TY  - JOUR
PY  - 2022//
TI  - School-based mindfulness training in early adolescence: what works, for whom and how in the MYRIAD trial?
JO  - Evidence-based mental health
A1  - Montero-Marín, Jesus
A1  - Allwood, Matthew
A1  - Ball, Susan
A1  - Crane, Catherine
A1  - Wilde, Katherine De
A1  - Hinze, Verena
A1  - Jones, Benjamin
A1  - Lord, Liz
A1  - Nuthall, Elizabeth
A1  - Raja, Anam
A1  - Taylor, Laura
A1  - Tudor, Kate
A1  - Team, Myriad
A1  - Blakemore, Sarah-Jayne
A1  - Byford, Sarah
A1  - Dalgleish, Tim
A1  - Ford, Tamsin
A1  - Greenberg, Mark T.
A1  - Ukoumunne, Obioha C.
A1  - Williams, J. Mark G.
A1  - Kuyken, Willem
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Background Preventing mental health problems in early adolescence is a priority. School-based mindfulness training (SBMT) is an approach with mixed evidence.   Objectives To explore for whom SBMT does/does not work and what influences outcomes.     Methods The My Resilience in Adolescence was a parallel-group, cluster randomised controlled trial (K=84 secondary schools; n=8376 students, age: 11-13) recruiting schools that provided standard social-emotional learning. Schools were randomised 1:1 to continue this provision (control/teaching as usual (TAU)), and/or to offer SBMT ('.b' (intervention)). Risk of depression, social-emotional-behavioural functioning and well-being were measured at baseline, preintervention, post intervention and 1 year follow-up. Hypothesised moderators, implementation factors and mediators were analysed using mixed effects linear regressions, instrumental variable methods and path analysis.     Findings SBMT versus TAU resulted in worse scores on risk of depression and well-being in students at risk of mental health problems both at post intervention and 1-year follow-up, but differences were small and not clinically relevant. Higher dose and reach were associated with worse social-emotional-behavioural functioning at postintervention. No implementation factors were associated with outcomes at 1-year follow-up. Pregains−postgains in mindfulness skills and executive function predicted better outcomes at 1-year follow-up, but the SBMT was unsuccessful to teach these skills with clinical relevance.SBMT as delivered in this trial is not indicated as a universal intervention. Moreover, it may be contraindicated for students with existing/emerging mental health symptoms.     Clinical implications Universal SBMT is not recommended in this format in early adolescence. Future research should explore social−emotional learning programmes adapted to the unique needs of young people.<p />  <p>Language: en</p>
LA  - en
SN  - 1362-0347
UR  - http://dx.doi.org/10.1136/ebmental-2022-300439
ID  - ref1
ER  -