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    Effect of a Nurse Led Mindfulness Intervention with At-Risk Adolescents

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    Author
    Rawlett, Kristen Englehart
    Advisor
    Thomas, Sue Ann, 1947-
    Date
    2014
    Type
    dissertation
    
    Metadata
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    Other Titles
    Effect of a Nurse-Led Mindfulness Intervention with At-Risk Adolescents
    Abstract
    Introduction: At-risk behaviors are related to poor outcomes among adolescents. Increasing evidence supports adolescence as a vital time to introduce stress reduction techniques to reduce risk and improve mental health. The current study implemented and evaluated a mindfulness based intervention for at-risk adolescents in a randomized control pre-test, post-test design with an attentional comparison group. Methods: Participants were sixth grade female students from a public boarding school for at risk youth in Maryland. After informed consent by parents and signing assent, students (N=23) were randomized by dormitory to participate in the mindfulness (MC) group (n=12) or the attentional comparison group (n = 11) once per week for 6 weeks. MC sessions were led by an investigator trained in mindfulness techniques and curriculum. A nurse led the attention only group. Baseline evaluation consisted of demographics plus outcome variable tools administered before and after the program: coping (Response to Stress Questionnaire, RSQ), positive affect (10 item Positive and Negative Affect Scale for Children, PANAS-C) and mindfulness (Mindfulness Attention Awareness Scale, MAAS). Statistical analysis was performed using SPSS version 20. Results: There were no statistically significant differences between the two intervention groups at baseline. Twenty-two of 23 (95.7%) enrolled participants completed the inter- ventions. Participants completed 86.4% of study measures. In separate repeated measures analyses of variance for each outcome, there were no significant interactions between group and time for primary coping [F(1,17)=0.48,p=0.498], positive affect [F(1,17)=1.285,p=0.273], or mindfulness [F(1,17)=0.492,p=0.493]. Positive affect increased significantly [F(1,17)=10.675,p<=0.005], mindfulness scores increased [F(1,17)=3.117,p=0.095], and primary coping [F(1,17)=0.15,p=0.903] did not change over time. Discussions & Conclusions: The study demonstrated excellent feasibility for MC in this at risk population. The most important limitations are the size of the sample, potential for intervention cross contamination, homogeneity of the sample, and timing at the end of the school year all limiting the generalizability of the findings. Group interventions were effective at improving mindfulness and positive affect. Implications for nursing practice suggest mindfulness can be a part of reducing risks and improving mental health. Diverse and larger samples with longitudinal measures may guide best practices in using mindfulness with at risk adolescents going forward.
    Description
    University of Maryland, Baltimore. Nursing. Ph.D. 2014
    Keyword
    at-risk adolescents
    coping
    Affect
    Mindfulness
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/4376
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    Theses and Dissertations School of Nursing
    Theses and Dissertations All Schools

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