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Mindfulness Influences on Self-Regulation: Mental and Physical Health Implications

正念对自我调节的影响：心理和身体健康的影响

基本信息

批准号：
9335263
负责人：
Willoughby Britton
金额：
$ 76.77万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-15 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9335263
关键词：
Address Adherence Adult Affect Alcohol consumption Attention Basic Science Behavior Behavior Therapy Behavioral Assay Behavioral Model Biological Assay Characteristics Chronic Clinical Clinical Psychology Clinical Research Clinical Services Cognitive Cognitive Science Cohort Studies Collection Consensus Custom Data Data Set Diet Discipline Drug Prescriptions Eating Elements Emotional Evaluation Goals Grant Health Health behavior Health behavior change Health behavior outcomes Hypertension Informal Social Control Intervention Intervention Trial Knowledge Laboratories Literature Measures Medial Medical Medicine Mental Health Meta-Analysis Methods Modeling Modification Neurosciences Outcome Performance Phase Population Preventive Intervention Primary Health Care Provider Publications Publishing Qualitative Methods Regimen Research Research Personnel Resources Risk Behaviors Sampling Science Scientist Services Smoking Testing Time Training Translating United States United States National Institutes of Health Universities Variant addiction age group base behavior change behavior influence behavioral economics clinically significant design effective therapy emotion regulation improved medication compliance member mindfulness mindfulness intervention physical conditioning physical inactivity population health primary care setting psychologic public health relevance service intervention skills therapy development tool working group

项目摘要

DESCRIPTION (provided by applicant): The overarching goal of this grant is to use stages 0 and 1 of the NIH stage model to determine the extent to which various measures of self-regulation are assessing distinct or overlapping mechanisms involved in behavior change, and whether the measures perform similarly across populations, contexts, laboratories and age groups. The products of this project will be a systematic collection of validated and documented assays of specific self-regulation targets, and Mindfulness-Based Intervention (MBI) characteristics that engage those targets. These assays and tools will be shared with the field for incorporation in clinical studies and MBI development. Specifically, an interdisciplinary team of 12 basic science and clinical mindfulness researchers from 4 universities (Harvard, Brown, UMass, Georgetown) will (1) create a set of working groups that represent 3 domains of self-regulation (attention, emotion regulation, self-related processing), and (2) employ 4 sets of concurrent studies in order to complete the following aims: Aim 1: Identify putative self-regulation intervention targets by performing a comprehensive compilation and systematic evaluation of SR target performance in the existing (published) literature (Aim 1a) and from datasets belonging to MRC members or their networks (Aim 1b) using MacLeod and Clarke 2015's method of qualitative meta-analysis. Aim 2: Identify the conditions that affect (promote or inhibit) self-regulation target engagement, by comparing target performance across variations in assays, samples/conditions, and interventions (i.e. inter- assay validity and inter-laboratory reliability) (Aim 2a) and leveraging 4 sets of existing or ongoing trials that offer variations of targets, samples, health behaviors, and interventions to assess which conditions maximally engage self-regulation targets (Aim 2b) with resulting impacts on health behaviors and medical regimen adherence. Aim 3: Pilot-test the most promising self-regulation targets and intervention modifications gained from the first 2 phases by inserting them into two ongoing MBI trials for managing chronic medical conditions with 2 different treatment variations in 2 different settings. The Mindfulness-Based Hypertension Therapy (MBHT) study will assess self-regulation target engagement in a controlled research setting while the MINDFUL-Primary Care (PC) study will assess the same targets in a primary care setting with clinical service providers. Aim 4: Test the relationship between target engagement and medical regimen adherence and health behaviors in larger continuations of the MBHT and Mindful-PC studies. Aim 5: Bridge the science-to-service gap by disseminating the knowledge gained about high- (and low-) performing targets through collaborative publications, and by providing training to MBI service providers.