She Xinshu, Tong Lian, Wang Huan, Lan Luwan, Wang Min, Abbey Cody, Singh Manpreet Kaur, Rozelle Scott
Stanford University School of Medicine, Stanford, California.
Fudan University School of Public Health, Shanghai, China.
JAACAP Open. 2023 Aug 29;1(4):295-305. doi: 10.1016/j.jaacop.2023.08.004. eCollection 2023 Dec.
To test the feasibility and effectiveness of a mindfulness-based intervention in rural-to-urban migrant Chinese children using trained community volunteers.
Migrant students ages 9 to 16 from 5 schools in Shanghai (N = 653) were randomly assigned to a mindfulness only group (n = 167), a mindfulness plus life skills group (n = 118), or a waitlist control group (n = 368). The first 2 groups received an 8-week mindfulness intervention delivered 1 hour weekly by trained community volunteers. The mindfulness plus life skills group received 8 additional hours of skills-based mentorship. Measurements on mindfulness, resilience, and anxiety and depression symptoms were collected before and after intervention. Multivariable regression analyses compared the intervention vs control groups.
Before intervention, there were no significant demographic or outcome measure differences between groups except that students in the intervention groups were slightly older. Students had relatively low levels of mindfulness and prosociality difficulties and similar degrees of depression and anxiety symptoms compared with prior studies. After intervention, no statistically significant differences were found in mean scores for mindfulness, resilience, anxiety, or depression in the intervention vs control groups.
A volunteer-led mindfulness intervention did not significantly benefit migrant Chinese children after 8 weeks. More implementation research is needed for low-cost, scalable, and contextually effective mental health prevention programs.
Planting Seeds for Resilience-a Pilot Mindfulness and Mentorship Program in Migrant Chinese Children; http://www.chictr.org.cn; ChiCTR2100012027.
DIVERSITY & INCLUSION STATEMENT: We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure sex and gender balance in the recruitment of human participants. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.
使用经过培训的社区志愿者,测试基于正念的干预措施对从农村到城市的中国移民儿童的可行性和有效性。
来自上海5所学校的9至16岁的流动学生(N = 653)被随机分配到仅正念组(n = 167)、正念加生活技能组(n = 118)或候补对照组(n = 368)。前两组接受了为期8周的正念干预,由经过培训的社区志愿者每周提供1小时。正念加生活技能组还接受了8小时的基于技能的指导。在干预前后收集了关于正念、心理韧性以及焦虑和抑郁症状的测量数据。多变量回归分析比较了干预组和对照组。
干预前,除干预组学生年龄稍大外,各组在人口统计学或结果测量方面无显著差异。与先前研究相比,学生的正念水平和亲社会困难相对较低,抑郁和焦虑症状程度相似。干预后,干预组和对照组在正念、心理韧性、焦虑或抑郁的平均得分上未发现统计学上的显著差异。
由志愿者主导的正念干预在8周后并未使中国移民儿童显著受益。对于低成本、可扩展且因地制宜有效的心理健康预防项目,需要更多的实施研究。
为中国移民儿童的心理韧性播种——一项正念与指导试点项目;http://www.chictr.org.cn;ChiCTR2100012027。
我们努力确保研究问卷以包容性方式编制。我们努力确保在招募人类参与者时实现性别平衡。本文的一位或多位作者自我认定为科学领域中一个或多个历史上代表性不足的种族和/或族裔群体的成员。本文的作者名单包括来自研究开展地点和/或社区的贡献者,他们参与了数据收集、设计、分析和/或对工作的解释。