Online mindfulness training for older adults during the COVID-19 pandemic: a randomized controlled trial using a multi-method assessment approach

References

• Applegate, W. B., & Ouslander, J. G. (2020). COVID-19 presents high risk to older persons. Journal of the American Geriatrics Society, 68(4), 681–681. https://doi.org/10.1111/jgs.16426
   PubMed Web of Science ®Google Scholar
• Armijo-Olivo, S., Warren, S., & Magee, D. (2009). Intention to treat analysis, compliance, drop-outs and how to deal with missing data in clinical research: A review. Physical Therapy Reviews, 14(1), 36–49. https://doi.org/10.1179/174328809X405928
   Google Scholar
• Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504
   PubMed Web of Science ®Google Scholar
• Bates, D., Mächler, M., Bolker, B., & Walker, S. (2015). Fitting linear mixed-effects models using lme4. Journal of Statistical Software, 67(1), 1–48.:https://doi.org/10.18637/jss.v067.i01
   Web of Science ®Google Scholar
• Berg-Weger, M., & Morley, J. E. (2020). Editorial: Loneliness and social isolation in older adults during the COVID-19 pandemic: Implications for gerontological social work. The Journal of Nutrition, Health & Aging, 24(5), 456–458. https://doi.org/10.1007/s12603-020-1366-8
   PubMed Web of Science ®Google Scholar
• Bossi, F., Zaninotto, F., D’Arcangelo, S., Lattanzi, N., Malizia, A. P., & Ricciardi, E. (2022). Mindfulness-based online intervention increases well-being and decreases stress after Covid-19 lockdown. Scientific Reports, 12(1), 6483. https://doi.org/10.1038/s41598-022-10361-2
   PubMed Web of Science ®Google Scholar
• Brady, B., Kneebone, I. I., & Bailey, P. E. (2019). Validation of the five facet mindfulness questionnaire among community-dwelling older adults. Mindfulness, 10(3), 529–536. https://doi.org/10.1007/s12671-018-0994-0
   Web of Science ®Google Scholar
• Butler, J., & Kern, M. L. (2016). The PERMA-Profiler: A brief multidimensional measure of flourishing. International Journal of Wellbeing, 6(3), 1–48. https://doi.org/10.5502/ijw.v6i3.526
   Google Scholar
• Cacioppo, S., Grippo, A. J., London, S., Goossens, L., & Cacioppo, J. T. (2015). Loneliness: Clinical import and interventions. Perspectives on Psychological Science : A Journal of the Association for Psychological Science, 10(2), 238–249. https://doi.org/10.1177/1745691615570616
   PubMedGoogle Scholar
• Carlson, L. E. (2018). Uptake of mindfulness-based interventions: A phenomenon of wealthy white western women? Clinical Psychology: Science and Practice, 25(3), e12258. https://doi.org/10.1111/cpsp.12258
   Web of Science ®Google Scholar
• Chan, J. S. Y., Deng, K., Wu, J., & Yan, J. H. (2019). Effects of meditation and mind-body exercises on older adults’ cognitive performance: A meta-analysis. The Gerontologist, 59(6), e782–e790. https://doi.org/10.1093/geront/gnz022
   PubMed Web of Science ®Google Scholar
• Chetelat, G., Lutz, A., Arenaza-Urquijo, E., Collette, F., Klimecki, O., & Marchant, N. (2018). Why could meditation practice help promote mental health and well-being in aging? Alzheimers Res Ther, 10(1), 57. https://doi.org/10.1186/s13195-018-0388-5
   PubMedGoogle Scholar
• Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://www.ncbi.nlm.nih.gov/pubmed/6668417 https://doi.org/10.2307/2136404
   PubMed Web of Science ®Google Scholar
• Cornwell, E. Y., & Waite, L. J. (2009). Measuring social isolation among older adults using multiple indicators from the NSHAP study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 64 Suppl 1(Suppl 1), i38–i46. https://doi.org/10.1093/geronb/gbp037
   PubMedGoogle Scholar
• Creswell, J. D., Irwin, M. R., Burklund, L. J., Lieberman, M. D., Arevalo, J. M., Ma, J., Breen, E. C., & Cole, S. W. (2012). Mindfulness-Based Stress Reduction training reduces loneliness and pro-inflammatory gene expression in older adults: A small randomized controlled trial. Brain, Behavior, and Immunity, 26(7), 1095–1101. https://doi.org/10.1016/j.bbi.2012.07.006
   PubMed Web of Science ®Google Scholar
• de Frias, C. M., & Whyne, E. (2015). Stress on health-related quality of life in older adults: The protective nature of mindfulness. Aging & Mental Health, 19(3), 201–206. https://doi.org/10.1080/13607863.2014.924090
   PubMed Web of Science ®Google Scholar
• Deguma, M. C., Lumayag, C. G., Villaganas, M. A. C., Delos Reyes, N. R. T., & Deguma, J. J. (2022). From anxious loneliness to meditation: A mental health self-care strategy to cope with the COVID-19 pandemic. Journal of Public Health (Oxford, England), 44(3), e402–e403. https://doi.org/10.1093/pubmed/fdab257
   PubMed Web of Science ®Google Scholar
• Dejonckheere, E., Houben, M., Schat, E., Ceulemans, E., & Kuppens, P. (2021). The short-term psychological impact of the COVID-19 pandemic in psychiatric patients: Evidence for differential emotion and symptom trajectories in Belgium. Psychologica Belgica, 61(1), 163–172. https://doi.org/10.5334/pb.1028
   PubMed Web of Science ®Google Scholar
• Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 225–232. https://doi.org/10.1016/j.jbtep.2010.12.003
   PubMed Web of Science ®Google Scholar
• Enkema, M. C., McClain, L., Bird, E. R., Halvorson, M. A., & Larimer, M. E. (2020). Associations between mindfulness and mental health outcomes: A systematic review of ecological momentary assessment research. Mindfulness, 11(11), 2455–2469. https://doi.org/10.1007/s12671-020-01442-2
   PubMed Web of Science ®Google Scholar
• Fiocco, A. J., Mallya, S., Farzaneh, M., & Koszycki, D. (2019). Exploring the benefits of mindfulness training in healthy community-dwelling older adults: A Randomized controlled study using a mixed methods approach. Mindfulness, 10(4), 737–748. https://doi.org/10.1007/s12671-018-1041-x
   Web of Science ®Google Scholar
• Fountain-Zaragoza, S., & Prakash, R. S. (2017). Mindfulness training for healthy aging: Impact on attention, well-being, and inflammation. Frontiers in Aging Neuroscience, 9, 11. https://doi.org/10.3389/fnagi.2017.00011
   PubMed Web of Science ®Google Scholar
• Franco, C., Amutio, A., Mañas, I., Gázquez, J. J., & Pérez-Fuentes, M. C. (2017). Reducing anxiety, geriatric depression and worry in a sample of older adults through a mindfulness training program. Terapia psicológica, 35(1), 71–79. https://doi.org/10.4067/S0718-48082017000100007
   Web of Science ®Google Scholar
• Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. (2007). Initial psychometric properties of the experiences questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–246. https://doi.org/10.1016/j.beth.2006.08.003
   PubMed Web of Science ®Google Scholar
• Galante, J., Friedrich, C., Dawson, A. F., Modrego-Alarcon, M., Gebbing, P., Delgado-Suarez, I., Gupta, R., Dean, L., Dalgleish, T., White, I. R., & Jones, P. B. (2021). Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials. PLoS Medicine, 18(1), e1003481. https://doi.org/10.1371/journal.pmed.1003481
   PubMed Web of Science ®Google Scholar
• Goldberg, S., Riordan, K. M., Sun, S., & Davidson, R. J. (2022). The empirical status of mindfulness-based interventions: A systematic review of 44 meta-analyses of randomized controlled trials. Perspectives on Psychological Science, 17(1), 108–130. https://doi.org/10.1177/1745691620968771
   Web of Science ®Google Scholar
• Hudson, J., Ungar, R., Albright, L., Tkatch, R., Schaeffer, J., & Wicker, E. R. (2020). Older adult caregivers’ experiences in an online, interactive mindfulness intervention. Journal of Evidence-Based Integrative Medicine, 25, 2515690X20960659. https://doi.org/10.1177/2515690X20960659
   PubMed Web of Science ®Google Scholar
• Hughes, M. E., Waite, L. J., Hawkley, L. C., & Cacioppo, J. T. (2004). A short scale for measuring loneliness in large surveys: Results from two population-based studies. Research on Aging, 26(6), 655–672. https://doi.org/10.1177/0164027504268574
   PubMed Web of Science ®Google Scholar
• Humboldt, S. V., Monteiro, A., & Leal, I. (2017). Validation of the PANAS: A measure of positive and negative affect for use with cross-national older adults. Review of European Studies, 9(2), 10. https://doi.org/10.5539/res.v9n2p10
   Google Scholar
• Jansen, P., Dahmen-Zimmer, K., Kudielka, B. M., & Schulz, A. (2017). Effects of karate training versus mindfulness training on emotional well-being and cognitive performance in later life. Research on Aging, 39(10), 1118–1144. https://doi.org/10.1177/0164027516669987
   PubMed Web of Science ®Google Scholar
• Jha, A. P., Zanesco, A. P., Denkova, E., Morrison, A. B., Ramos, N., Chichester, K., Gaddy, J. W. & Rogers, S. L. (2020). Bolstering Cognitive Resilience via Train-the-Trainer Delivery of Mindfulness Training in Applied High-Demand Settings. Mindfulness, 11, 683–697. https://doi.org/10.1007/s12671-019-01284-7
   Google Scholar
• Kam, J. W. Y., Javed, J., Hart, C. M., Andrews-Hanna, J. R., Tomfohr-Madsen, L. M., & Mills, C. (2022). Daily mindfulness training reduces negative impact of COVID-19 news exposure on affective well-being. Psychological Research, 86(4), 1203–1214. https://doi.org/10.1007/s00426-021-01550-1
   PubMed Web of Science ®Google Scholar
• Keng, S.-L., Tong, E. M. W., Yan, E. T. L., Ebstein, R. P., & Lai, P.-S. (2021). Effects of mindfulness-based stress reduction on affect dynamics: A randomized controlled trial. Mindfulness, 12(6), 1490–1501. https://doi.org/10.1007/s12671-021-01617-5
   Web of Science ®Google Scholar
• Klimecki, O., Marchant, N. L., Lutz, A., Poisnel, G., Chetelat, G., & Collette, F. (2019). The impact of meditation on healthy ageing - the current state of knowledge and a roadmap to future directions. Current Opinion in Psychology, 28, 223–228. https://doi.org/10.1016/j.copsyc.2019.01.006
   PubMed Web of Science ®Google Scholar
• Kroenke, K., Spitzer, R. L., Williams, J. B., & Lowe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1176/appi.psy.50.6.613
   PubMed Web of Science ®Google Scholar
• Levi, K., Shoham, A., Amir, I., & Bernstein, A. (2021). The daily dose-response hypothesis of mindfulness meditation practice: An experience sampling study. Psychosomatic Medicine, 83(6), 24–630. https://doi.org/10.1097/PSY.0000000000000912
   PubMed Web of Science ®Google Scholar
• Li, S. Y. H., & Bressington, D. (2019). The effects of mindfulness-based stress reduction on depression, anxiety, and stress in older adults: A systematic review and meta-analysis. International Journal of Mental Health Nursing, 28(3), 635–656. https://doi.org/10.1111/inm.12568
   PubMed Web of Science ®Google Scholar
• Lindsay, E. K., Young, S., Brown, K. W., Smyth, J. M., & Creswell, J. D. (2019). Mindfulness training reduces loneliness and increases social contact in a randomized controlled trial. Proceedings of the National Academy of Sciences of the United States of America, 116(9), 3488–3493. https://doi.org/10.1073/pnas.1813588116
   PubMed Web of Science ®Google Scholar
• Lowe, B., Wahl, I., Rose, M., Spitzer, C., Glaesmer, H., Wingenfeld, K., Schneider, A., & Brahler, E. (2010). A 4-item measure of depression and anxiety: Validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. Journal of Affective Disorders, 122(1-2), 86–95. https://doi.org/10.1016/j.jad.2009.06.019
   PubMed Web of Science ®Google Scholar
• 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
   Google Scholar
• MacAulay, R. K., Halpin, A., Andrews, H. E., & Boeve, A. (2022). Trait mindfulness associations with executive function and well-being in older adults. Aging & Mental Health, 26(12), 2399–2406. https://doi.org/10.1080/13607863.2021.1998352
   PubMed Web of Science ®Google Scholar
• Mahlo, L., & Windsor, T. D. (2021a). Feasibility, acceptability, and preliminary efficacy of an app-based mindfulness-meditation program among older adults. The Gerontologist, 61(5), 775–786. https://doi.org/10.1093/geront/gnaa093
   PubMed Web of Science ®Google Scholar
• Mahlo, L., & Windsor, T. D. (2021b). State mindfulness and affective well-being in the daily lives of middle-aged and older adults. Psychology and Aging, 36(5), 642–659. https://doi.org/10.1037/pag0000596
   PubMed Web of Science ®Google Scholar
• Malinowski, P., & Shalamanova, L. (2017). Meditation and cognitive ageing: The role of mindfulness meditation in building cognitive reserve. Journal of Cognitive Enhancement, 1(2), 96–106. https://doi.org/10.1007/s41465-017-0022-7
   Google Scholar
• Mallya, S., & Fiocco, A. J. (2016). Effects of mindfulness training on cognition and well-being in healthy older adults. Mindfulness, 7(2), 453–465. https://doi.org/10.1007/s12671-015-0468-6
   Web of Science ®Google Scholar
• Marroquin, B., Vine, V., & Morgan, R. (2020). Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Research, 293, 113419. https://doi.org/10.1016/j.psychres.2020.113419
   PubMed Web of Science ®Google Scholar
• Moore, R. C., Depp, C. A., Wetherell, J. L., & Lenze, E. J. (2016). Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of Psychiatric Research, 75, 116–123. https://doi.org/10.1016/j.jpsychires.2016.01.011
   PubMed Web of Science ®Google Scholar
• Naragon-Gainey, K., McMahon, T. P., Strowger, M., Lackner, R. J., Seah, T. H. S., Moore, M. T., & Fresco, D. M. (2020). A comparison of decentering across demographic groups and meditation experience: Support for the measurement invariance of the Experiences Questionnaire. Psychological Assessment, 32(2), 197–204. https://doi.org/10.1037/pas0000767
   PubMed Web of Science ®Google Scholar
• Pacini, A., Stickland, A., & Kupeli, N. (2022). Connecting in place: Older adults’ experience of online mindfulness therapy during the COVID-19 pandemic. Age Ageing, 51(12), afac270. https://doi.org/10.1093/ageing/afac270
   PubMed Web of Science ®Google Scholar
• Polsinelli, A. J., Kaszniak, A. W., Glisky, E. L., & Ashish, D. (2020). Effects of a brief, online, focused attention mindfulness training on cognition in older adults: A randomized controlled trial. Mindfulness, 11(5), 1182–1193. https://doi.org/10.1007/s12671-020-01329-2
   Web of Science ®Google Scholar
• Reangsing, C., Rittiwong, T., & Schneider, J. K. (2021). Effects of mindfulness meditation interventions on depression in older adults: A meta-analysis. Aging & Mental Health, 25(7), 1181–1190. https://doi.org/10.1080/13607863.2020.1793901
   PubMed Web of Science ®Google Scholar
• Robertson, I. H., Manly, T., Andrade, J., Baddeley, B. T., & Yiend, J. (1997). ‘Oops!’: Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia, 35(6), 747–758. https://www.ncbi.nlm.nih.gov/pubmed/9204482 https://doi.org/10.1016/s0028-3932(97)00015-8
   PubMed Web of Science ®Google Scholar
• Salters-Pedneault, K., Vine, V., Mills, M. A., Park, C., & Litz, B. T. (2009). The Experience of Intrusions Scale: A preliminary examination. Anxiety, Stress, and Coping, 22(1), 27–37. https://doi.org/10.1080/10615800802403823
   PubMed Web of Science ®Google Scholar
• Sanchez-Lara, E., Lozano-Ruiz, A., Perez-Garcia, M., & Caracuel, A. (2022). Efficacy of mindfulness-based interventions in cognitive function in the elderly people: A systematic review and meta-analysis. Aging & Mental Health, 26(9), 1699–1709. https://doi.org/10.1080/13607863.2021.1976724
   PubMed Web of Science ®Google Scholar
• Schlosser, M., Demnitz-King, H., Whitfield, T., Wirth, M., & Marchant, N. L. (2020). Repetitive negative thinking is associated with subjective cognitive decline in older adults: A cross-sectional study. BMC Psychiatry, 20(1), 500. https://doi.org/10.1186/s12888-020-02884-7
   PubMed Web of Science ®Google Scholar
• Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: theoretical rationale and empirical status. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 45–65). Guilford Press.
   Google Scholar
• Seltman, H. J. (2018). Experimental design and analysis. Carnegie Mellon University.
   Google Scholar
• Shapira, S., Cohn-Schwartz, E., Yeshua-Katz, D., Aharonson-Daniel, L., Clarfield, A. M., & Sarid, O. (2021a). Teaching and practicing cognitive-behavioral and mindfulness skills in a web-based platform among older adults through the COVID-19 pandemic: A pilot randomized controlled trial. International Journal of Environmental Research and Public Health, 18(20). https://doi.org/10.3390/ijerph182010563
   PubMed Web of Science ®Google Scholar
• Shapira, S., Yeshua-Katz, D., Cohn-Schwartz, E., Aharonson-Daniel, L., Sarid, O., & Clarfield, A. M. (2021b). A pilot randomized controlled trial of a group intervention via Zoom to relieve loneliness and depressive symptoms among older persons during the COVID-19 outbreak. Internet Interventions, 24, 100368. https://doi.org/10.1016/j.invent.2021.100368
   PubMedGoogle Scholar
• Smart, C. M., & Segalowitz, S. J. (2017). Respond, don’t react: The influence of mindfulness training on performance monitoring in older adults. Cognitive, Affective & Behavioral Neuroscience, 17(6), 1151–1163. https://doi.org/10.3758/s13415-017-0539-3
   PubMed Web of Science ®Google Scholar
• Stanislaw, H., & Todorov, N. (1999). Calculation of signal detection theory measures. Behavior Research Methods, Instruments, & Computers : A Journal of the Psychonomic Society, Inc, 31(1), 137–149. https://doi.org/10.3758/bf03207704
   PubMedGoogle Scholar
• Tang, R., & Braver, T. S. (2020). Towards an individual differences perspective in mindfulness training research: Theoretical and empirical considerations. Frontiers in Psychology, 11, 818. https://doi.org/10.3389/fpsyg.2020.00818
   PubMed Web of Science ®Google Scholar
• Teoh, S. L., Letchumanan, V., & Lee, L. H. (2021). Can mindfulness help to alleviate loneliness? A systematic review and meta-analysis. Frontiers in Psychology, 12, 633319. https://doi.org/10.3389/fpsyg.2021.633319
   PubMed Web of Science ®Google Scholar
• Thompson, E. R. (2007). Development and validation of an internationally reliable short-form of the Positive and Negative Affect Schedule (PANAS). Journal of Cross-Cultural Psychology, 38(2), 227–242. https://doi.org/10.1177/0022022106297301
   Web of Science ®Google Scholar
• Vailati Riboni, F., Sadowski, I., Comazzi, B., & Pagnini, F. (2022). Mindful age and technology: A qualitative analysis of a tablet/smartphone app intervention designed for older adults. Integrative Psychological & Behavioral Science, 56(3), 739–754. https://doi.org/10.1007/s12124-020-09580-x
   PubMed Web of Science ®Google Scholar
• Von Humboldt, S., & Leal, I. (2017). Validation of a measure of positive and negative affect for use with cross-national older adults. European Psychiatry, 41(S1), S666–S666. https://doi.org/10.1016/j.eurpsy.2017.01.1133
   Google Scholar
• Warttig, S. L., Forshaw, M. J., South, J., & White, A. K. (2013). New, normative, English-sample data for the Short Form Perceived Stress Scale (PSS-4). Journal of Health Psychology, 18(12), 1617–1628. https://doi.org/10.1177/1359105313508346
   PubMed Web of Science ®Google Scholar
• Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://www.ncbi.nlm.nih.gov/pubmed/3397865 https://doi.org/10.1037//0022-3514.54.6.1063
   PubMed Web of Science ®Google Scholar
• Whitmoyer, P., Fountain-Zaragoza, S., Andridge, R., Bredemeier, K., Londeree, A., Kaye, L., & Prakash, R. S. (2020). Mindfulness training and attentional control in older adults: A randomized controlled trial. Mindfulness, 11(1), 203–218. https://doi.org/10.1007/s12671-019-01218-3
   Web of Science ®Google Scholar
• Williams, C. Y. K., Townson, A. T., Kapur, M., Ferreira, A. F., Nunn, R., Galante, J., Phillips, V., Gentry, S., & Usher-Smith, J. A. (2021). Interventions to reduce social isolation and loneliness during COVID-19 physical distancing measures: A rapid systematic review. PloS One, 16(2), e0247139. https://doi.org/10.1371/journal.pone.0247139
   PubMed Web of Science ®Google Scholar
• Young, L. A., & Baime, M. J. (2010). Mindfulness-based stress reduction: Effect on emotional distress in older adults. Complementary Health Practice Review, 15(2), 59–64. https://doi.org/10.1177/1533210110387687
   Google Scholar
• Zhang, Z., Zhang, L., Zheng, J., Xiao, H., & Li, Z. (2020). COVID-19-related disruptions and increased mHealth emergency use intention: Experience sampling method study. JMIR mHealth and uHealth, 8(12), e20642. https://doi.org/10.2196/20642
   PubMed Web of Science ®Google Scholar
• Zvolensky, M. J., Garey, L., Rogers, A. H., Schmidt, N. B., Vujanovic, A. A., Storch, E. A., Buckner, J. D., Paulus, D. J., Alfano, C., Smits, J. A. J., & O’Cleirigh, C. (2020). Psychological, addictive, and health behavior implications of the COVID-19 pandemic. Behaviour Research and Therapy, 134, 103715. https://doi.org/10.1016/j.brat.2020.103715
   PubMed Web of Science ®Google Scholar