The efficacy of mindfulness meditation apps in enhancing users’ well-being and mental health related outcomes: a meta-analysis of randomized controlled trials

•App- delivered mindfulness meditation interventions have small to medium effects on perceived stress, symptoms of depression and anxiety•No significant effects were found for general well-being and distress at post-test•The intervention's effect was maintained at follow-up for perceived stress...

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Veröffentlicht in:Journal of affective disorders Jg. 279; S. 131 - 142
Hauptverfasser: Gál, Éva, Ștefan, Simona, Cristea, Ioana A.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Netherlands Elsevier B.V 15.01.2021
Schlagworte:
Anxiety - therapy
app
Humans
Meditation
Mental Health
mHealth
Mindfulness
Psychiatric/Mental Health
Randomized Controlled Trials as Topic
randomized trial
well-being
app
mHealth
well-being
mindfulness
randomized trial
mental-health
ISSN:0165-0327, 1573-2517, 1573-2517
Online-Zugang:Volltext
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Abstract •App- delivered mindfulness meditation interventions have small to medium effects on perceived stress, symptoms of depression and anxiety•No significant effects were found for general well-being and distress at post-test•The intervention's effect was maintained at follow-up for perceived stress, symptoms of anxiety and quality of life•Comparable effects were found in comparison with attention control conditions Mindfulness applications are popular tools for improving well-being, but their effectiveness is unclear. We conducted a meta-analysis of randomized controlled trials (RCTs) that employed a mindfulness meditation app as the main intervention to improve users’ well-being and mental-health related outcomes. A systematic search was conducted in PsycINFO, PubMed, Web of Science, ProQuest Dissertations and Theses Global, the Cochrane Library, Open Grey and ResearchGate through June, 2020. Effects were calculated as standardized mean difference (Hedges’ g) between app-delivered mindfulness interventions and control conditions at post-test and pooled with a random-effects model. From 2637 records, we selected 34 trials (N = 7566). Significant effect sizes were found at post-test for perceived stress (n = 15; g = 0.46, 95% CI [0.24, .68], I2= 68%), anxiety (n = 15; g = 0.28, 95% CI [0.16, .40], I2= 35%), depression (n = 15; g = 0.33, 95% CI [0.24, .43], I2= 0%), and psychological well-being (n = 5; g = 0.29, 95% CI [0.14, .45], I2= 0%). No significant effects were found for distress at post-test (n = 6; g = 0.10, 95% CI [-0.02, .22], I2= 11%) and general well-being (n = 5; g = 0.14, 95% CI [-0.02, 0.29], I2 = 14%). Mindfulness apps seem promising in improving well-being and mental-health, though results should be interpreted carefully due to the small number of included studies, overall uncertain risk of bias and heterogeneity.
AbstractList Mindfulness applications are popular tools for improving well-being, but their effectiveness is unclear. We conducted a meta-analysis of randomized controlled trials (RCTs) that employed a mindfulness meditation app as the main intervention to improve users' well-being and mental-health related outcomes.BACKGROUNDMindfulness applications are popular tools for improving well-being, but their effectiveness is unclear. We conducted a meta-analysis of randomized controlled trials (RCTs) that employed a mindfulness meditation app as the main intervention to improve users' well-being and mental-health related outcomes.A systematic search was conducted in PsycINFO, PubMed, Web of Science, ProQuest Dissertations and Theses Global, the Cochrane Library, Open Grey and ResearchGate through June, 2020. Effects were calculated as standardized mean difference (Hedges' g) between app-delivered mindfulness interventions and control conditions at post-test and pooled with a random-effects model.METHODSA systematic search was conducted in PsycINFO, PubMed, Web of Science, ProQuest Dissertations and Theses Global, the Cochrane Library, Open Grey and ResearchGate through June, 2020. Effects were calculated as standardized mean difference (Hedges' g) between app-delivered mindfulness interventions and control conditions at post-test and pooled with a random-effects model.From 2637 records, we selected 34 trials (N = 7566). Significant effect sizes were found at post-test for perceived stress (n = 15; g = 0.46, 95% CI [0.24, .68], I2= 68%), anxiety (n = 15; g = 0.28, 95% CI [0.16, .40], I2= 35%), depression (n = 15; g = 0.33, 95% CI [0.24, .43], I2= 0%), and psychological well-being (n = 5; g = 0.29, 95% CI [0.14, .45], I2= 0%). No significant effects were found for distress at post-test (n = 6; g = 0.10, 95% CI [-0.02, .22], I2= 11%) and general well-being (n = 5; g = 0.14, 95% CI [-0.02, 0.29], I2 = 14%).RESULTSFrom 2637 records, we selected 34 trials (N = 7566). Significant effect sizes were found at post-test for perceived stress (n = 15; g = 0.46, 95% CI [0.24, .68], I2= 68%), anxiety (n = 15; g = 0.28, 95% CI [0.16, .40], I2= 35%), depression (n = 15; g = 0.33, 95% CI [0.24, .43], I2= 0%), and psychological well-being (n = 5; g = 0.29, 95% CI [0.14, .45], I2= 0%). No significant effects were found for distress at post-test (n = 6; g = 0.10, 95% CI [-0.02, .22], I2= 11%) and general well-being (n = 5; g = 0.14, 95% CI [-0.02, 0.29], I2 = 14%).Mindfulness apps seem promising in improving well-being and mental-health, though results should be interpreted carefully due to the small number of included studies, overall uncertain risk of bias and heterogeneity.CONCLUSION AND LIMITATIONSMindfulness apps seem promising in improving well-being and mental-health, though results should be interpreted carefully due to the small number of included studies, overall uncertain risk of bias and heterogeneity.
Highlights•App- delivered mindfulness meditation interventions have small to medium effects on perceived stress, symptoms of depression and anxiety •No significant effects were found for general well-being and distress at post-test •The intervention's effect was maintained at follow-up for perceived stress, symptoms of anxiety and quality of life •Comparable effects were found in comparison with attention control conditions
Mindfulness applications are popular tools for improving well-being, but their effectiveness is unclear. We conducted a meta-analysis of randomized controlled trials (RCTs) that employed a mindfulness meditation app as the main intervention to improve users' well-being and mental-health related outcomes. A systematic search was conducted in PsycINFO, PubMed, Web of Science, ProQuest Dissertations and Theses Global, the Cochrane Library, Open Grey and ResearchGate through June, 2020. Effects were calculated as standardized mean difference (Hedges' g) between app-delivered mindfulness interventions and control conditions at post-test and pooled with a random-effects model. From 2637 records, we selected 34 trials (N = 7566). Significant effect sizes were found at post-test for perceived stress (n = 15; g = 0.46, 95% CI [0.24, .68], I = 68%), anxiety (n = 15; g = 0.28, 95% CI [0.16, .40], I = 35%), depression (n = 15; g = 0.33, 95% CI [0.24, .43], I = 0%), and psychological well-being (n = 5; g = 0.29, 95% CI [0.14, .45], I = 0%). No significant effects were found for distress at post-test (n = 6; g = 0.10, 95% CI [-0.02, .22], I = 11%) and general well-being (n = 5; g = 0.14, 95% CI [-0.02, 0.29], I  = 14%). Mindfulness apps seem promising in improving well-being and mental-health, though results should be interpreted carefully due to the small number of included studies, overall uncertain risk of bias and heterogeneity.
•App- delivered mindfulness meditation interventions have small to medium effects on perceived stress, symptoms of depression and anxiety•No significant effects were found for general well-being and distress at post-test•The intervention's effect was maintained at follow-up for perceived stress, symptoms of anxiety and quality of life•Comparable effects were found in comparison with attention control conditions Mindfulness applications are popular tools for improving well-being, but their effectiveness is unclear. We conducted a meta-analysis of randomized controlled trials (RCTs) that employed a mindfulness meditation app as the main intervention to improve users’ well-being and mental-health related outcomes. A systematic search was conducted in PsycINFO, PubMed, Web of Science, ProQuest Dissertations and Theses Global, the Cochrane Library, Open Grey and ResearchGate through June, 2020. Effects were calculated as standardized mean difference (Hedges’ g) between app-delivered mindfulness interventions and control conditions at post-test and pooled with a random-effects model. From 2637 records, we selected 34 trials (N = 7566). Significant effect sizes were found at post-test for perceived stress (n = 15; g = 0.46, 95% CI [0.24, .68], I2= 68%), anxiety (n = 15; g = 0.28, 95% CI [0.16, .40], I2= 35%), depression (n = 15; g = 0.33, 95% CI [0.24, .43], I2= 0%), and psychological well-being (n = 5; g = 0.29, 95% CI [0.14, .45], I2= 0%). No significant effects were found for distress at post-test (n = 6; g = 0.10, 95% CI [-0.02, .22], I2= 11%) and general well-being (n = 5; g = 0.14, 95% CI [-0.02, 0.29], I2 = 14%). Mindfulness apps seem promising in improving well-being and mental-health, though results should be interpreted carefully due to the small number of included studies, overall uncertain risk of bias and heterogeneity.
Author Cristea, Ioana A.
Gál, Éva
Ștefan, Simona
Author_xml – sequence: 1
  givenname: Éva
  surname: Gál
  fullname: Gál, Éva
  email: ge.evagal@gmail.com, gal.eva@ubbonline.ubbcluj.ro
  organization: Evidence Based Psychological Assessment and Interventions Doctoral School, Babeș- Bolyai University, Cluj-Napoca, Romania
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  givenname: Simona
  surname: Ștefan
  fullname: Ștefan, Simona
  organization: Department of Clinical Psychology and Psychotherapy, Babeș- Bolyai University, Cluj-Napoca, Romania
– sequence: 3
  givenname: Ioana A.
  surname: Cristea
  fullname: Cristea, Ioana A.
  organization: Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33049431$$D View this record in MEDLINE/PubMed
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Keywords app
mHealth
well-being
mindfulness
randomized trial
mental-health
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Snippet •App- delivered mindfulness meditation interventions have small to medium effects on perceived stress, symptoms of depression and anxiety•No significant...
Highlights•App- delivered mindfulness meditation interventions have small to medium effects on perceived stress, symptoms of depression and anxiety •No...
Mindfulness applications are popular tools for improving well-being, but their effectiveness is unclear. We conducted a meta-analysis of randomized controlled...
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SubjectTerms Anxiety - therapy
app
Humans
Meditation
Mental Health
mHealth
Mindfulness
Psychiatric/Mental Health
Randomized Controlled Trials as Topic
randomized trial
well-being
Title The efficacy of mindfulness meditation apps in enhancing users’ well-being and mental health related outcomes: a meta-analysis of randomized controlled trials
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0165032720328317
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https://dx.doi.org/10.1016/j.jad.2020.09.134
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