Moving 2 Mindful (M2M) study protocol: testing a mindfulness group plus ecological momentary intervention to decrease stress and anxiety in adolescents from high-conflict homes with a mixed-method longitudinal design.
Moving 2 Mindful (M2M) study protocol: testing a mindfulness group plus ecological momentary intervention to decrease stress and anxiety in adolescents from high-conflict homes with a mixed-method longitudinal design.
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Moving 2 Mindful (M2M) 研究方案：采用混合方法纵向设计，测试正念小组加上生态瞬时干预，以减少来自高冲突家庭的青少年的压力和焦虑。
DOI：
10.1136/bmjopen-2019-030948
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发表时间：
2019
期刊：
影响因子：
2.9
通讯作者：
Smyth,JoshuaM
中科院分区：
文献类型：
--
作者：
Lucas-Thompson,Rachel;Seiter,Natasha;Broderick,PatriciaC;Coatsworth,JamesDouglas;Henry,KimberlyL;McKernan,CharlotteJ;Smyth,JoshuaM
父母之间的冲突使青少年面临压力和焦虑问题的风险；现有的预防/干预战略侧重于减少父母之间的冲突。以正念为基础的项目对这一人群来说可能是一种很有希望的治疗策略，但研究尚未测试它们在这种高冲突环境中是否有效。此外，有证据表明，对传统治疗方法的延伸，例如在日常生活中提供适合需要时刻的成分，可以提高治疗效果，特别是与面对面治疗相结合时，特别是对青少年。然而，目前还没有这种正念干预的延伸。该研究旨在(1)开发一种生态瞬时干预（EMI）补充学习呼吸（L2B），这是一种针对青少年的循证正念干预；(2)完善EMI方案，确定最佳交付计划；(3)检查L2B Plus （L2B加上已开发的补充）的可行性和可接受性；(4)检查L2B Plus减轻来自高冲突家庭的青少年的压力和焦虑的潜力。方法和分析moving 2 Mindfulstudy提出了一种混合方法来开发和完善L2B的多方法自适应补充。将在38个家庭样本中测试可行性、可接受性和潜在有效性，这些家庭将被随机分配接受L2B Plus或积极的健康和健康控制条件，并随访至干预后3个月。一系列社会心理和生理因素将在多个时间点进行评估。本研究已在clinicaltrials.gov注册（ID NCT03869749；预结果）。科罗拉多州立大学的机构审查委员会已经批准了这项研究。研究结果将在科学杂志和会议上传播，无论它们是肯定的、否定的还是不确定的。
IntroductionInterparental conflict exposure places adolescents at risk for problems with stress and anxiety; existing prevention/intervention strategies focus on reducing interparental conflict. Mindfulness-based programmes may be a promising treatment strategy for this population, but studies have not yet tested whether they are effective in this high-conflict context. In addition, evidence suggests that extensions to traditional treatments, such as delivering components in daily life that are tailored to moments of need, can increase treatment efficacy, particularly when combined with in-person treatments and particularly for adolescents. However, there are no such extensions to mindfulness interventions available. TheMoving 2 Mindfulstudy aims to (1) develop an ecological momentary intervention (EMI) supplement to Learning to BREATHE (L2B), an evidence-based mindfulness intervention for adolescents; (2) refine the EMI programme and determine the best delivery plan; (3) examine the feasibility and acceptability of L2B Plus (L2B plus the developed supplement) and (4) examine the potential for L2B Plus to reduce stress and anxiety for adolescents from high-conflict homes.Methods and analysisTheMoving 2 Mindfulstudy proposes a mixed-methods approach to developing and refining a multimethod adaptive supplement to L2B. Feasibility, acceptability and potential effectiveness will be tested in a sample of 38 families, who will be randomly assigned to receive L2B Plus or an active health and wellness control condition and followed until 3 months postintervention. A range of psychosocial and physiological factors will be assessed at multiple time points. This study is registered with clinicaltrials.gov (ID NCT03869749; pre-results).Ethics and disseminationThe Institutional Review Board at Colorado State University has approved this study. Findings will be disseminated in scientific journals and conferences, whether they are positive, negative or inconclusive.