4.3 Article

A Mindfulness-Based Physical Activity Intervention: A Randomized Pilot Study

Journal

PSYCHOSOMATIC MEDICINE
Volume 83, Issue 6, Pages 615-623

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PSY.0000000000000885

Keywords

physical activity; exercise; mindfulness; intervention; MB-BP = Mindfulness-Based Blood Pressure; MVPA = moderate-to-vigorous physical activity; PAR = Physical Activity Recall; TMS = Toronto Mindfulness Scale

Funding

  1. American Psychological Association
  2. Society for Health Psychology
  3. Hogg Foundation

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This study evaluated the feasibility and acceptability of an audio-recorded mindfulness-based physical activity intervention, showing promising results in increasing moderate-to-vigorous physical activity minutes compared to a control group.
Objective Most US adults are insufficiently active. One strategy individuals could use to increase physical activity is to exercise mindfully (i.e., while paying attention to present-moment experiences with acceptance. A mindfulness-based intervention for exercise can be delivered via an audio recording, which is advantageous in regard to time demands, cost, and dissemination potential. The aims of this parallel two-arm pilot randomized controlled trial were to assess the feasibility and acceptability of an audio-recorded mindfulness-based intervention and to assess whether the intervention resulted in a clinically meaningful difference in physical activity compared with the control condition. Methods Physically underactive adults (N = 50) were randomized to a mindfulness intervention condition in which they were instructed to exercise while listening to an audio-recorded mindfulness-intervention or an active control group in which they were instructed to exercise while using a heart rate monitor. Participants completed a 30-minute moderate intensity treadmill exercise bout during a baseline in-laboratory session in the manner in which they were randomized (i.e., mindfulness recording versus using a heart rate monitor) and instructed to exercise in this manner for the next week. At follow-up, acceptability was measured by self-report, feasibility by frequency of intervention use, and physical activity using both self-reported physical activity recall and an accelerometer. Results The audio-recorded mindfulness-based physical activity intervention was rated as acceptable and feasible to use. Compared with the control group, the intervention also resulted in clinically meaningful differences in self-reported moderate-to-vigorous physical activity minutes (mean difference = 67.16 minutes) and accelerometer-measured minutes (mean difference = 35.48 minutes) during a 1-week follow-up. Conclusions The audio-recorded mindfulness-based physical activity intervention is a promising approach to increasing physical activity with good dissemination potential.

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