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Research Partnership Opportunities

Latest Mindfulness Research Partnerships 2017 onwards

Breathworks is engaged in an on-going programme of research with university and hospital partners.  There are several partnerships in progress at the moment that we hope will build a more substantial body of research, which in turn will help to make the case for larger clinical trials.

Some of the partnerships in progress are the following:

  • A PhD study is in progress trialling the online Mindfulness for Health course for patients at the National Spinal Injuries Centre and their partners, exploring the effect of mindfulness practice on quality of life. The study is now entering the data analysis stage, with initial feedback very positive.
  • A doctoral study trialling the Mindfulness for Health book and CD with gastrointestinal in-patients at University College London Hospital (UCLH) was completed in 2015, and is currently being written up for publication.
  • Several research bids are in process, including for older people with pain, for people experiencing late effects of cancer and its treatment, and for people living with multiple long-term conditions. There are other bids in development, including comparing online and group delivery of Mindfulness for Health.
  • Breathworks have an ongoing research collaboration with the Maggie's cancer support centres and the University of Manchester Health Psychology department, currently conducting an initial study into the impact of the Mindfulness for Health course on ability to manage pain, emotional distress and bodily distress in people with late effects from cancer treatments and their significant others
  • The Breathworks Mindfulness for Health course is currently being delivered and evaluated within several NHS settings, including pain units, occupational therapy, physiotherapy and mental health service contexts.

Further information on our ongoing research program can be viewed in this Breathworks Blog.

New Mindfulness Research Opportunties

Breathworks are always keen to build and support research partnerships, if you wish to discuss any opportunities please do get in touch with our research lead, Colin Duff: colin.duff@breathworks.co.uk

Published Findings on our Mindfulness-based Pain Management Programmes

The positive outcomes of our Breathworks programmes have been demonstrated in a number of published psychological papers. A variety of studies have assessed both the short term and long term effects of our courses, collecting a wealth of quantitative and qualitative research. Below is a summary of the research so far.

Contents

  1. Quantitative Published Studies
  2. Qualitative Published Studies
  3. Other Studies

Quantitative Published Studies

1. Psychobiological correlates of improved mental health in patients with musculoskeletal pain after a mindfulness-based pain management program.

Brown & Jones (2013) - Human Pain Research Group, University of Manchester Salford Royal NHS Foundation Trust, Salford, UK

Abstract here

This study, conducted by the Human Pain Research Group (within the Clinical Neurosciences Group at the University of Manchester), investigated the therapeutic mechanisms of mindfulness-based pain management in patients with chronic musculoskeletal pain. Patients were assessed using a series of tests (such as sustained attention tasks, EEG scans and questionnaires) before and after the Breathworks Mindfulness for Health programme. The lead author stated that: "The Breathworks programme improved the mental well-being of patients and their sense of being able to control their pain symptoms. These improvements were related to changes in patterns of activity in brain regions involved with cognitive control and emotional regulation."  Further detailed studies are in the planning stages.

2. Evaluation of the Breathworks mindfulness-based pain management programme: Effects of well-being and multiple measures of mindfulness

Cusens et al. (2010) Anaesthetics, Theatres and Pain Services Directorate, Derrieford Hospital, Plymouth, UK

Abstract here

This study used both subjective and objective measures to investigate two separate outcomes from our mindfulness-based pain reduction programme (MBPM); firstly whether the programme resulted in short-term wellbeing and secondly whether the course improved level of mindfulness itself. 53 individuals living with chronic pain (mostly back pain) took part in the study and were split into two groups; 33 subjects took part in our MBPM programme and 20 subjects formed the comparison group who simply continued with their original routine and treatment.

In the first study, all participants completed a self-report questionnaire both before and after the intervention. Results showed that despite pain intensity remaining the same for both groups, the MBPR group scored significantly higher on all wellbeing measures, including having higher levels of pain acceptance and lower levels of rumination and helplessness. In a second study, both subjective and objective measures were used to evaluate whether the MBPM programme also improved level of mindfulness, particularly with regards to attention and awareness. Self-reported measures collected through questionnaire data suggested that after taking the course, people perceived themselves as being more mindful compared to the control group and also became more aware of and attentive towards their positive moods. Further details are also available in the associated PhD thesis (Bryony Cusens, 2009, University of Bath).

3.  Two-Week Web-Based Mindfulness Training Reduces Stress, Anxiety, and Depressive Symptoms in Individuals with Self-reported Stress: A Randomized Control Trial'

Vesa et all. (2016) Department of Psychology, Umeå University, Sweden

Abstract & Article here or download the PDF - pdfPDF Download458.5 KB

This study examined the effects of a short-term web-based mindfulness program - the Breathworks/MFC Online Mindfulness Taster Course. 70 participants with severe stress were randomly assigned to a group taking the course and a control group. Pre and post questionnaire measures showed that mindfulness training increased mindfulness skills and reduced levels of perceived stress, anxiety, and depressive symptoms, with no such changes observed in the control group. Additionally, measured changes in mindfulness skills were associated with reductions in symptom scores, indicating treatment-specific effects.

4.  Effects of Eight-Week-Web-Based Mindfulness Training on Pain Intensity, Pain Acceptance, and Life Satisfaction in Individuals With Chronic Pain

Henriksson et al. (2016) Department of Psychology, Umeå University, Sweden.

Abstract & Article here or download the PDF - pdfAbstract and Article.pdf204.27 KB

Abstract: 

This study examined the effects of the Breathworks eight-week-web-based mindfulness program designed for individuals with chronic pain. A sample of 107 participants with chronic pain were randomly assigned to a treatment group and a control group. The mindfulness program involved 20 minutes of training per day, six days a week, for eight weeks. During this period, the control group was invited to an online discussion forum involving pain-related topics. A total of 77 participants completed the post intervention assessment. The group assigned to mindfulness training showed significantly increased mindfulness skills, reduced pain intensity, reduced pain-related interference/suffering, heightened pain acceptance, reduced affective distress, and higher ratings of life satisfaction following the training in comparison to the control group. Despite the limitations of this study, including a less than ideal control group to isolate effects of mindfulness and lack of a long-term follow-up, the results appear promising and may motivate further investigations.

5.  Self-Selection all the Way: Improving Patients’ Pain Experience and Outcomes on a Pilot Breathworks Mindfulness for Health Programme

Alessio Agostinis, Michelle Barrow, Chad Taylor, Callum Gray, (2017), Pain Management Centre, Jersey UK Channel Islands.

This study investigated the changes in pain experience and quality of life resulting from an 8-week Breathworks accredited Mindfulness for Health programme, for patients experiencing chronic pain. Data was analysed between three direct selection (DS) and three self-selection (SS) groups. Outcomes for the overall sampled showed an improvement in standardised measures. Improvements in quality of life and mindfulness were also reported, as well as positive written and verbal feedback. Groups with a preliminary taster and engagement session, showed greater improvement, within a wider number of measures and better treatment retention.

This following research poster was first presented at the British Pain Society Annual Conference in Birmingham 2017 - pdfResearch Poster - British Pain Society 2017.pdf470.64 KB

6.  Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: a randomized, controlled feasibility trial

Hearn & Finlay (2018), University of Buckingham Medical School and Department of Psychology, Buckingham, UK

Read the full Article here or download the PDF - pdfPDF Download 

Summary:

This study investigated the efficacy and feasibility of an internet-delivered version of our Breathworks Mindfulness of Health course, in individuals with spinal-cord injury (SCI).
A sample of 67 participants were split into two randomly assigned groups; one receiving the internet-delivered 8-week mindfulness intervention and the other, 8-weeks of internet-delivered psychoeducation. The Breathworks intervention encourages individuals to cultivate the ability to be in the present moment non-judgementally through meditations such as breathing awareness and mindful movements. Psychoeducation, an intervention commonly assigned to people with chronic pain consisted of accessible educational information about SCI sent weekly; including the role of stress and unhelpful thoughts, and options for pain and psychological management.
Immediately after the interventions, it was found that the group assigned to the internet-delivered Breathworks intervention, had significantly decreased depression symptoms, compared to the psychoeducation group, as well as significantly reduced anxiety, pain catastrophizing (negative and exaggerated thinking surrounding pain), and pain unpleasantness. Self-report measures of total mindfulness were also found to be significantly increased. At 3-months post intervention a significant reduction in depression, pain catastrophizing and anxiety was sustained for the mindfulness participants.
Overall, the study was indicative of our Breathworks internet-delivered mindfulness course being a practical and effective intervention for individuals with reduced sensory and motor function, compared to standardly provided psychoeducation. Suggestions for further research include examining the effectiveness of combined mindfulness and psychoeducation, and evaluating the mechanisms of change that underlie facets of mindfulness and psychoeducation, in individuals with spinal-cord injury.


Qualitative Published Studies

1.  Starting where I am: a grounded theory exploration of mindfulness as a facilitator of transition in living with a long-term condition

Long et al. (2016), School of Nursing and Midwifery, De Montfort University, Leicester

The full text of this paper, which is the results of Dr Jaqui Long's PhD research at the University of Leeds, is available here pdfLong_et_al-2016-Journal_of_Advanced_Nursing.pdf433.76 KB, or you can download this four page PDF Summary by ther author here (127.9 KB).

This study is particularly exciting as it studied the long-term effects of mindfulness meditation training on individuals living with a chronic health condition, focusing on the experiences of participants who had learnt mindfulness up to 8 or 9 years ago, to see what changes it had made in how they lived with and managed long term illness. Forty-one people, including 37 Mindfulness for Health course participants living with a range of long-term illnesses (e.g. chronic fatigue syndrome, cancer and depression) and 7 Breathworks trainers, took part in a series of interviews and focus groups, and reported highly positive life changes and benefits that continued to be sustained in the years following the course, even for the longest period under study (8-9 years).

Findings were grouped into themes, from which Jaqui developed a 'model' of peoples' experiences which she named 'the Starting Where I Am' model, in reference to the way that participants were able to be more aware of and accepting of their illness and themselves, and as a result to respond to their needs more appropriately and compassionately. The main themes were 'Getting a New Perspective' (being more aware of their condition but also able to see the bigger picture around it), 'Feeling Equipped to Cope' (having skills and insights to understand and manage their condition and choose how they reacted to it), 'Doing Life Differently' (responding more accurately and compassionately to their condition in how they lived their lives, both in immediate situations and over the longer term). Two other themes 'Seeing a Change' (improvements in condition, mental wellbeing and relationships due to mindfulness) and 'Finding it Difficult' (some found aspects of mindfulness practice difficult including finding time to meditate, feeling guilty at dedicating time to themselves, and increased distress when becoming more aware of their condition) described how their experience could be positively or negatively affected. Overall however, it was found that mindfulness practice had a huge benefit on the wellbeing of most of the participants, with the effects lasting for several years after attending the course. 

2. Experiencing Wellness Within Illness: Exploring a Mindfulness-Based Approach to Chronic Back Pain

Doran (2014) - Faculty of Medical and Human Sciences, School of Medicine, Division of Primary Care. University of Manchester

Abstract here

This study was conducted on 16 volunteers attending the Breathworks "Mindfulness-based Living Well with Pain and Illness" programme to gather information on their personal experience of living with persistent back pain. Data was collected through observations and semi-structured interviews which were conducted at 6 months after completion of the course. Interviews were also repeated for 5 participants at 1 year after completion of the course. Several recurring themes emerged from the analysis including; 'Unpacking the Experience' (being able to respond to early warning signs of flare ups), 'Changing Relationship to Pain' (learning to live in harmony with the pain rather than tighten around it), 'Letting Go of the Label' (eliminating the need to find an explanation for the pain), 'Self-compassion and Acceptance' (accepting their pain and to stop blaming themselves for flare ups), and 'Wellness Within Illness' (having a better quality of life despite the pain).

For more information on this project please consult the links below:

 

3. Mindfulness, Pain, and the Occupational Self: A Narrative Exploration

Mr Eli Dunsford’s (2016) Dissertation – Sheffield Hallam University, MSc in Occupational Therapy.

This Dissertation was awarded a distinction, and is currently being written up into a paper for publication.

This study explored the narratives of three participants from various backgrounds that experience different chronic pain conditions. One experiences lower back pain due to a work based injury, one broke his back and ankle in a car accident which also left him with PTSD, and one had chronic fatigue syndrome with a significant pain element. Each had previously undergone an eight week mindfulness course for chronic pain. Mindfulness was a major element for each of them in the recovery, maintenance and elevation of themselves as occupational beings.

Click here to see a pdfsummary of the Dissertation from Eli.


Other Studies

1. Department of Health – staff well-being pilot

At the beginning of 2013, Breathworks successfully bid to run an innovative wellbeing pilot for staff of the Department of Health at their main offices in London and Leeds, UK.  The programme was designed as a health and wellbeing support initiative for staff, and as a “proof of concept” study assessing benefits and challenges to wider implementation.

Statistically significant changes for the group as a whole included:

  • Reduced Perceived Stress.
  • Improvement in Satisfaction with Life.
  • Improved Wellbeing.
  • Reduced sense of isolation.
  • Less likely to be overwhelmed by painful thoughts and feelings.

2. Randomised Control Trial into Online Mindfulness Training for Chronic Pain

The study was a randomised controlled trial with a partly active control group. 21 participants from the intervention group and 40 participants from the control group completed post measurement. The intervention group, who took part in the Mindfulness for Health online course, demonstrated:

  • increased levels of mindfulness,
  • reduced pain related distress
  • heightened pain acceptance
  • increased quality of life
  • a strong tendency towards a perceived reduction of pain intensity

The research is available as PDF download.

3. Mindfulness and work preparedness pilot programme

Breathworks has been involved in an inspiring and successful programme in which 30 people recovering from addiction completed a mindfulness for stress course in order to improve wellbeing and readiness to return to work. This inspiring and successful programme was in collaboration with the Department of Health North West and National Health Service North West. The pilot programme was delivered in early 2011, with the (initially very promising!) results currently being evaluated by a team at Manchester Metropolitan University.

Individuals recovering from addiction were joined by key community workers in attending 4 fortnightly day sessions in mindfulness meditation. This was followed by a 'Next Steps to Employment' session and the intervention concluded with a 'Celebration Day' in which participants shared their initial outcomes.

One individual reported, "I'm a lot calmer now and can deal with things a lot better, accepting and releasing, I'm sleeping a lot better, I definitely think it helps with my continued recovery."

For more details see here

Internal Evaluations of our Mindfulness-based Pain Management Programmes

At Breathworks we aim to continually evaluate the clinical effects of our mindfulness-based pain management programme, and to maintain an ongoing programme of research partnerships and collaborations.  Details of results and published studies are listed below.

Recent Course Evaluations (2017)

We are currently in the process of analysing recent data from both our 'Mindfulness for Health' and 'Mindfulness for Stress' courses and have been presented with some very promising results, finding further health benefits to those already established in our 2010 executive summary.

pdf2017 Mindfulness for Health Evaluations.pdf

pdf2017 Mindfulness for Stress Evaluations.pdf

Evidence of Success - Executive Summary (2010)

  • Breathworks Executive Summary: Living Well Programmes - Mindfulness Approaches to Health and Wellbeing
    PDF download or HTML

Further documents can be read in conjunction with the Executive Summary:

  • Article 1. The evidence base for mindfulness based interventions for chronic pain
    PDF download or HTML
  • Article 2. Mindfulness - definitions and description of its role in clinical settings
    PDF download or HTML
  • Article 3. The distinction between mindfulness and other psychological therapies for the treatment of chronic pain
    PDF download or HTML
  • Article 4. Table of quantitative evidence
    PDF download or HTML

The full powerpoint of our research is also available as PDF download.


Social Value Report

Breathworks Mindfulness Receives the Social Value Quality Mark

Every £1 invested in Breathworks courses produces savings of at least £5.76 in reduced costs to health and other public service needs, employer costs and increased community contributions.

Breathworks was set up in 2001 when Vidyamala Burch ran an advert in the Manchester Evening News for mindfulness classes for people living with chronic pain. The response was overwhelming. In 2003, our two other founders, Sona Fricker and Gary Hennessey joined and Breathworks expanded its mindfulness training to cover illness, long-term health conditions (LTCs) and stress.Social Value Quality Mark Level 3

Our founders wanted Breathworks to create social and individual change through the business of mindfulness training, so the organisation was set up as a Social Enterprise (and developed into the Community Interest Company (CIC) it is today) while at the same time ensuring that the mindfulness courses represented value for money and were available to those who needed them with our structured pricing plans and bursaries.

With this in mind, we aim to be rigorous in our approach to the value of our mindfulness training, so a research and evaluation organisation, The Social Value Business, was contracted to independently assess our value and benefits to society.

The Social Value Business, conducted extensive research on Breathworks over several months entailing a detailed data gathering and analysis process. Now, we are absolutely delighted to publish their findings in this Social Value Summary report and to be awarded the Social Value Quality Mark (Level 3).

The Social Value Summary report found that in addition to the immediate benefits of mindfulness to our course participants, for every £1 invested in a Breathworks course there were savings to the public purse of at least £5.76, in reduced costs to health and other public service needs, employer costs and increased community contributions.

pdfBreathworks Mindfulness Social Value Mark Infographic.pdf3.24 MB

pdfBreathworks Mindfulness Social Value Full Report - 2016.pdf170.7 KB

Other findings included:

Mindfulness for Health Impacts and Outcomes: Reduced distress from pain; reduction in depression; reduced ambulance calls, reduced A & E visits and reduction to GP and Community Nursing Team.

Mindfulness for Stress Impacts: Reduced absenteeism from work; reduced need to GP appointments and medication to treat stress; reduced need for mental health intervention and reduction in drug and alcohol misuse.

• Over 12 months, Breathworks UK Teachers delivered Mindfulness for Health training to over 800 people and Mindfulness for Stress to over 1000.

• Over 12 months, 50 new practitioners within the UK can now deliver mindfulness training.

Colin Duff, Breathworks' Business and Research Manager, says: "We are so pleased with these results, which not only reinforce that Breathworks is following through on our founder's original aims of social value and change, but through this Social Value Summary report it has been established that for every £1 invested in us a saving of at least £5.76 is made to the public purse".

"This will be of particular interest to public service commissioners, who since the Social Value Act of 2013, are required to consider how social value can be embedded within commissioning of services."

If you are interested in talking to someone further about our social value and how Breathworks Mindfulness could benefit your organisation, please contact Colin at colin.duff@breathworks.co.uk.