Li, Wendy Wen, McIntyre, Rebecca, Reid, Christopher, and Chao, Marc (2024) A Systematic Review on the State of the Art of Culturally Adapted Mindfulness-Based Interventions for First Nations Peoples: Cultural Adaptation, Effectiveness, and Feasibility. Mindfulness, 15. pp. 2147-2172.

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Abstract

Objectives: Mindfulness-based interventions (MBIs) have demonstrated efficacy in psychological and physiological domains. However, there is a limited body of research on MBIs specifically for First Nations peoples. The current review aimed to systematically evaluate the status of culturally adapted MBIs, examining their effectiveness and feasibility when applied to First Nations peoples.

Method: A systematic review was performed to synthesise the data from 10 reports of nine studies, with a combined sample size of 125 participants.

Results: The MBIs demonstrated adherence to elements of cultural adaptation, encompassing the aspects of persons, metaphors, content, goals, and concepts in all included studies. Overall, the quantitative evidence measuring the effectiveness of the adapted interventions showed improvements in psychological, physiological, and mindfulness aspects, as well as cultural elements and satisfaction with the programmes. However, there were minor mixed results observed in psychological outcomes and mindfulness measures. The qualitative findings highlighted that MBIs, by aligning with First Nations’ holistic spiritual beliefs, facilitated a means to reconnect with cultural and social identity. The maximum number of participants in the programmes ranged from 1 to 34. Participants were recruited through local community organisations, youth correctional facilities, long-term care facilities, Indigenous educational institutes, schools, universities, and word-of-mouth promotion. The pooled retention rate was relatively high at 85.2%, indicating that participants generally remained engaged throughout the programmes.

Conclusions: MBIs appear adaptable, effective, and feasible for First Nations peoples, with consistently positive outcomes. Based on the findings of the current review, a model of culturally adapted MBIs is proposed.

Item ID:	83773
Item Type:	Article (Research - C1)
ISSN:	1868-8535
Copyright Information:	© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Date Deposited:	16 Oct 2024 04:27
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