Abstract
A growing body of empirical research supports the position that mindfulness-based interventions are effective in treating psychological problems, as well as benefiting healthy individuals. The current study used a sample of undergraduate students at a public university with no prior meditation experience (n = 169). Adherence predictors, benefits, and obstacles experienced during a 10 session online mindfulness meditation (MM) intervention were examined. Level of motivation, as well as conscientiousness and trait mindfulness, predicted the level of adherence. The current study also found that adherent and non-adherent participants did not significantly differ in the number and severity of obstacles experienced. Results also show that brief online MM interventions can increase mindfulness and psychological flexibility in adherent individuals. However, these findings should be viewed in the context of high attrition rates and small effect sizes.
Similar content being viewed by others
References
Allexandre, D., Bernstein, A. M., Walker, E., Hunter, J., Roizen, M. F., & Morledge, T. J. (2016). A web-based mindfulness stress management program in a corporate call center. Journal of Occupational and Environmental Medicine, 58(3), 254–264. doi:10.1097/jom.0000000000000680.
Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: emotional regulation following a focused breathing induction. Behaviour Research & Therapy, 44(12), 1849. doi:10.1016/j.brat.2005.12.007.
Arocena, P., & Villanueva, M. (2003). Access as a motivational device: implications for human resource management. Kyklos, 56(2), 199–221.
Barkan, T., Hoerger, M., Gallegos, A. M., Turiano, N. A., Duberstein, P. R., & Moynihan, J. A. (2016). Personality predicts utilization of mindfulness-based stress reduction during and post intervention in a community sample of older adults. Journal of Alternative and Complementary Medicine, 22(5), 390–395. doi:10.1089/acm.2015.0177.
Boettcher, J., Aström, V., Påhlsson, D., Schenström, O., Andersson, G., & Carlbring, P. (2014). Internet-based mindfulness treatment for anxiety disorders: a randomized controlled trial. Behavior Therapy, 45(2), 241–253. doi:10.1016/j.beth.2013.11.003.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676–688. doi:10.1016/j.beth.2011.03.007.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
Brown, K. W., Kasser, T., Ryan, R. M., Linley, P. A., & Orzech, K. (2009). When what one has is enough: mindfulness, financial desire discrepancy, and subjective well-being. Journal of Research in Personality, 43, 727–736.
Buboltz, W. J. J. S. M., Soper, B., Woller, K., Johnson, P., & Faes, T. (2009). Sleep habits and patterns of college students: an expanded study. Journal of College Counseling, 12(2), 113–124.
Caldwell, K., Harrison, M., Adams, M., Quin, R. H., & Greeson, J. (2010). Developing mindfulness in college students through movement-based courses: effects on self-regulatory self-efficacy, mood, stress, and sleep quality. Journal of American College Health, 58(5), 433–442.
Carlbring, P., Hagglund, M., Luthstrom, A., Sahlin, M., Kadowaki, A., Vernmark, K., & Andersson, G. (2013). Internet-based behavioural activation and acceptance-based treatment for depression: a randomized controlled trial. Journal of Affective Disorders, 148, 331–337. doi:10.1016/j.jad.2012.12.020.
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33.
Cavanagh, K., Strauss, C., Cicconi, F., Griffiths, N., Wyper, A., & Jones, F. (2013). A randomised controlled trial of a brief online mindfulness-based intervention. Behavior Research & Therapy, 51(9). doi:10.1016/j.brat.2013.06.003.
Chawla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: an empirical review. Journal of Clinical Psychology, 63(9), 871–890.
Coleman, T. (2010). Motivation, physical activity and smoking cessation. Patient Education and Counseling, 79(2), 141–142. doi:10.1016/j.pec.2010.03.007.
Conn, V. (2011). The power of being present: the value of mindfulness interventions in improving health and well-being. Western Journal of Nursing Research, 33(8), 993–995. doi:10.1177/0193945911416185.
Coronado-Montoya, S., Levis, A. W., Kwakkenbos, L., Steele, R. J., Turner, E. H., & Thombs, B. D. (2016). Reporting of positive results in randomized controlled trials of mindfulness-based mental health interventions. PLOS ONE PLoS ONE, 11(4). doi:10.1371/journal.pone.0153220.
Corp, I. B. M. (2012). IBM SPSS statistics for windows, version 19.0. Armonk: IBM Corp.
Costa Jr., P. T., & McCrae, R. R. (1992). Revised NEO personality inventory and five-factor inventory professional manual. Odessa, FL: Psychological Assessment Resources.
Costa Jr., P. T., Terracciano, A., & McCrae, R. R. (2001). Gender differences in personality traits across cultures: robust and surprising findings. Journal of Personality and Social Psychology, 81(2), 322–331.
Dillon, C. (2003). Learning from mistakes in clinical practice. In Australia. Pacific Grove, CA: Brooks/Cole.
Drake, M. M., Morris, D. M., & Davis, T. J. (2017). Neuroticism's susceptibility to distress: moderated with mindfulness. Personality and Individual Differences, 106, 248–252.
Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: a meta-analysis. Mindfulness. doi:10.1007/s12671-012-0101-x.
Eisenberg, N., Duckworth, A. L., Spinrad, T. L., & Valiente, C. (2014). Conscientiousness: origins in childhood? Developmental Psychology, 50, 1331–1349. doi:10.1037/a0030977.
Farias, M., & Wikholm, C. (2016). Has the science of mindfulness lost its mind? British Journal of Psychology Bulletin, 40, 329–332. doi:10.1192/pb.bp.116.053686.
Giluk, T. A. (2009). Mindfulness, Big Five personality, and affect: a meta-analysis. Personality and Individual Differences, 47(8), 805–811.
Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., et al. (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. Journal of the American Medical Association-Internal Medicine, 174, 357–368. doi:10.1016/j.dza.2014.07.007.
Greeson, J. M., Juberg, M. K., Maytan, M., James, K., & Rogers, H. (2014). A randomized controlled trial of koru: a mindfulness program for college students and other emerging adults. Journal of American College Health : J of ACH, 62(4), 222–233. doi:10.1080/07448481.2014.887571.
Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name...: trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(1), 219–239. doi:10.1080/14639947.2011.564841.
Hanley, A. W. (2016). The mindful personality: Associations between dispositional mindfulness and the Five Factor Model of personality. Personality and Individual Differences, 91, 154–158.
Hanley, A., Warner, A., & Garland, E. L. (2015). Associations between mindfulness, psychological well-being, and subjective well-being with respect to contemplative practice. Journal of Happiness Studies: An Interdisciplinary Forum on Subjective Well-Being, 16(6), 1423–1436.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research & Therapy, 44, 1–25.
Howells, A., Ivtzan, I., & Eiroa-Orosa, F. J. (2014). Putting the ‘app’ in happiness: a randomised controlled trial of a smartphone-based mindfulness intervention to enhance wellbeing. Journal of Happiness Studies: an Interdisciplinary Forum on Subjective Well-Being, 17(1), 163–185. doi:10.1007/s10902-014-9589-1.
Johnson, S. K., Gur, R. M., David, Z., & Currier, E. (2014). One session mindfulness meditation: a randomized controlled study of effects on cognition and mood. Mindfulness, 6(1), 88–98. doi:10.1007/s12671-013-0234-6.
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.
Kemper, K. J. (2016). Brief online mindfulness training: immediate impact. Journal of Evidence-Based Complementary & Alternative Medicine. Advance online publication. doi:10.1177/2156587216639199.
Keng, S., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review., 31(10), 41–1056. doi:10.1016/j.cpr.2011.04.006.
Kong, F., Wang, X., & Zhao, J. (2014). Dispositional mindfulness and life satisfaction: the role of core self-evaluations. Personality and Individual Differences, 56, 165–169.
Krusche, A., Cyhlarova, E., & Williams, J. M. G. (2013). Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression. British Medical Journal Open, 3. doi:10.1136/bmjopen-2013-00349.
Lattimore, P., Fisher, N., & Malinowski, P. (2011). A cross-sectional investigation of trait disinhibition and its association with mindfulness and impulsivity. Appetite, 56(2), 241–248. doi:10.1016/j.appet.2010.12.007.
Lau, K., Freyer-Adam, J., Gaertner, B., Rumpf, H. J., John, U., & Hapke, U. (2010). Motivation to change risky drinking and motivation to seek help for alcohol risk drinking among general hospital in patients with problem drinking and alcohol-related diseases. General Hospital Psychiatry, 32, 1. doi:10.1016/j.genhosppsych.2009.10.002.
Lykins, E. L., & Baer, R. A. (2009). Psychological functioning in a sample of long-term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy, 23(3), 226–241.
Maples, M. F., & Han, S. (2008). Cybercounseling in the United States and South Korea: implications for counseling college students of the millennial generation and the networked generation. Journal of Counseling & Development, 86, 178–183.
Marshall, E.J., & Brockman, R. N. (2016). The relationship between psychological flexibility, selfcompassion, and emotional well-being. Journal of Cognitive Psychotherapy, 30(1), 60–72.
Morledge, T. J., Allexandre, D., Fox, E., Fu, A. Z., Higashi, M. K., Kruzikas, D. T., et al. (2013). Feasibility of an online mindfulness program for stress management—a randomized controlled trial. Annals of Behavioural Medicine, 46, 137–148. doi:10.1007/s12160-013-9490-x.
Munoz, R. F., Bunge, E. L., Chen, K., Schueller, S. M., Bravin, J. I., Shaughnessy, E. A., & Perez-Stable, E. J. (2016). Massive open online interventions: a novel model for delivering behavioral-health services worldwide. Clinical Psychological Science, 4(2), 194–205. doi:10.1177/2167702615583840.
Oman, D., Shapiro, S. L., Thorensen, C. E., Plante, T. G., & Flinders, T. (2008). Meditation lowers stress and supports forgiveness among college students: a randomized controlled trial. Journal of American College Health, 56(I), 569–578.
Purser, R. E., & Milillo, J. (2015). Mindfulness revisited: a Buddhist-based conceptualization. Journal of Management Inquiry, 24, 3–24. doi:10.1177/1056492614532315.
Quickel, E. J., Johnson, S. K., & David, Z. L. (2014). Trait mindfulness and cognitive task performance: examining the attentional construct of mindfulness. SAGE Open, 4(4). doi:10.1177/2158244014560557.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78.
Ryan, R., Lynch, M., Vansteenkiste, M., & Deci, E. (2011). Motivation and autonomy in counseling, psychotherapy, and behavior change: a look at theory and practice. The Counseling Psychologist, 39(2), 193–260.
Seaverson, E. L. D., Grossmeier, J., Miller, T. M., & Anderson, D. R. (2009). The role of incentive design, incentive value, communications strategy, and worksite culture on health risk assessment participation. American Journal of Health Promotion, 23, 343–352.
Segal, Z. V., Teasdale, J. D., Williams, J. M., & Gemar, M. C. (2002). The mindfulness-based cognitive therapy adherence scale: inter-rater reliability, adherence to protocol and treatment distinctiveness. Clinical Psychology & Psychotherapy, 9(2), 131–138.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386. doi:10.1002/jclp.20237.
Shapiro, S. L., Oman, D., Thoresen, C. E., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: effects on well-being. Journal of Clinical Psychology, 64(7), 840–862. doi:10.1002/jclp.20491.
Shigaki, C., Kruse, R., Mehr, D., Sheldon, K., Bin, G., Moore, C., & Lemaster, J. (2010). Motivation and diabetes self-management. Chronic Illness, 6(3), 202–214. doi:10.1177/1742395310375630.
Södergård, B., Halvarsson, M., Lindbäck, S., Sönnerborg, A., Tully, M. P., & Lindblad, A. K. (2006). Differences in adherence and motivation to HIV therapy. Pharmacy World and Science: a Journal Dedicated to Rational Drug Use, 28(4), 248–256. doi:10.1007/s11096-006-9036-4.
Van den Hurk, P. A. M., Wingens, T., Giommi, F., Barendregt, H. P., Speckens, A. E. M., & Van Schie, H. T. (2011). On the relationship between the practice of mindfulness meditation and personality—an exploratory analysis of the mediating role of mindfulness skills. Mindfulness, 2, 194–200.
van Hooff, M. L., & Baas, M. (2013). Recovering by means of meditation: the role of recovery experiences and intrinsic motivation. Applied Psychology, 62, 185–210.
Warnecke, E., Quinn, S., Ogden, K., Towle, N., & Nelson, M. R. (2011). A randomized controlled trial of the effects of mindfulness practice on medical student stress levels. Medical Education, 45, 381–388.
Author information
Authors and Affiliations
Contributions
LF: designed and executed the study, analyzed the data, and wrote the paper. DG: collaborated with the design, assisted in data analysis, and collaborated in the writing and editing of the final manuscript. SKJ: designed the study, and collaborated in the writing and editing of the final manuscript.
Corresponding author
Ethics declarations
Conflict of Interest
Leila Forbes declares that she has no conflict of interest. Dr. Daniel Gutierrez declares that he has no conflict of interest. Dr. Susan Johnson declares that she has no conflict of interest.
Human and Animal Rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Funding
This study was not grant funded.
Rights and permissions
About this article
Cite this article
Forbes, L., Gutierrez, D. & Johnson, S.K. Investigating Adherence to an Online Introductory Mindfulness Program. Mindfulness 9, 271–282 (2018). https://doi.org/10.1007/s12671-017-0772-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12671-017-0772-4