Abstract
Objectives
While many mindfulness-based interventions (MBIs) are delivered in an 8-week program, little has been reported regarding the developmental trajectory of acquiring mindfulness proficiency. With the widespread adoption of mindfulness-based practices in both popular and therapeutic settings, greater knowledge regarding the trajectory of learning mindfulness is essential. The present study sought to investigate the developmental trajectory of mindfulness acquisition across an 8-week MBI through examination of home training diary reports.
Methods
Daily home practice diaries of 20 healthy MBI-naïve older adults randomly assigned to an 8-week mindfulness intervention as part of a larger RCT assessing the effects of mindfulness on cognition were analysed using qualitative content/thematic techniques. Rather than adopting an a priori coding scheme, an iterative process of coding was used to develop emergent themes from the data along with a standardized codebook manual. The frequency of codes was analysed by week of the intervention in order to permit an investigation of the temporal development of each theme.
Results
Diary entries were exhaustively incorporated into four main themes: Difficulties with practice, Understanding the practice, Developing proficiency, and Benefits of mindfulness. Temporal analysis revealed that only after 4 weeks did the frequency of Developing proficiency outweigh Difficulties with practice. Participants continued to develop their mindfulness skills throughout, while Benefits of mindfulness appeared toward the conclusion of the program.
Conclusions
Diary data suggest that sufficient proficiency to overcome difficulties associated with mindfulness practice is achieved only after 4 weeks of daily training, and that participants continue to develop their understanding of the practice throughout an 8-week MBI.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
Alaszewski, A. (2006). Using diaries for social research. Sage.
Birtwell, K., Williams, K., van Marwijk, H., Armitage, C. J., & Sheffield, D. (2019). An exploration of formal and informal mindfulness practice and associations with wellbeing. Mindfulness, 10(1), 89–99. https://doi.org/10.1007/s12671-018-0951-y.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077.
Bodhi, B. (2000). The connected discourses of the Buddha: a translation of the Samyutta Nikaya. Wisdom.
Charmaz, K. (2003). Grounded theory: Objectivist and constructivist methods. In N. K. Denzin & Y. S. Lincoln (Eds.), Strategies for qualitative inquiry. SAGE.
Chiesa, A. (2012). The difficulty of defining mindfulness: current thought and critical issues. Mindfulness, 4(3), 255–268. https://doi.org/10.1007/s12671-012-0123-4.
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, 11(4), 1–18. https://doi.org/10.1371/journal.pone.0153220.
Darby, M., & Beavan, V. (2017). Grist to the mill: a qualitative investigation of mindfulness-integrated cognitive behaviour therapy for experienced health professionals. Australian Psychologist, 52(6), 491–502. https://doi.org/10.1111/ap.12215.
Davidson, R. J., & Kaszniak, A. W. (2015). Conceptual and methodological issues in research on mindfulness and meditation. American Psychologist, 70(7), 581–592. https://doi.org/10.1037/a0039512.
Dharmachakra. (2007). Middle beyond extremes: Maitreya's Madhyantavibhaga with commentaries by Khenpo Shenga and Ju Mipham. Ithaca Snow Lion.
Ekici, Ç., Garip, G., & Van Gordon, W. (2018). The lived experiences of experienced Vipassana Mahasi meditators: an interpretative phenomenological analysis. Mindfulness, 11, 140–152. https://doi.org/10.1007/s12671-018-1063-4.
Frank, P., Stanszus, L., Fischer, D., Kehnel, K., & Grossman, P. (2019). Cross-fertilizing qualitative perspectives on effects of a mindfulness-based intervention: an empirical comparison of four methodical approaches. Mindfulness, 10(11), 2452–2467. https://doi.org/10.1007/s12671-019-01227-2.
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.
Goldberg, S. B., Wielgosz, J., Dahl, C. J., Schuyler, B. S., MacCoon, D. S., Rosenkranz, M. A., Lutz, A., Sebranek, C. A., & Davidson, R. J. (2016). Does the Five Facet Mindfulness Questionnaire measure what we think it does? Construct validity evidence from an active controlled randomized clinical trial. Psychological Assessment, 28(8), 1009–1014. https://doi.org/10.1037/pas0000233.
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60. https://doi.org/10.1016/j.cpr.2017.10.011.
Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034–1040. https://doi.org/10.1037/a0022713.
Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. https://doi.org/10.1177/1745691611419671.
Howard, G. S., Dailey, P. R., & Gulanick, N. A. (1979). The feasibility of informed pretests in attenuating response-shift bias. Applied Psychological Measurement, 3(4), 481–494. https://doi.org/10.1177/014662167900300406.
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687.
Hyers, L. L. (2018). Diary methods. New York Oxford University Press.
Isbel, B., & Summers, M. J. (2017). Distinguishing the cognitive processes of mindfulness: Developing a standardised mindfulness technique for use in longitudinal randomised control trials. Consciousness and Cognition, 52(Supplement C), 75–92. https://doi.org/10.1016/j.concog.2017.04.019.
Isbel, B., Lagopoulos, J., Hermens, D. F., & Summers, M. J. (2019a). Mental training affects electrophysiological markers of attention resource allocation in healthy older adults. Neuroscience Letters, 698, 186–191. https://doi.org/10.1016/j.neulet.2019.01.029.
Isbel, B., Lagopoulos, J., Hermens, D. F., & Summers, M. J. (2019b). Mindfulness induces changes in anterior alpha asymmetry in healthy older adults. Mindfulness, 10, 1–14. https://doi.org/10.1007/s12671-019-01106-w.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your mind to face stress, pain and illness. Delta.
Kerr, C. E., Josyula, K., & Littenberg, R. (2011). Developing an observing attitude: an analysis of meditation diaries in an MBSR clinical trial. Clinical Psychology & Psychotherapy, 18(1), 80–93. https://doi.org/10.1002/cpp.700.
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal of Psychosomatic Research, 78(6), 519–528. https://doi.org/10.1016/j.jpsychores.2015.03.009.
Kropp, A., & Sedlmeier, P. (2019). What makes mindfulness-based interventions effective? An examination of common components. Mindfulness, 10, 2060–2072. https://doi.org/10.1007/s12671-019-01167-x.
Levinson, D. B., Stoll, E. L., Kindy, S. D., Merry, H. L., & Davidson, R. J. (2014). A mind you can count on: validating breath counting as a behavioral measure of mindfulness. Frontiers in Psychology, 5, 1–10. https://doi.org/10.3389/fpsyg.2014.01202.
Lindahl, J. R., Fisher, N. E., Cooper, D. J., Rosen, R. K., & Britton, W. B. (2017). The varieties of contemplative experience: a mixed-methods study of meditation-related challenges in Western Buddhists. PLoS One, 12(5), 1–38. https://doi.org/10.1371/journal.pone.0176239.
Lomas, T., Cartwright, T., Edginton, T., & Ridge, D. (2015). A qualitative analysis of experiential challenges associated with meditation practice. Mindfulness, 6(4), 848–860. https://doi.org/10.1007/s12671-014-0329-8.
Lutz, A., Jha, A. P., Dunne, J. D., & Saron, C. D. (2015). Investigating the phenomenological matrix of mindfulness-related practices from a neurocognitive perspective. American Psychologist, 70(7), 632–658. https://doi.org/10.1037/a0039585.
MacQueen, K. M., McLellan-Lemal, E., Bartholow, K., & Milstein, B. (2008). Team-based codebook development: Structure, process, and agreement. In G. Guest, & K. M. MacQueen (Eds.), Handbook for team-based qualitative research. Plymouth AltaMira Press.
Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., Bowden, M., & Wallond, J. (2012). Transforming the perceptual situation: a meta-ethnography of qualitative work reporting patients’ experiences of mindfulness-based approaches. Mindfulness, 3(1), 60–75. https://doi.org/10.1007/s12671-011-0081-2.
Malpass, A., Kessler, D., Sharp, D., & Shaw, A. (2015). MBCT for patients with respiratory conditions who experience anxiety and depression: a qualitative study. Mindfulness, 6(5), 1181–1191. https://doi.org/10.1007/s12671-014-0370-7.
Mayring, P. (2007). Mixed methodology in psychological research. Boston: Sense Publishers.
Milligan, C., Bingley, A., & Gatrell, A. (2005). Digging deep: using diary techniques to explore the place of health and well-being amongst older people. Social Science & Medicine, 61(9), 1882–1892. https://doi.org/10.1016/j.socscimed.2005.04.002.
Morgan, P., Simpson, J., & Smith, A. (2015). Health care workers’ experiences of mindfulness training: a qualitative review. Mindfulness, 6(4), 744–758. https://doi.org/10.1007/s12671-014-0313-3.
Pandita, U. (1995). In this very life: Liberation teachings of the Buddha. Somerville Wisdom.
Quaglia, J. T., Braun, S. E., Freeman, S. P., McDaniel, M. A., & Brown, K. W. (2016). Meta-analytic evidence for effects of mindfulness training on dimensions of self-reported dispositional mindfulness. Psychological Assessment, 28(7), 803–8181-16. https://doi.org/10.1037/pas0000268.
Russ, S. L., Maruyama, G., Sease, T. B., & Jellema, S. (2017). Do early experiences matter? Development of an Early Meditation Hindrances Scale linked to novice meditators’ intention to persist. Psychology of Consciousness: Theory, Research and Practice, 4(3), 274–287. https://doi.org/10.1037/cns0000129.
Saldaña, J. (2013). The coding manual for qualitative researchers. Thousand Oaks Sage.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York Guilford Press.
Solhaug, I., Eriksen, T. E., de Vibe, M., Haavind, H., Friborg, O., Sørlie, T., & Rosenvinge, J. H. (2016). Medical and psychology student’s experiences in learning mindfulness: benefits, paradoxes, and pitfalls. Mindfulness, 7(4), 838–850. https://doi.org/10.1007/s12671-016-0521-0.
Tsongkhapa. (2002). The great treatise on the stages of the path to enlightenment (Vol. 3). Ithaca Snow Lion.
Van Dam, N. T., van Vugt, M. K., Vago, D. R., Schmalzl, L., Saron, C. D., Olendzki, A., Meissner, T., Lazar, S. W., Kerr, C. E., Gorchov, J., Fox, K. C. R., Field, B. A., Britton, W. B., Brefczynski-Lewis, J. A., & Meyer, D. E. (2017). Mind the hype: a critical evaluation and prescriptive agenda for research on mindfulness and meditation. Perspectives on Psychological Science, 13(1), 1–26. https://doi.org/10.1177/1745691617709589.
Verbrugge, L. M. (1980). Health diaries. Medical Care, 18(1), 73–95.
Wielgosz, J., Goldberg, S. B., Kral, T. R. A., Dunne, J. D., & Davidson, R. J. (2019). Mindfulness meditation and psychopathology. Annual Review of Clinical Psychology, 15(1), 1–32. https://doi.org/10.1146/annurev-clinpsy-021815-093423.
Funding
BI conducted this work with the support of the Judy Henzell Memorial Scholarship. MS reports personal fees from Eli Lily (Australia) Pty Ltd. and grants from Novotech Pty Ltd., outside the submitted work.
Author information
Authors and Affiliations
Contributions
BI conducted the study, delivered the intervention, and collaborated in the preparation of the manuscript. TS transcribed the participant diaries, coded the data, developed the codebook manual, and performed the data analysis. MS collaborated in the design, writing, and editing of the final manuscript.
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflicts of interest.
Ethics Statement
All procedures were performed in accordance with the ethical standards of the University of the Sunshine Coast Human Research Ethics Committee (approval: HREC A-15-748), the Australian National Statement on Ethical Conduct in Human Research, and the Code of Ethics of the World Medical Association (Declaration of Helsinki).
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Isbel, B., Sysak, T. & Summers, M.J. A Qualitative Examination of the Developmental Trajectory of Learning Mindfulness Across an 8-Week Program. Mindfulness 11, 2741–2754 (2020). https://doi.org/10.1007/s12671-020-01484-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12671-020-01484-6