One method for objective adherence measurement in mind-body medicine
Open accessAbstract
OBJECTIVES: Home practice is frequently prescribed as part of mind-body medicine interventions, although rarely objectively measured. This brief methods report describes one method for objectively measuring home practice adherence using a custom monitoring software program. DESIGN: Methods for objectively measuring adherence were developed as part of a randomized controlled trial on the mechanisms of mindfulness meditation. SETTINGS/LOCATION: The study was conducted at Oregon Health & Science University, Portland, Oregon. SUBJECTS: The subjects comprised 11 combat veterans with post-traumatic stress disorder. INTERVENTIONS: The method used was mindfulness meditation. OUTCOME MEASURES: There were subjective and objective adherence measurements of mindfulness meditation home practice. RESULTS: The first iteration of objective adherence monitoring used an iPod device and had limitations in participant usage and correctly capturing data. In the second iteration, objective data were easily collected, uploaded, and viewed using the custom software application, iMINDr. Participants reported that iMINDr was straightforward to use, and they returned the monitoring units as directed. CONCLUSIONS: The iMINDr is an example of a simple objective adherence measurement system that may help mind-body researchers examine how home practice adherence may affect outcomes in future clinical trials.
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Wahbeh et al. (2011) reported differences in subjective and objective measures of home practice among people participating in a mindfulness-based program.
“For example, Wahbeh et al. (2011) reported differences in subjective and objective measures of home practice among people participating in a mindfulness-based program.”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as Wahbeh et al. (2011)
Self-reported responses concerning participants' current mindfulness practices present several risks of biases.
“Another limitation is related to the self-reported responses concerning participants' current mindfulness practices which present several risks of biases that have been highlighted in past research.”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as Wahbeh et al. (2011)
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“Results based on self-report home practice logs must be interpreted with caution because there are no objective measures validating their accuracy.(1,4,6,7) Not assessing objective adherence is an important problem because any results from an intervention that includes home practice will have an element of uncertainty…”
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Adherence to yoga and exercise interventions in a 6-month clinical trial
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Self-citationMind-Body Medicine and Immune System Outcomes: A Systematic Review
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- Authors
- Wahbeh, H., Zwickey, H., & Oken, B.
- Affiliations
- Oregon Health & Science University (US)
- National University of Natural Medicine (US)
- Corresponding author
- Wahbeh, Helané
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2011-02
- Volume
- 17
- Issue
- 2
- Pages
- 175-177
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- PMC
- PMC3111142
- OpenAlex
- W2044721344
- Cited by
- 31
- References
- 7
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 5 · 2014: 3 · 2012: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Center for Complementary and Integrative Health (T32AT002688, K24AT005121, K01AT004951)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- mindfulness meditation, objective adherence measurement, combat veterans, post-traumatic stress disorder, mind-body medicine
- MeSH terms
- Breathing Exercises, Humans, Patient Compliance, Self Care, Software, Stress Disorders, Post-Traumatic, Veterans, Weights and Measures, Meditation
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