Evidence map›Paper›PMID 33065498›Full record

ArticleSocial science & medicine (1982)2020

"Cooling of the mind": Assessing the relevance of mindfulness training among people living with HIV using alcohol and other substances in South Africa.

Jessica F Magidson, Emily N Satinsky, Christina M Luberto, Bronwyn Myers, Christopher J Funes, Rachel Vanderkruik, Lena S Andersen

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Global Is Local: Leveraging Global Mental-Health Methods to Promote Equity and Address Disparities in the United States.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Patient and provider perceptions of a peer-delivered intervention ('Global mental health (Cambridge, England) · 2022
    Article
  11. Review
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

7 authors at 4 institutions in 2 countries.

Jessica F MagidsonUniversity of Maryland, College Park, 1147B Biology-Psychology Building, College Park, MD, 20742, USA. Electronic address: jmagidso@umd.edu.
Emily N SatinskyUniversity of Maryland, College Park, 1147B Biology-Psychology Building, College Park, MD, 20742, USA; Massachusetts General Hospital, 1 Bowdoin Square, Boston, MA, 02114, USA. Electronic address: esatinsk@umd.edu.
Christina M LubertoMassachusetts General Hospital, 1 Bowdoin Square, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 0211, USA. Electronic address: cluberto@mgh.harvard.edu.
Bronwyn MyersSouth African Medical Research Council, Tygerberg, South Africa; University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa. Electronic address: Bronwyn.myers@mrc.ac.za.
Christopher J FunesMassachusetts General Hospital, 1 Bowdoin Square, Boston, MA, 02114, USA. Electronic address: cjfunes@mgh.harvard.edu.
Rachel VanderkruikMassachusetts General Hospital, 1 Bowdoin Square, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 0211, USA; University of Colorado, Boulder, Muenzinger Psychology Building, 1904 Colorado Avenue, UCB 345, Boulder, CO, 80309, USA. Electronic address: Rachel.Vanderkruik@colorado.edu.
Lena S AndersenUniversity of Cape Town, Groote Schuur Hospital, Cape Town, South Africa. Electronic address: lena.andersen@uct.ac.za.
Massachusetts General Hospital · USUniversity of Maryland, College Park · USGroote Schuur Hospital · ZAUniversity of Cape Town · ZA

Funding

Nurse-Delivered CBT for Depression-Adherence in HIV Primary Care S. AfricaR01MH103770 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI O'CLEIRIGH, CONALL MICHAEL, SAFREN, STEVEN A · 2015 to 2019
$3.1M
Hybrid Effectiveness-Implementation Trial for ART Adherence and Substance Use in HIV Care in South AfricaK23DA041901 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F · 2016 to 2020
$1.0M
Mindfulness-Based Cognitive Therapy Delivered via Group Videoconferencing for Acute Coronary Syndrome Patients with Elevated Depression SymptomsK23AT009715 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI LUBERTO, CHRISTINA M · 2018 to 2022
$786k
NCCIH NIH HHS K23 AT009715NIDA NIH HHS K23 DA041901NIMH NIH HHS R01 MH103770
6 · The paper itself

Abstract

rationale"Thinking too much" is a cultural idiom of distress identified across sub-Saharan Africa, including among people living with HIV (PLWH), which is associated with depression, substance use, and HIV medication nonadherence. Despite the relevance of mindfulness training to address thinking too much, improve HIV-related outcomes, and reduce substance use, efforts to adapt mindfulness training for this context and underserved populations more broadly have been limited.

objectiveWe explored in this context: (a) the experience of thinking too much among PLWH struggling with adherence and substance use; (b) the appropriateness of mindfulness training to address thinking too much; and (c) potential barriers and facilitators to implementing mindfulness training.

methodWe conducted semi-structured interviews with patients (n = 19) and providers (n = 11) at two clinics in a peri-urban area of Cape Town. Guided by the ADAPT-ITT model, we included an experiential mindfulness practice and participants shared their observations and descriptions of the intervention in the local language (isiXhosa).

resultsParticipants found mindfulness relevant, culturally salient, and appropriate for refocusing the mind. Findings provide unique language offered by participants to tailor mindfulness training in the future (e.g., "hearing your veins," "cooling of the mind"). Participants identified potential implementation barriers, including lack of privacy, and facilitators to guide future adaptations.

conclusionsMore research is needed to adapt and increase access to mindfulness training in resource-limited settings globally, while also maintaining treatment integrity and fidelity.

Indexed as

HIV InfectionsMindfulnessSubstance-Related DisordersHumansMedication AdherenceSouth AfricaGlobal mental healthHIVHIV medication AdherenceMindfulnessSouth AfricaSubstance useThinking too much

Identifiers

PMID33065498
PMCPMC8183602
OpenAlexW3092145720

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.