A randomized controlled trial of an app-delivered mindfulness program among university employees: effects on stress and work-related outcomes
Abstract
Purpose The purpose of this paper is to evaluate the impact on stress and work-related outcomes of an app-delivered mindfulness-based program (MBP; Headspace®) offered to employees in a UK higher education (HE) institution. Design/methodology/approach Using a randomized waitlist control trial design, participants were randomly allocated to be offered a mindfulness-based program (MBP) immediately for 2 months or after a waiting list period of 2 months (WLC). Data were analyzed using Intention to Treat (ITT; MBP n = 62; WLC n = 63); with supplementary analysis restricting to those who completed all measures; (MBP n = 45; WLC n = 56) and then further restricting the MBP group to those who completed at least foundation level 1 of the app; (MBP n = 31; WLC n = 56). Findings The ITT analysis showed significant increases in several aspects of mindfulness and a significant reduction in perceived stress but no significant effects for work-related outcomes. Analysis restricted to MBP participants who completed the app foundation course showed a similar pattern but in addition showed significant increases in work-life balance and the emotional aspect of job engagement. Practical implications The offer of the Headspace® app in the HE sector may result in reduced perceived stress. If improvements in work-related outcomes are also to be seen, then users need to be encouraged to complete a minimum level of practice. Originality/value Effect size estimates for stress and work-related outcomes of an app-delivered MBP contribute to the evolving picture of MBPs in the workplace.
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Some studies used commercially available apps not tailored to companies to test their effectiveness among their target group, and effectiveness in stress perception, perceived mindfulness and perceived well-being could be demonstrated.
“Furthermore, some studies used commercially available apps (and, thus, ones not tailored to companies) to test their effectiveness among their target group. Examples of these apps are the Calm app [43, 57] and Headspace. Effectiveness in terms of, e.g., stress perception, perceived mindfulness and perceived well-being could be demonstrated [27, 34, 39, 40].”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [40]
Social collaboration and competition among colleagues are highly valued features of mobile apps.
“Social collaboration and competition among colleagues are also highly valued features of mobile apps [40, 56].”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [40]
Office workers also perceived this flexibility as positive.
“Of course, office workers also perceived this flexibility as positive [27, 38, 40, 47].”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [40]
Cites
Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003) · Journal of Applied Psychology · doi:10.1037/0021-9010.88.5.879 · Cited by 82,194 · see citing works
Job Engagement: Antecedents and Effects on Job Performance
Rich, B. L., LePine, J. A., & Crawford, E. R. (2010) · Academy of Management Journal · doi:10.5465/amj.2010.51468988 · Cited by 3,979 · see citing works
PERCEIVED ORGANIZATIONAL SUPPORT AND LEADER-MEMBER EXCHANGE: A SOCIAL EXCHANGE PERSPECTIVE.
WAYNE, S. J., Shore, L. M., & Liden, R. C. (1997) · Academy of Management Journal · doi:10.2307/257021 · Cited by 3,792 · see citing works
Organizational citizenship behavior and workplace deviance: The role of affect and cognitions.
Lee, K., & Allen, N. J. (2002) · Journal of Applied Psychology · doi:10.1037/0021-9010.87.1.131 · Cited by 2,152 · see citing works
Creswell, J. D. (2017) · Annual Review of Psychology · doi:10.1146/annurev-psych-042716-051139 · Cited by 1,702 · see citing works
Contemplating Mindfulness at Work: An Integrative Review
Good, D. J., Lyddy, C. J., Glomb, T. M., Bono, J. E., Brown, K. W., Duffy, M. K., Baer, R. A., Brewer, J. A., & Lazar, S. W. (2016) · Journal of Management · doi:10.1177/0149206315617003 · Cited by 1,043 · see citing works
Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011) · Assessment · doi:10.1177/1073191111408231 · Cited by 990 · see citing works
Van Breukelen, G. J. P. (2006) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2006.02.007 · Cited by 765 · see citing works
Valcour, M. (2007) · Journal of Applied Psychology · doi:10.1037/0021-9010.92.6.1512 · Cited by 723 · see citing works
West, C. P., Dyrbye, L. N., Rabatin, J. T., Call, T. G., Davidson, J. H., Multari, A., Romanski, S. A., Hellyer, J. M. H., Sloan, J. A., & Shanafelt, T. D. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.14387 · Cited by 695 · see citing works
The curiosity and exploration inventory-II: Development, factor structure, and psychometrics
Kashdan, T. B., Gallagher, M. W., Silvia, P. J., Winterstein, B. P., Breen, W. E., Terhar, D., & Steger, M. F. (2009) · Journal of Research in Personality · doi:10.1016/j.jrp.2009.04.011 · Cited by 674 · see citing works
Workplace mental health: developing an integrated intervention approach
LaMontagne, A. D., Martin, A. J., Page, K. M., Reavley, N. J., Noblet, A. J., Milner, A. J., Keegel, T. G., & Smith, P. M. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-131 · Cited by 516 · see citing works
Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019) · JMIR mHealth and uHealth · doi:10.2196/14273 · Cited by 488 · see citing works
Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being
Bostock, S., Crosswell, A. D., Prather, A. A., & Steptoe, A. (2019) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000118 · Cited by 465 · see citing works
Bartlett, L., Martin, A., Neil, A. L., Memish, K., Otahal, P., Kilpatrick, M., & Sanderson, K. (2019) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000146 · Cited by 426 · see citing works
Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults
Klatt, M. D., Buckworth, J., & Malarkey, W. B. (2009) · Health Education & Behavior · doi:10.1177/1090198108317627 · Cited by 362 · see citing works
Mindfulness, authentic functioning, and work engagement: a growth modeling approach
Leroy, H., Anseel, F., Dimitrova, N. G., & Sels, L. (2013) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2013.01.012 · Cited by 336 · see citing works
Querstret, D., Morison, L., Dickinson, S., Cropley, M., & John, M. (2020) · International Journal of Stress Management · doi:10.1037/str0000165 · Cited by 315 · see citing works
Self-citationVirgili, M. (2015) · Mindfulness · doi:10.1007/s12671-013-0264-0 · Cited by 273 · see citing works
Michel, A., Bosch, C., & Rexroth, M. (2014) · Journal of Occupational and Organizational Psychology · doi:10.1111/joop.12072 · Cited by 267 · see citing works
Mindfulness-Based Programs in the Workplace: a Meta-Analysis of Randomized Controlled Trials
Vonderlin, R., Biermann, M., Bohus, M., & Lyssenko, L. (2020) · Mindfulness · doi:10.1007/s12671-020-01328-3 · Cited by 259 · see citing works
Mindfulness interventions in the workplace: A critique of the current state of the literature.
Jamieson, S. D., & Tuckey, M. R. (2016) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000048 · Cited by 255 · see citing works
Stratton, E., Lampit, A., Choi, I., Calvo, R. A., Harvey, S. B., & Glozier, N. (2017) · PLOS ONE · doi:10.1371/journal.pone.0189904 · Cited by 252 · see citing works
Economides, M., Martman, J., Bell, M. J., & Sanderson, B. (2018) · Mindfulness · doi:10.1007/s12671-018-0905-4 · Cited by 250 · see citing works
Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., Hart, R., & Eiroá‐Orosa, F. J. (2017) · European Journal of Work and Organizational Psychology · doi:10.1080/1359432x.2017.1308924 · Cited by 240 · see citing works
Heckenberg, R. A., Eddy, P. J., Kent, S., & Wright, B. J. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.09.010 · Cited by 233 · see citing works
Mindfulness-based training interventions for employees: A qualitative review of the literature
Eby, L., Allen, T., Conley, K. M., Williamson, R. L., Henderson, T. G., & Mancini, V. S. (2017) · Human Resource Management Review · doi:10.1016/j.hrmr.2017.03.004 · Cited by 204 · see citing works
Workplace based mindfulness practice and inflammation: A randomized trial
Malarkey, W. B., Jarjoura, D., & Klatt, M. (2013) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2012.10.009 · Cited by 194 · see citing works
Wasil, A. R., Venturo-Conerly, K. E., Shingleton, R. M., & Weisz, J. R. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103498 · Cited by 160 · see citing works
Fish, J., Brimson, J., & Lynch, S. (2016) · Mindfulness · doi:10.1007/s12671-016-0548-2 · Cited by 126 · see citing works
Mindfulness for Novice Pediatric Nurses: Smartphone Application Versus Traditional Intervention
Morrison Wylde, C., Mahrer, N. E., Meyer, R. M. L., & Gold, J. I. (2017) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2017.06.008 · Cited by 124 · see citing works
Walsh, K. M., Saab, B. J., & Farb, N. A. (2019) · JMIR Mental Health · doi:10.2196/10844 · Cited by 123 · see citing works
Special section on well-being in academic employees.
Kinman, G., & Johnson, S. J. (2019) · International Journal of Stress Management · doi:10.1037/str0000131 · Cited by 102 · see citing works
Online-based Mindfulness Training Reduces Behavioral Markers of Mind Wandering
Bennike, I. H., Wieghorst, A., & Kirk, U. (2017) · Journal of Cognitive Enhancement · doi:10.1007/s41465-017-0020-9 · Cited by 101 · see citing works
Efficacy of a Mindfulness-Based Mobile Application: a Randomized Waiting-List Controlled Trial
van Emmerik, A. A. P., Berings, F., & Lancee, J. (2018) · Mindfulness · doi:10.1007/s12671-017-0761-7 · Cited by 101 · see citing works
van Berkel, J., Boot, C. R. L., Proper, K. I., Bongers, P. M., & van der Beek, A. J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0084118 · Cited by 89 · see citing works
Balconi, M., Fronda, G., & Crivelli, D. (2018) · Stress · doi:10.1080/10253890.2018.1531845 · Cited by 89 · see citing works
What Do We Really Know About the Effects of Mindfulness-Based Training in the Workplace?
Allen, T. D., Eby, L. T. D. T., Conley, K. M., Smith, R. W., Mancini, V. S., & Mitchell, M. E. (2015) · Industrial and Organizational Psychology · doi:10.1017/iop.2015.95 · Cited by 72 · see citing works
Clarke, J., & Draper, S. (2020) · Internet Interventions · doi:10.1016/j.invent.2019.100293 · Cited by 65 · see citing works
Crivelli, D., Fronda, G., Venturella, I., & Balconi, M. (2018) · Mindfulness · doi:10.1007/s12671-018-0975-3 · Cited by 64 · see citing works
Examining the effect of different facets of mindfulness on work engagement
Gunasekara, A. N., & Zheng, C. S.-M. (2018) · Employee Relations · doi:10.1108/er-09-2017-0220 · Cited by 58 · see citing works
Meditation Inhibits Aggressive Responses to Provocations
DeSteno, D. A., Lim, D., Duong, F., & Condon, P. (2017) · Mindfulness · doi:10.1007/s12671-017-0847-2 · Cited by 52 · see citing works
Wongtongkam, N., Krivokapic‐Skoko, B., Duncan, R., & Bellio, M. (2017) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2017.1316760 · Cited by 33 · see citing works
Mindfulness-Based Stress Release Program for University Employees
Koncz, R., Wolfenden, F., Hassed, C. S., Chambers, R., Cohen, J., & Glozier, N. (2016) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000856 · Cited by 21 · see citing works
Mindfulness improves work engagement, wellbeing and performance in a university setting
Atkins, P. W. B., Hassed, C. S., & Fogliati, V. J. (2015) · Edward Elgar Publishing eBooks · doi:10.4337/9781783474103.00020 · Cited by 17 · see citing works
Hegney, D. G., Tsai, L., Craigie, M. A., Crawford, C., Jay, S. M., & Rees, C. S. (2020) · Higher Education Research & Development · doi:10.1080/07294360.2020.1764508 · Cited by 16 · see citing works
Minding the Mechanisms: A Discussion of How Mindfulness Leads to Positive Outcomes at Work
Miksch, D., Lindeman, M. I. H., & Varghese, L. S. (2015) · Industrial and Organizational Psychology · doi:10.1017/iop.2015.89 · Cited by 7 · see citing works
Stress in the Higher Education Sector: Causes and Yoga-Mindfulness Interventions
Kelly, C. (2017) · Journal of Yoga and Physiotherapy · doi:10.19080/jyp.2017.03.555613 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Linardon, J. (2023) · Behaviour Research and Therapy · doi:10.1016/j.brat.2023.104421 · Cited by 69 · see citing works
An Integrative Review on the Research Progress of Mindfulness and Its Implications at the Workplace
Panditharathne, P. N. K. W., & Chen, Z. (2021) · Sustainability · doi:10.3390/su132413852 · Cited by 44 · see citing works
The impact of mindfulness apps on psychological processes of change: a systematic review
Macrynikola, N., Mir, Z., Gopal, T., Rodriguez, E., Li, S., Cox, M., Yeh, G. Y., & Torous, J. B. (2024) · npj Mental Health Research · doi:10.1038/s44184-023-00048-5 · Cited by 31 · see citing works
“Notably, some studies that found no between-group differences found a mindfulness app effect at higher engagement rates 38,40 .”
InfluentialHalat, D. H., Abdel‐Rahman, M. E., Al-Jayyousi, G. F., & Malki, A. M. (2024) · BMC Psychology · doi:10.1186/s40359-024-01801-x · Cited by 20 · see citing works
“Similarly, mindfulness programs [68], de-stressors like yoga and art therapy [69], and behavioral coaching interventions [70] have been reported to positively affect mental health of faculty.”
BackgroundA Mixed-Method Assessment of a 10-Day Mobile Mindfulness Intervention
Haliwa, I., Ford, C. G., Wilson, J. M., & Shook, N. J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.722995 · Cited by 19 · see citing works
“…et al., 2021), employees (Nubold and Hulsheger, 2021; Piil et al., 2021; Rich et al., 2021), medical students (Wen et al., 2017; Yang et al., 2018), patients with insomnia (Low et al., 2020), cancer patients (Rosen et al., 2018; Kubo et al., 2019), and their caregivers (Kubo et al., 2019).”
ResultInfluentialAdvantages and disadvantages of mobile applications for workplace health promotion: A scoping review
Junker, M., Böhm, M., & Krcmar, H. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296212 · Cited by 15 · see citing works
Optimizing Workplace Digital Mental Health Interventions: Systematic Review and Meta-Analysis
Stratton, E., Morris, R. W., Milton, A. C., Deady, M., Choi, I., & Glozier, N. (2025) · Journal of Medical Internet Research · doi:10.2196/71253 · Cited by 15 · see citing works
Sparacio, A., Ropovik, I., Jiga‐Boy, G. M., Forscher, P. S., Paris, B., & IJzerman, H. (2021) · doi:10.31234/osf.io/zpw28 · Cited by 11 · see citing works
Testing the Affective Events Theory in Hospitality Management: A Multi-Sample Approach
Silva, A. J., & Lopes, E. R. (2023) · Sustainability · doi:10.3390/su15097168 · Cited by 11 · see citing works
“Mindfulness can thus interact with affective reactions to shape attitudinal (well-being) and behavioral outcomes (performance) [3,6,7].”
BackgroundHerold, M., Simbula, S., & Gallucci, M. (2024) · Current Psychology · doi:10.1007/s12144-024-06534-z · Cited by 13 · see citing works
“…(Axelsen et al., 2022; Coelhoso et al., 2019 ; Crivelli et al., 2019 ; Hwang & Jo, 2019 ; Hwang et al., 2022; Jukic et al., 2020; Larsen et al., 2021 ; Matsumoto et al., 2021; Monfries et al., 2023; Rich et al., 2021 ; Rudics et al., 2023; Smith et al., 2020; Taylor et al., 2022; Xu et al., 2022 ).”
InfluentialThe Western Australian medical schools mindfulness project: a randomised controlled trial
Moore, S., Mavaddat, N., Auret, K. A., Hassed, C. S., Chambers, R., Sinclair, C., Wilcox, H., & Ngo, H. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06128-0 · Cited by 12 · see citing works
“In addition, further studies have confirmed that MBIs delivered via mobile applications are associated with positive effects on stress and mindfulness levels in university students [30, 50] and employees [53].”
Backgroundde Miquel, C., Haro, J. M., Feltz-Cornelis, C. M. V. D., Ortiz-Tallo, A., Chen, T., Sinokki, M., Naumanen, P., Olaya, B., & Lima, R. A. (2024) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.4173 · Cited by 8 · see citing works
Trombeta, G., Barham, E., & Bertho, M. A. C. (2024) · Trends in Psychology · doi:10.1007/s43076-024-00380-5 · Cited by 3 · see citing works
Vainre, M., Dalgleish, T., Bendriss‐Otiko, T., Butler, M., Kirkpatrick, A., Kosugiyama, N., Martinez‐Sosa, C., Mariscotti, F., Sideri, A., Soenksen, S., et al. (2022) · doi:10.31234/osf.io/2vkru · Cited by 2 · see citing works
DEVELOPMENT AND VALIDATION OF DYSFUNCTIONAL DAYDREAMING SCALE
Shafiq, S., Zafar, H., & Khalid, N. (2023) · Journal of Postgraduate Medical Institute · doi:10.54079/jpmi.37.1.3087 · Cited by 1 · see citing works
Vainre, M., Dalgleish, T., Watson, P., Haag, C., Dercon, Q., Galante, J., & Hitchcock, C. (2024) · BMJ Mental Health · doi:10.1136/bmjment-2023-300885 · Cited by 1 · see citing works
Vainre, M., Dalgleish, T., Watson, P., Haag, C., Dercon, Q., Galante, J., & Hitchcock, C. (2023) · doi:10.31234/osf.io/wamkn · Cited by 1 · see citing works
Halat, D. H., Abdel-Rahman, M. E., Al-Jayyousi, G. F., & Malki, A. M. (2024) · Figshare · doi:10.6084/m9.figshare.25918944
A meta-scientific approach to understanding stress regulation
Sparacio, A. (2023) · HAL · doi:10.70675/757862f2z87a4z4ec7zabc9z5a275e01261b
Khanal, M. K., Karimi, L., Saunders, P., Nguyen, K., Lee, K., Hallam, K. T., & de Courten, B. V. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122555
A meta-scientific approach to understanding stress regulation
Sparacio, A. (2023) · doi:10.23889/suthesis.63454
- Authors
- Rich, R. M., Ogden, J., & Morison, L.
- Affiliations
- University of Surrey (GB)
- ORCID
- Ogden, Jane
- Venue
- International Journal of Workplace Health Management
- Publisher
- Emerald
- Published
- 2021-02-22
- Volume
- 14
- Issue
- 2
- Pages
- 201-216
- ISSN
- 1753-8351 (ISSN-L)
- OpenAlex
- W3130390380
- Cited by
- 22
- References
- 48
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 9 · 2023: 7 · 2022: 1 · 2021: 3
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Workplace Health Management (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- mindfulness program, mobile health, occupational stress, university employees, work-life balance, work engagement, work-related outcomes
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