scale.

    “It is a shorter version of the original 25-item Resilience Scale (Wagnild, 1993).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wagnild, 1993

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation
    § Background

    Two quasi-experimental studies found that the use of Mindfulness improved social work students' and practitioners' ability to cope with stressful situations.

    “They did report that two studies (Bonifas and Napoli, 2013;McGarrigle and Walsh, 2011), which used quasi-experimental designs, had found that the use of Mindfulness had improved the social work students' and practitioners' ability to cope with stressful situations.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Bonifas and Napoli, 2013

      Not checked in the free run.

    • cites McGarrigle and Walsh, 2011

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Background

    Positive changes can occur through experiential learning and through Mindfulness practice.

    “Research supports the fact that positive changes can occur through experiential learning and through Mindfulness practice (Hyland, Lee and Mills, 2015;Manotas, Segura, Eraso, Oggins and McGovern, 2014).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Hyland, Lee and Mills, 2015

      Not checked in the free run.

    • cites Manotas, Segura, Eraso, Oggins and McGovern, 2014

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductown data
    § Participants

    Thirteen intervention group participants and 12 control group participants completed questionnaires at the post intervention junctures.

    “Thirteen intervention group participants and 12 control group participants completed questionnaires at the post intervention junctures.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Data collection

    The PSS is the most widely used psychological instrument for measuring the perception of stress.

    “The Perceived Stress Scale (PSS) (Cohen 1983) is the most widely used psychological instrument for measuring the perception of stress.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Cohen 1983

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Limitations

    The timing of the focus group and follow-up questionnaires was within one hour of the course completing.

    “The timing of the focus group and follow-up questionnaires was within one hour of the course completing.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Limitations

    There are differences in the year of study across the sample, as some were further into their BSW Degree training than others.

    “There are differences in the year of study across the sample, as some were further into their BSW Degree training than others.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Study design and conductreasoning
    § Limitations

    It could be suggested that participants were still in a Mindful state and the findings could be biased.

    “It could be suggested that participants were still in a Mindful state and the findings could be biased.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Limitations

    Numbers recruited were matched with the control group.

    “However, numbers recruited were matched with the control group.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Limitations

    The response rate remained at 80%.

    “the response rate remained at 80%.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Study design and conductnone given
    § Limitations

    The trainer was a very experienced practitioner and teacher who adopts a consistent approach when teaching this course.

    “Our trainer was a very experienced practitioner and teacher who adopts a consistent approach when teaching this course”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Limitations

    Convenience sampling was used to recruit self-selecting male and female students from the registration and reserve lists.

    “Convenience sampling was used to recruit self-selecting male and female students from the registration and reserve lists”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given
    § Limitations

    The study was a pilot study.

    “This was a pilot study, which offered valuable insights into the benefits of the Mindfulness programme and the methodology used.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given
    § Limitations

    Most participants had been exposed to direct social work practice through a practice placement or had undergone at least one academic year of BSW degree.

    “However, most had been exposed to direct social work practice through a practice placement or had undergone at least one academic year of BSW degree the intervention group attended the focus group meeting.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductnone given
    § Limitations

    Although the results indicate significant improvements in the mental well-being, stress and resilience of the intervention group, there is no way of knowing if these were attributed to the Mindfulness course, the effects of other support systems external to the University or social support generated over the six week programme.

    “Although the results indicate significant improvements in the mental well-being, stress and resilience of the intervention group, there is no way of knowing if these were attributed to the Mindfulness course, the effects of other support systems external to the University or social support generated over the six week programme.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data
    § Conclusion

    Findings indicated that the six-week Mindfulness course appeared to enhance well-being, improve stress and resilience scores.

    “Findings indicated that the six-week Mindfulness course appeared to enhance well-being, improve stress and resilience scores”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Social work is a stressful profession.
    • Rests on an assumption: The intervention and control groups were comparable at baseline on well-being, stress, and resilience.
  • Classified as probably not a substantial claim.

    Study design and conductown data
    § Conclusion

    Insufficient returns at week 12 resulted in quantitative data from week 12 being excluded from the analysis.

    “Insufficient returns at week 12 resulted in quantitative data from week 12 being excluded from the analysis.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationown data
    § Discussion

    The present small scale study has been useful in informing decisions about the integration of Mindfulness training into the curriculum for social work education in one university, highlighting issues around the structure, format and timing of the Mindfulness course.

    “The present small scale study has been useful in informing decisions about the integration of Mindfulness training into the curriculum for social work education in one university, highlighting issues around the structure, format and timing or the Mindfulness course.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Conclusion

    Inter-rater checks on the semi-structured interview data and transcript were carried out by two members of the research team.

    “Inter-rater checks on the semi-structured interview data and transcript were carried out by two members of the research team.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationcitation
    § Conclusion

    Mindfulness has the potential to provide one of the many evidence based components needed for an emotional curriculum.

    “and Mindfulness has the potential to provide one of the many evidence based components needed.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given
    § Conclusion

    The six-week Mindfulness course may not appeal to all students.

    “but it may not appeal to all students”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Conclusion

    Grant et al. (2015) have argued for the development of an 'emotional curriculum' in social work education.

    “Grant et al. (2015) have argued for the development of an 'emotional curriculum' in social work education”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Grant et al. (2015)

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Premisecitation
    § Discussion

    Mindfulness is a tool for self-care.

    “Other studies have reported that Mindfulness is a tool for self-care (Botta et al, 2015)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Botta et al, 2015

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    Mindfulness can increase self-awareness by promoting the ability to stay in the moment.

    “can increase self-awareness by promoting the ability to stay in the moment (Birnbaum, 2008;Pidgeon et al, 2014)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Birnbaum, 2008

      Not checked in the free run.

    • cites Pidgeon et al, 2014

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    Mindfulness can legitimise self-care and self compassion.

    “and legitimise self-care and self compassion (Smeets et al, 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Smeets et al, 2014

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Premisecitation
    § Discussion

    Mindfulness can transform individuals.

    “can transform individuals (Lynn, 2010)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lynn, 2010

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Discussion

    Birnbaum (2008) used Mindfulness meditation to enhance self awareness and increase the students' ability to handle practice fieldwork and academic stressors.

    “Birnbaum (2008) used Mindfulness meditation to enhance self awareness and increase the students' ability to handle practice fieldwork and academic stressors”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Birnbaum (2008)

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    Key issues for consideration emerging from this study were similar to those identified by Gockel and Deng (2016).

    “Key issues for consideration emerging from this study were similar to those identified by Gockel and Deng (2016), who facilitated and evaluated a similar Mindfulness programme for Masters in Social Work students in North America.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gockel and Deng (2016)

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    The quality of relationship between therapist and student may be a factor in promoting well-being.

    “As indicated in the literature, the quality of relationship between therapist and student may be a factor in promoting well-being (Niehuis et al., 2016).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Niehuis et al., 2016

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Discussion

    Benefits of Mindfulness have been found in a number of areas, including promoting increased empathy, enabling social work students to integrate theory into practice, integrating Mindfulness into students' professional and personal self, engaging in critical reflection, and considering issues of class, power and oppression.

    “Benefits have been found in a number of areas, including: promoting increased empathy (Krasner et al, 2009); enabling social work students to integrate theory into practice; integrating Mindfulness into students professional and personal self (Lynn and Mensinga, 2016), engaging in critical reflection, and considering issues of class, power and oppression, (Gockel andDeng, 2016: Wong, 2013).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Krasner et al, 2009

      Not checked in the free run.

    • cites Lynn and Mensinga, 2016

      Not checked in the free run.

    • cites Gockel andDeng, 2016: Wong, 2013

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Conclusion

    The NHS Choice (2011) has indicated that 41 and 59 is an average score for mental well-being; 32-40 is below average and denotes some issues in relation to mental well-being for general populations; whilst 59-70 is perceived as above average for the general population.

    “The authors do not specify a clinical cut off point score but the NHS Choice (2011) has indicated that 41 and 59 is an average score for mental well-being; 32-40 is below average and denotes some issues in relation to mental well-being for general populations; whilst 59-70 is perceived as above average for the general population.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites NHS Choice (2011)

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Discussion

    Birnbaum (2007) indicated that students developed better concentration and focus through Mindfulness meditation, which helped them to write academic assignments.

    “This is similar to findings from Birnbaum (2007), who indicated that students developed better concentration and focus through Mindfulness meditation, which helped them to write academic assignments.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Birnbaum (2007)

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    There are advantages of longer periods of Mindfulness practice.

    “as have the advantages of longer periods of Mindfulness practice (Gockel and Deng, 2016).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gockel and Deng, 2016

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion

    Wong (2004) reported that the moment of discomfort was significant in terms of becoming more conscious of habitual labelling or judging of themselves or others.

    “Wong (2004) reported that the moment of discomfort was significant in terms of becoming more conscious of habitual labelling or judging of themselves or others”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wong (2004)

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Discussion

    Mindfulness may improve empathy, compassion and listening, which are all essential for the social work professional.

    “In addition, emerging literature appears to suggest that Mindfulness may improve empathy, compassion and listening, which are all essential for the social work professional (Lynn, 2010)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lynn, 2010

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Conclusion

    Fleming (2001) suggests four ways to improve credibility of qualitative research: reflexive analysis; participant checking data/report for accuracy; data saturation and inter-rater/peer checks.

    “Fleming (2001) suggests four ways to improve credibility of qualitative research: reflexive analysis; participant checking data/report for accuracy; data saturation and inter-rater/peer checks.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Fleming (2001)

      Not checked in the free run.

85 of 85
  • The paper relies on this without support.

    The intervention and control groups were sufficiently comparable at baseline for between-group changes to be attributed to the Mindfulness course.

    “In general, the groups were reasonably comparable at the baseline although there was a difference in the WEMWBS score.”
    “Therefore the groups were comparable at the baseline although there was a difference in the PSS score.”
  • The paper relies on this without support.

    Control group participants did not receive Mindfulness training or a comparable intervention during the study period.

    “control group participants who were recruited from a reserve list of students interested in attending the Mindfulness course.”
  • The paper relies on this without support.

    Intervention group participants adequately engaged with and practised the Mindfulness techniques during the six-week course.

    “Course participants were encouraged to practice them daily and retain a reflective diary to aid discussion with the trainer during group sessions.”
  • The paper relies on this without support.

    The Mindfulness course was delivered with fidelity to the intended manualised programme.

    “The Mindfulness intervention involved weekly two hour sessions which were modelled on the manualised treatment program developed by Kabat-Zinn (1982).”
  • The paper relies on this without support.

    The week 12 quantitative data exclusion did not bias the results.

    “Attempts were made to capture quantitative data from all participants at week 12 using the validated questionnaires, but insufficient returns resulted in this data being excluded from the final analysis.”
  • The paper relies on this without support.

    Social work is a stressful profession.

    “Given the stressful nature of social work as a profession, this highlights the importance of protecting wellbeing in undergraduate students”
  • The paper relies on this without support.

    The intervention and control groups were comparable at baseline on well-being, stress, and resilience.

    “However, numbers recruited were matched with the control group.”
7 of 7

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics that don’t add up

Each reported p-value recomputed from its test statistic and degrees of freedom.

  • Inconsistent p-value: t (28) = 1.52, p = .13

    Minor

    The paper reports p = .13 here; recomputing from the test statistic and its degrees of freedom gives p = .140 (two-tailed). The check cannot tell whether the statistic or the p-value is the misprint.

    Reported p = .13 · recomputed p = .140

  • Inconsistent p-value: t (28) = 1.70, p = .09

    Minor

    The paper reports p = .09 here; recomputing from the test statistic and its degrees of freedom gives p = .100 (two-tailed). The check cannot tell whether the statistic or the p-value is the misprint.

    Reported p = .09 · recomputed p = .100

2 of 2

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • Doesn’t add upt(28) = 1.7reported p = .09 · recomputed p = .100

    “t (28) = 1.70, p = .09”

  • Doesn’t add upt(28) = 1.52reported p = .13 · recomputed p = .140

    “t (28) = 1.52, p = .13”

  • Consistentt(28) = 2.4reported p = .02 · recomputed p = .023

    “t (28) =2.40, p = .02”

3 of 3

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Negative standard deviation in the PSS table

    Minor

    Table 3 prints the intervention group's PSS change standard deviation as -6.2, whereas the corresponding text gives it as 6.2. A standard deviation cannot be negative.

  • Bonifas and Napoli citation year differs from reference

    Minor

    The text dates the Bonifas and Napoli study to 2013, while its reference-list entry is dated 2014.

  • Conflicting baseline resilience mean

    Minor

    The resilience findings give the intervention group's baseline RS-14 mean as 70.0, while Table 2 gives it as 76.0. The reported improvement in resilience depends on which baseline value is correct.

  • Two different effect sizes for stress

    Minor

    The stress findings report Cohen's d as -1.26, but Table 3 reports -1.22 for the same PSS comparison.

  • Jacobs citation year differs from reference

    Minor

    The text cites Jacobs et al. as 2016, but the Jacobs et al. entry in the reference list is dated 2011.

5 of 5

Cites

Flagged first, then by citations

Research works printed but not linked: 5

  1. Cohen, J. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). Hillside NJ: Erlbaum.
  2. 10.1080/15426432/2015.1080606 · DOI
  3. NHS Choices. (2011). Improving health, improving lives. NHS Choices annual report. London: NHS.
  4. 10.1080/13548806.2013.806815 · DOI
  5. Wagnild, G. M. (2009). The Resilience Scale user’s guide for the US English version of the Resilience Scale and the 14-Item Resilience Scale (RS-14). Worden, MT: The Resilience Center.

Cited by

Sorted by citations

Authors
Roulston, A., Montgomery, L., Campbell, A., & Davidson, G.
Affiliations
Queen's University Belfast (GB)
Corresponding author
Roulston, Audrey
Venue
Social Work Education
Published
2017-10-19
Volume
37
Issue
2
Pages
157-172
ISSN
  • 0261-5479 (ISSN-L)
  • 1470-1227
OpenAlex
W2755735949
Cited by
62
References
41
Citations by year
2026: 3 · 2025: 6 · 2024: 11 · 2023: 8 · 2022: 8 · 2021: 13 · 2020: 9 · 2019: 4
FWCI
4.41
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Social Work Education (publishedVersion)
  • Research Portal (Queen's University Belfast) (submittedVersion, other-oa)
Funders
  • Queen's University Belfast
  • Queen's University
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
Keywords
mindfulness, psychological well-being, perceived stress, resilience, social work students, undergraduate students, mindfulness-based interventions, self-care, student mental health, mindfulness-based stress reduction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-09.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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