Introduction
In the quest to improve adolescent mental health, schools have become a pivotal arena for intervention. A recent study titled "Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial" provides valuable insights into the effectiveness of mindfulness training in schools. This blog will delve into the findings of the MYRIAD trial and explore how practitioners can leverage these insights to enhance their practice.
Understanding the MYRIAD Trial
The MYRIAD trial, a large-scale cluster randomised controlled trial, aimed to evaluate the effectiveness and cost-effectiveness of school-based mindfulness training (SBMT) compared to traditional social-emotional learning (SEL) programs. The study involved 85 schools and over 8,000 students aged 11 to 14 years. The primary outcomes measured were risk for depression, social-emotional-behavioral functioning, and overall well-being.
Key Findings
Contrary to expectations, the trial found no significant evidence that SBMT was superior to traditional SEL programs in improving the primary outcomes. The standardised mean differences for depression risk, social-emotional functioning, and well-being were minimal. Despite this, SBMT showed a high probability of being cost-effective at a willingness-to-pay threshold of £20,000 per quality-adjusted life year.
Implications for Practitioners
While the findings may seem disheartening for proponents of mindfulness training, they offer critical insights into the nuances of implementing such programs effectively:
- Context Matters: The trial highlights the importance of considering the specific context and needs of the student population when implementing mindfulness programs.
- Customization and Engagement: Practitioners should focus on tailoring mindfulness interventions to be more engaging and relevant to adolescents' lives, potentially increasing their effectiveness.
- Implementation Fidelity: Ensuring high fidelity in the delivery of mindfulness programs is crucial. Training teachers adequately and supporting them throughout the implementation process can enhance program outcomes.
Encouraging Further Research
The MYRIAD trial underscores the need for further research to identify the conditions under which mindfulness training can be most effective. Practitioners are encouraged to explore questions such as:
- What specific elements of mindfulness training contribute to its effectiveness?
- How can mindfulness programs be adapted to different cultural and educational contexts?
- What are the long-term impacts of mindfulness training on adolescent mental health?
Conclusion
While the MYRIAD trial did not find SBMT to be superior to traditional SEL programs, it provides a foundation for future research and practice. By focusing on context, engagement, and fidelity, practitioners can enhance the effectiveness of mindfulness programs in schools. For those interested in diving deeper into the research, the original paper can be accessed here.
