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"Hidden gains"? Measuring the impact of mindfulness-based interventions for people with mild traumatic brain injury: a scoping review.

Brain injury
January 1, 1970
Brenda C Lovette et al. (5 authors)
Journal ArticleResearch Support, N.I.H., ExtramuralScoping ReviewHuman Study
Study Details

Study Goal

The researchers aimed to review the measurement approaches used to assess outcomes of mindfulness-based interventions for mild traumatic brain injury (mTBI) and identify the most affected domains.

Results Summary

Mindfulness-based interventions improved coping, somatic symptoms, emotional symptoms, stress response, and cognitive domains (especially attention). Qualitative results suggested benefits across all domains, but biomarkers did not show significant changes.

Population

Individuals with mild traumatic brain injury (mTBI).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based interventions
increase
coping
mTBI
-
most frequently improved
#1
mindfulness-based interventions
increase
somatic symptoms
mTBI
-
most frequently improved
#2
mindfulness-based interventions
increase
emotional symptoms
mTBI
-
most frequently improved
#3
mindfulness-based interventions
increase
stress response
mTBI
-
most frequently improved
#4
mindfulness-based interventions
increase
domains of cognition (particularly attention)
mTBI
-
most frequently improved
#5
mindfulness-based interventions
increase
all domains
mTBI
-
described benefits across all domains
#6
mindfulness-based interventions
no change
biomarkers
mTBI
no significant change
did not reflect significant change
#7
Abstract

BACKGROUND: Mindfulness-based interventions can support recovery from mild traumatic brain injury (mTBI). Although measurement is a key determinant of outcomes, there is no comprehensive assessment of measurement approaches used to capture outcomes of these programs. Here, we review the domains targeted, measurement techniques used, and domains and techniques most affected by mindfulness-based interventions for mTBI. METHODS: We conducted a scoping review. After screening and full-text review, we included 29 articles and extracted data related to measurement domains, techniques, and results. RESULTS: We identified 8 outcome domains, each with multiple subdomains. The most common domains were cognitive symptoms and general health/quality of life. No quantitative studies directly assessed sleep, physical-function, or pain-catastrophizing. Self-report was the most common measurement technique, followed by performance-based methods. Coping, somatic symptoms, emotional symptoms, stress response, and domains of cognition (particularly attention) were the most frequently improved domains. Qualitative results described benefits across all domains and suggested novel areas of benefit. Biomarkers did not reflect significant change. CONCLUSIONS: Mindfulness-based interventions for mTBI impact a range of clinical domains and are best captured with a combination of measurement approaches. Using qualitative methods and expanding the breadth of outcomes may help capture underexplored effects of mindfulness-based interventions for mTBI.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAttentionBrain ConcussionHumansMindfulnessQuality of Life
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations12
Citations/Year4.0
Relative Citation Ratio2.50
NIH Percentile80.8%
Research Impact Scores
APT Score0.75
Weight Score1.68
Normalized Score0.66
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