Comparison of face-to-face and synchronous online mindfulness-based interventions: a quasi-experimental study

Autor

Słowa kluczowe:

anxiety, depression, emotion regulation, mindfulness-based intervention, online intervention, stress

Abstrakt

Background

Mindfulness-based interventions (MBIs) are a widely validated approach for the treatment and prevention of various pathologies, leading to increased physical and psychological health. Online MBIs have become more common in the past years, namely after the COVID-19 pandemic, but not much is known about their effectiveness. This study’s goal was to compare the efficacy of a face-to-face MBI with its online equivalent.

Participants and procedure

A total of 114 university students of multiple nationalities participated in the investigation. This is a quasi-experimental study, with pre-, post-, and 3-month follow-up comparative measurements in two types of group formats: in-person groups and synchronous online groups.

Results

The results showed benefits for participants in both the face-to-face and online interventions. Anxiety was significantly reduced at post-test, while stress, depression, and emotion regulation difficulties were significantly reduced at post-test and at follow-up. Furthermore, well-being and optimism were significantly increased at post-test and at follow-up. Between-group comparisons indicated higher efficacy for these variables in the online group.

Conclusions

The fact that differential outcomes were observable for mindfulness and one of the expected mechanisms, in goaldirected thinking, while no significant differences were present for any outcome, shines a light on possible hidden mechanisms that differentiate how online interventions function when compared to their face-to-face counterparts. Despite these differences, the findings support the viability of online mindfulness interventions as an alternative to in-person formats. The present study adds to current knowledge about mindfulness interventions by supporting the feasibility of online mindfulness interventions.

Downloads

Download data is not yet available.

Bibliografia

Alhawatmeh, H., Alshammari, S., & Rababah, J. A. (2022). Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients: a randomized controlled trial. International Journal of Nursing Sciences, 9, 139–146. https://doi.org/10.1016/j.ijnss.2022.03.004

Andersson, G., Hesser, H., Veilord, A., Svedling, L., Andersson, F., Sleman, O., Mauritzson, L., Sarkohi, A., Claesson, E., Zetterqvist, V., Lamminen, M., Eriksson, T., & Carlbring, P. (2013). Randomised controlled non-inferiority trial with 3-year follow-up of internet-delivered versus face-to-face group cognitive behavioural therapy for depression. Journal of Affective Disorders, 151, 986–994. https://doi.org/10.1016/j.jad.2013.08.022

Apóstolo, J. L. A., Mendes, A. C., & Azeredo, Z. A. (2006). Adaptação para a língua portuguesa da Depression, Anxiety and Stress Scale (DASS) [Adaptation to Portuguese of the Depression, Anxiety and Stress Scale (DASS)]. Revista Latino Americana de Enfermagem, 14, 863–871. https://doi.org/10.1590/S0104-11692006000600006

Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15, 204–223. https://doi.org/10.1177/1073191107311467

Chadi, N., Weisbaum, E., Vo, D. X., & Kohut, S. A. (2020). Mindfulness-based interventions for adolescents: Time to consider telehealth. Journal of Alternative and Complementary Medicine, 26, 172–175. https://doi.org/10.1089/acm.2019.0302

Charness, G., Le Bihan, Y., & Villeval, M. C. (2024). Mindfulness training, cognitive performance and stress reduction. Journal of Economic Behavior & Organization, 217, 207–226. https://doi.org/10.1016/j.jebo.2023.10.027

Chiodelli, R., Jesus, S. N., Mello, L. T. N., Andretta, I., Oliveira, D. F., Costa, M. E. S., & Russell, T. (2022). Effects of the Interculturality and Mindfulness Program (PIM) on university students: a quasiexperimental study. European Journal of Investigation in Health, Psychology and Education, 12, 1500–1515. https://doi.org/10.3390/ejihpe12100104

Chiodelli, R., Mello, L. T. N., Jesus, S. N., Oliveira, D. F, Russel, T., & Andretta, I. (2021). Interculturality and Mindfulness Program (PIM): a protocol report of an intervention with university students. In M. Milcu, M. Stevens, S. Neves de Jesus, I. Testoni, & M. Gaspar de Matos (Eds.), The psychology of pandemics: New trends and prospects (pp. 49–60). Universitară. https://doi.org/10.5682/9786062813871

Compen, F., Bisseling, E., Schellekens, M., Donders, R., Carlson, L., Van Der Lee, M., & Speckens, A. (2018). Face-to-face and internet-based mindfulnessbased cognitive therapy compared with treatment as usual in reducing psychological distress in patients with cancer: a multicenter randomized controlled trial. Journal of Clinical Oncology, 36, 2413–2421. https://doi.org/10.1200/JCO.2017.76.5669

Coutinho, J., Ribeiro, E., Ferreirinha, R., & Dias, P. (2010). Versão portuguesa da escala de dificuldades de regulação emocional e sua relação com sintomas psicopatológicos [The Portuguese version of the Difficulties in Emotion Regulation Scale and its relationship with psychopathological symptoms]. Revista de Psiquiatria Clínica, 37, 145–151. https://doi.org/10.1590/S0101-60832010000400001

Creswell, J. D. (2017). Mindfulness interventions. Annual Review of Psychology, 68, 491–516. https://doi.org/10.1146/annurev-psych-042716-051139

Deardorff, D. K., Wit, H., Heyl, J. D., & Adams, T. (2012). The SAGE handbook of international higher education. SAGE Publications. https://doi.org/10.4135/9781452218397

Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71–75. https://doi.org/10.1207/s15327752jpa4901_13

Dutt, S., Keyte, R., Egan, H., Hussain, M., & Mantzios, M. (2019). Healthy and unhealthy eating amongst stressed students: Considering the influinfluence of mindfulness on eating choices and consumption. Health Psychology Report, 7, 113–120. https://doi.org/10.5114/hpr.2019.77913

European Parliament and Council of the European Union (2016). Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). Retrieved from https://eur-lex.europa.eu/eli/reg/2016/679/oj

Fabio, R. A., & Tripodi, R. (2024). Exploring social media appearance preoccupation in relation to selfesteem, well-being, and mental health. Health Psychology Report, 12, 286–294. https://doi.org/10.5114/hpr/189698

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioural Assessment, 26, 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

Heckenberg, R. A., Hale, M. W., Kent, S., & Wright, B. J. (2019). An online mindfulness-based program is effective in improving affect, over-commitment, optimism and mucosal immunity. Physiology & Behaviour, 199, 20–27. https://doi.org/10.1016/j.physbeh.2018.11.001

Hedman, E., Andersson, G., Ljótsson, B., Andersson, E., Rück, C., Mörtberg, E., & Lindefors, N. (2011). Internet-based cognitive behaviour therapy vs. cognitive behavioural group therapy for social anxiety disorder: a randomized controlled non-inferiority trial. PloS One, 6, e18001. https://doi.org/10.1371/journal.pone.0018001

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi.org/10.1093/clipsy.bpg016

Kang, Y., Gruber, J., & Gray, J. R. (2013). Mindfulness and de-automatization. Emotion Review, 5, 192–201. https://doi.org/10.1177/1754073912451629

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Psychology Foundation.

Lowen, A., & Lowen, L. (1977). Exercícios de bioenergética: O caminho para uma saúde vibrante [Bioenergetic exercises: The path to vibrant health]. Ágora.

O’Driscoll, M., Byrne, S., Mc Gillicuddy, A., Lambert, S., & Sahm, L. J. (2017). The effects of mindfulnessbased interventions for health and social care undergraduate students – a systematic review of the

literature. Psychology, Health & Medicine, 22, 851–865. https://doi.org/10.1080/13548506.2017.1280178

Oliveira, J. H. (1998). Optimismo: Teoria e avaliação (proposta de uma nova escala) [Optimism evaluation: a new scale]. Psicologia Educação e Cultura, 2, 295–308.

Portnoy, S., Korchak, G., Foxall, A., & Hurlston, R. (2023). Are mindfulness groups more mindful face to face or online? A comparison of delivering a mindfulness-based well-being group for parents of children with a chronic health condition. Clinical Child Psychology and Psychiatry, 28, 56–69. https://doi.org/10.1177/13591045221125617

Quaglia, J. T., Brown, K. W., Lindsay, E. K., Creswell, J. D., & Goodman, R. J. (2015). From conceptualization to operationalization of mindfulness. In K. W. Brown, J. D. Creswell, & R. M. Ryan (Eds.), Handbook of mindfulness: Theory, research, and Practice (pp. 151–170). Guilford Press.

Roemer, L., Williston, S. K., & Rollins, L. G. (2015). Mindfulness and emotion regulation. Current Opinion in Psychology, 3, 52–57. https://doi.org/10.1016/j.copsyc.2015.02.006

Rojiani, R., Santoyo, J. F., Rahrig, H., Roth, H. D., & Britton, W. B. (2017). Women benefit more than men in response to college-based meditation training. Frontiers in Psychology, 8, 551. https://doi.org/10.3389/fpsyg.2017.00551

Russell, T. (2015). Mindfulness in motion. Watkins.

Sam, D. L. & Berry, J. W. (Eds.) (2016). Cambridge handbook of acculturation psychology. Cambridge University Press.

Sebben, A. (2013). Cultural exchange program: Understand it & fall for it. Artes e Ofícios.

Sevilla-Llewellyn-Jones, J., Santesteban-Echarri, O., Pryor, I., McGorry, P., & Alvarez-Jimenez, M. (2018). Web-based mindfulness interventions for mental health treatment: Systematic review and metaanalysis. JMIR Mental Health, 5, e10278. https://doi.org/10.2196/10278

Shapiro, S. L., Oman, D., Thoresen, C. E., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: Effects on well‐being. Journal of Clinical Psychology, 64, 840–862. https://doi.org/10.1002/jclp.20491

Silva, A. D., Taveira, M. D. C., Marques, C., & Gouveia, V. V. (2015). Satisfaction with Life Scale among adolescents and young adults in Portugal: Extending evidence of construct validity. Social Indicators Research, 120, 309–318. https://doi.org/10.1007/s11205-014-0587-9

Sommers-Spijkerman, M., Austin, J., Bohlmeijer, E., & Pots, W. (2021). New evidence in the booming field of online mindfulness: an updated meta-analysis of randomized controlled trials. JMIR Mental Health, 8, e28168. https://doi.org/10.2196/28168

Teixeira, R. J., Ferreira, G., & Pereira, M. G. (2017). Portuguese validation of the Cognitive and Affective Mindfulness Scale-Revised and the Philadelphia Mindfulness Scale. Mindfulness & Compassion, 2, 3–8. https://doi.org/10.1016/j.mincom.2017.03.001

Wagner, B., Horn, A. B., & Maercker, A. (2014). Internetbased versus face-to-face cognitive-behavioural intervention for depression: a randomized controlled non-inferiority trial. Journal of Affective Disorders, 152–154, 113–121. https://doi.org/10.1016/j.jad.2013.06.032

Williams, M., & Penman, D. (2015). Atenção plena: Como encontrar a paz em um mundo frenetico [Mindfulness. A practical guide to finding peace in a frantic world]. Sextante.

Zhang, D., Lee, E. K., Mak, E. C., Ho, C. Y., & Wong, S. Y. (2021). Mindfulness-based interventions: an overall review. British Medical Bulletin, 138, 41–57. https://doi.org/10.1093/bmb/ldab005

Opublikowane

2025-10-10

Jak cytować

Jesus, S., Antunes, J. P., Andretta, I., Russel, T., Mello, L., & Chiodelli, R. (2025). Comparison of face-to-face and synchronous online mindfulness-based interventions: a quasi-experimental study. Health Psychology Report, 13(4), 354–365. Pobrano z https://czasopisma.bg.ug.edu.pl/index.php/HPR/article/view/12893

Numer

Dział

Artykuły