Evidence map›Paper›PMID 26553897›Full record

SynthesisAnnals of family medicine2015

The Efficacy of Mindfulness-Based Interventions in Primary Care: A Meta-Analytic Review.

Marcelo M P Demarzo, Jesús Montero-Marin, Pim Cuijpers, Edurne Zabaleta-del-Olmo, Kamal R Mahtani, Akke Vellinga, Caterina Vicens, Yolanda López-del-Hoyo, Javier García-Campayo

3 registry-linked trialsAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 53 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03265600 nacompletednot on this mapstarted 2017, after this paper: background citation

MINDFUL-PC: Integrating Mindfulness Into the Patient-Centered Medical Home - A Comparative Effectiveness Trial of Chronic Illness Self-Management and Action Plan Initiation Among Primary Care Patients

TypeinterventionalSponsorCambridge Health AllianceRan2017 to 2020Enrolled136ConditionsDepression, Anxiety, Stress Related Disorder, Adjustment DisordersArmsMindfulness Training for Primary Care, 60-minute Introduction to Mindfulness
NCT03272516 nacompletednot on this mapstarted 2017, after this paper: background citation

Mindfulness Based Cognitive Therapy (MBCT) for Primary Care Patients With Mild to Moderate Symptoms of Depression or Anxiety.

TypeinterventionalSponsorUniversity of IcelandRan2017 to 2020Enrolled120ConditionsDepression, AnxietyArmsMindfulness based cognitive therapy (MBCT), Treatment as usual (TAU)
NCT03609450 naterminatednot on this mapstarted 2019, after this paper: background citation

Mindfulness Influences on Self-regulation: Mental and Physical Health Implications -- Integrating Mindfulness Into the Patient-Centered Medical Home (Phase 3)

TypeinterventionalSponsorCambridge Health AllianceRan2019 to 2020Enrolled96ConditionsDepression, Anxiety Disorders, Stress Related Disorder, Adjustment DisordersArmsMindfulness Training for Primary Care, Low-Dose Comparator
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marcelo M P DemarzoFederal University of Sao Paulo (UNIFESP), "Mente Aberta" - Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Sao Paulo, Brazil.
Jesús Montero-MarinFaculty of Health Sciences and Sports, University of Zaragoza, Huesca, Spain.
Pim CuijpersVU University Amsterdam, Department of Psychology, Amsterdam, Netherlands.
Edurne Zabaleta-del-OlmoInstitut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, Spain.
Kamal R MahtaniOxford University, Department of Primary Care, Oxford, United Kingdom.
Akke VellingaNational University of Ireland, Galway, Department of Primary Care, Galway, Ireland.
Caterina VicensRed de Investigación en Actividades Preventivas y Promoción de la Salud (redIAPP), Primary Care, Palma de Mallorca, Spain.
Yolanda López-del-HoyoFaculty of Health Sciences and Sports, University of Zaragoza, Huesca, Spain.
Javier García-CampayoUniversity of Zaragoza, Department of Psychiatry, Zaragoza, Spain jgarcamp@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePositive effects have been reported after mindfulness-based interventions (MBIs) in diverse clinical and nonclinical populations. Primary care is a key health care setting for addressing common chronic conditions, and an effective MBI designed for this setting could benefit countless people worldwide. Meta-analyses of MBIs have become popular, but little is known about their efficacy in primary care. Our aim was to investigate the application and efficacy of MBIs that address primary care patients.

methodsWe performed a meta-analytic review of randomized controlled trials addressing the effect of MBIs in adult patients recruited from primary care settings. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and Cochrane guidelines were followed. Effect sizes were calculated with the Hedges g in random effects models.

resultsThe meta-analyses were based on 6 trials having a total of 553 patients. The overall effect size of MBI compared with a control condition for improving general health was moderate (g = 0.48; P = .002), with moderate heterogeneity (I(2) = 59; P <.05). We found no indication of publication bias in the overall estimates. MBIs were efficacious for improving mental health (g = 0.56; P = .007), with a high heterogeneity (I(2) = 78; P <.01), and for improving quality of life (g = 0.29; P = .002), with a low heterogeneity (I(2) = 0; P >.05).

conclusionsAlthough the number of randomized controlled trials applying MBIs in primary care is still limited, our results suggest that these interventions are promising for the mental health and quality of life of primary care patients. We discuss innovative approaches for implementing MBIs, such as complex intervention and stepped care.

Indexed as

AdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedMindfulnessPrimary Health CareRandomized Controlled Trials as TopicTreatment Outcomecomplex interventionsmeta-analysismindfulness-based interventionspractice-base researchprimary carerandomized controlled trials

Identifiers

PMID26553897
PMCPMC4639383

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.