Integrating mindfulness training in school health education to promote healthy behaviors in adolescents: Feasibility and preliminary effects on exercise and dietary habits.
Integrating mindfulness training in school health education to promote healthy behaviors in adolescents: Feasibility and preliminary effects on exercise and dietary habits.
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DOI：
10.1016/j.pmedr.2018.01.009
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发表时间：
2018-03-01
影响因子：
2.8
通讯作者：
Pbert, Lori
中科院分区：
文献类型：
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作者：
Salmoirago-Blotcher, Elena;Druker, Susan;Pbert, Lori
正念训练（MT）是否能改善健康行为尚不清楚。本研究旨在探讨将运动疗法融入学校健康教育的可行性和可接受性（主要结果），并探讨其对健康行为的可能影响（探索性结果）。马萨诸塞州的两所高中（2014-2015年）被随机分配到健康教育加MT（HE-MT）（每周一次，持续8周）或健康教育加注意力控制（HE-AC）。在基线、治疗结束（EOT）和6个月后评估饮食习惯（24小时饮食回忆）和中度至剧烈体力活动（MVPA/7天回忆）。分位数回归和线性混合模型，分别估计MVPA和饮食结果调整混杂因素的影响。我们招募了53名9年级学生（30名HEM，23名HEAC;平均年龄14.5岁，60%白色，59%女性）。保留率为100%（EOT）和96%（6个月）;出勤率为96%（两种情况），满意度评级为中高。在基线时MVPA较高的学生中，EOT（中位差异= 81分钟/周，p = 0.005）和6个月（p = 0.004）时HE-MT组的MVPA高于HE-AC组。在男性中，EOT（p = 0.056）和6个月（p = 0.04）时HE-MT组的中位MVPA高于HEAC组（中位差异= 99分钟/周）。在饮食习惯方面没有发现差异。总之，将学校为基础的MT纳入健康教育是可行的和可接受的，并对男性和更活跃的青少年的MVPA有很好的效果。这些研究结果表明，MT可以改善青少年的健康行为，值得在更大，更严格的研究中重现。
Whether mindfulness training (MT) could improve healthy behaviors is unknown. This study sought to determine feasibility and acceptability of integrating MT into school-based health education (primary outcomes) and to explore its possible effects on healthy behaviors (exploratory outcomes). Two high schools in Massachusetts (2014-2015) were randomized to health education plus MT (HE-MT) (one session/week for 8 weeks) or to health education plus attention control (HE-AC). Dietary habits (24-h dietary recalls) and moderate-to-vigorous physical activity (MVPA/7-day recalls) were assessed at baseline, end of treatment (EOT), and 6 months thereafter. Quantile regression and linear mixed models were used, respectively, to estimate effects on MVPA and dietary outcomes adjusting for confounders. We recruited 53 9th graders (30 HEM, 23 HEAC; average age 14.5, 60% white, 59% female). Retention was 100% (EOT) and 96% (6 months); attendance was 96% (both conditions), with moderate-to-high satisfaction ratings. Among students with higher MVPA at baseline, MVPA was higher in HE-MT vs. HE-AC at both EOT (median difference = 81 min/week, p = 0.005) and at 6 months (p = 0.004). Among males, median MVPA was higher (median difference = 99 min/week) in HE-MT vs. HEAC at both EOT (p = 0.056) and at 6 months (p = 0.04). No differences were noted in dietary habits. In sum, integrating school-based MT into health education was feasible and acceptable and had promising effects on MVPA among male and more active adolescents. These findings suggest that MT may improve healthy behaviors in adolescents and deserve to be reproduced in larger, rigorous studies.