Can a teacher-led mindfulness intervention for new school entrants improve child outcomes? Protocol for a school cluster randomised controlled trial.
Study Goal
The researchers aimed to determine whether a mindfulness intervention in the first years of primary school improves attention, executive functioning, socio-emotional well-being, and classroom interactions, and whether implementation predicts efficacy and cost-effectiveness.
Results Summary
The study is a pre-results trial, so findings are not yet reported. The abstract outlines the methodology and planned outcomes but does not provide results.
Population
826 students in the first year of primary school from disadvantaged areas of Melbourne, Australia.
Effective Dosage
Not specified
Duration
18 months post-randomization
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness intervention | increase | immediate attention/short-term memory | children in the first years of primary school | - | have better | #1 |
mindfulness intervention | increase | inhibition, working memory and cognitive flexibility | children in the first years of primary school | - | have better | #2 |
mindfulness intervention | increase | socio-emotional well-being, emotion-regulation and mental health-related behaviours | children in the first years of primary school | - | have better | #3 |
mindfulness intervention | increase | teacher practice and classroom interactions | - | - | sustained changes | #4 |
mindfulness intervention | neutral | implementation | - | - | predicts the efficacy | #5 |
mindfulness intervention | neutral | outcomes | - | - | cost effectiveness | #6 |
INTRODUCTION: The first years of school are critical in establishing a foundation for positive long-term academic, social and well-being outcomes. Mindfulness-based interventions may help students transition well into school, but few robust studies have been conducted in this age group. We aim to determine whether compared with controls, children who receive a mindfulness intervention within the first years of primary school have better: (1) immediate attention/short-term memory at 18 months post-randomisation (primary outcome); (2) inhibition, working memory and cognitive flexibility at 18 months post-randomisation; (3) socio-emotional well-being, emotion-regulation and mental health-related behaviours at 6 and 18 months post-randomisation; (4) sustained changes in teacher practice and classroom interactions at 18 months post-randomisation. Furthermore, we aim to determine whether the implementation predicts the efficacy of the intervention, and the cost effectiveness relative to outcomes. METHODS AND ANALYSIS: This cluster randomised controlled trial will be conducted in 22 primary schools in disadvantaged areas of Melbourne, Australia. 826 students in the first year of primary school will be recruited to detect between groups differences of Cohen's d=0.25 at the 18-month follow-up. Parent, teacher and child-assessment measures of child attention, emotion-regulation, executive functioning, socio-emotional well-being, mental health-related behaviour and learning, parent mental well-being, teacher well-being will be collected 6 and 18 months post-randomisation. Implementation factors will be measured throughout the study. Intention-to-treat analyses, accounting for clustering within schools and classes, will adopt a two-level random effects linear regression model to examine outcomes for the intervention versus control students. Unadjusted and analyses adjusted for baseline scores, baseline age, gender and family socioeconomic status will be conducted. ETHICS AND DISSEMINATION: Ethics approval has been received by the Human Research Ethics Committee at the University of Melbourne. Findings will be reported in peer-review publications, national and international conference presentations and research snapshots directly provided to participating schools and families. PRE-RESULTS TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12619000326190).