The Role of Engagement in the Efficacy of Mindfulness Training for Adolescents

项目概要/摘要 在青春期经历心理健康问题与症状恶化有关， 这些疾病可能在以后的生活中复发，以及身体健康状况较差，患可预防慢性病的风险增加。 基于正念的干预（MBI）已被证明可以支持可以保护的关键技能和能力。 对抗心理健康挑战，包括情绪调节（ER）和正念。然而，MBI对健康的影响 青少年的健康和幸福结果通常很小，并且在各项研究中不一致。理论和 经验证据表明，参与，一个多层面的结构，指的是生产力的程度， 参与某项活动，可能是MBI对目标干预影响的关键变化过程 过程（即，（一）以和为贵。这项拟议中的研究将是第一个严格测试参与度的研究， 青少年MBI的发病机制具体目标是：（1）检验纵向和时序变化 参与和目标过程（ER和正念）的关联;（2）利用嵌入式， 序贯混合方法设计，以确定促进和阻碍青少年参与MBI的因素。 这些目标将在参与MBI单组试验的N=75名社区青少年中进行测试， 健康和压力生理学。目前的建议是一个新的扩展母研究，包括 纵向结构方程模型和混合方法进行机械检查 青少年参与MBI。该提案旨在推进候选人的长期职业目标， 领先的研究，加深了我们对MBI机制的理解，并加强了其科学性。 实施，最终通过支持社区有效实施和评估MBI， 自己培训目标是：a）培养分析重复测量的技能， 参与作为MBI的机制，B）获得定性和定量数据整合方面的培训， 更深入地了解MBI参与，以及c）发展设计，实施和维持方面的专业知识 以社区为基础的正念和青少年健康研究。通过这项工作产生的结果将 为青少年MBI疗效的参与作用提供了初步见解，这是朝着 确定务实的方向，以优化MBI预防青少年心理健康的挑战。的 培训和发展活动将使候选人能够作为一名独立的科学家开始她的职业生涯， 能够有效地与社区合作，开展MBI研究，以预防青少年 健康挑战和促进全面健康。

Project Summary/Abstract Experiencing mental health problems during adolescence is associated with symptom worsening and recurrence later in life, as well as poorer physical health and increased risk for preventable chronic diseases. Mindfulness-based intervention (MBI) has been shown to support key skills and capacities that may protect against mental health challenges, including emotion regulation (ER) and mindfulness. Yet, MBI effects on health and wellbeing outcomes in adolescents are generally small and inconsistent across studies. Theory and empirical evidence suggest that engagement, a multidimensional construct referring to the degree of productive involvement with an activity, may be a key change process underlying the effect of MBI on target intervention processes (i.e., ER and mindfulness). The proposed study will be the first to rigorously test engagement as a mechanism of MBI in adolescents. The specific aims are to (1) Test longitudinal and time-ordered change associations for engagement and target processes (ER and mindfulness) and (2) Utilize an embedded, sequential mixed-methods design to identify factors that facilitate and impede adolescent engagement in MBI. These aims will be tested in N=75 community adolescents participating in a single-arm trial of MBI on mental health and stress physiology. The current proposal is a novel extension of the parent study that incorporates longitudinal structural equation modeling and mixed methods to conduct a mechanistic examination of adolescent engagement in MBI. The proposal is designed to advance the candidate’s long-term career goal of leading research that deepens our understanding of the mechanisms of MBI and strengthens the science of its implementation, ultimately through supporting communities in effectively implementing and evaluating MBI for themselves. The training objectives are to: a) Develop the skills to analyze repeated measures to rigorously test engagement as a mechanism of MBI, b) Gain training in the integration of qualitative and quantitative data to more deeply understand MBI engagement, and c) Develop expertise in designing, implementing, and sustaining community-based research on mindfulness and adolescent health. The findings generated through this work will provide preliminary insights into the role of engagement in MBI efficacy for adolescents, an important step toward identifying pragmatic directions to optimize MBI for the prevention of adolescent mental health challenges. The training and development activities will enable the candidate to launch her career as an independent scientist, capable of effectively collaborating with communities to conduct research on MBI for the prevention of adolescent health challenges and the promotion of holistic wellness.