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Mindfulness-Based Restoration Skills Training (ReST) in a Natural Setting Compared to Conventional Mindfulness Training: Psychological Functioning After a Five-Week Course
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
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2020 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 11, article id 1560Article in journal (Refereed) Published
Abstract [en]

Restoration skills training (ReST) is a mindfulness-based course that draws on restorative nature experience to facilitate the meditation practice and teach widely applicable adaptation skills. Previous studies comparing ReST to conventional mindfulness training (CMT) showed that ReST has important advantages: it supports beginning meditators in connecting with restorative environmental qualities and in meditating with less effort; it restores their attention regulation capabilities; and it helps them complete the course and establish a regular meditation habit. However, mindfulness theory indicates that effortful training may be necessary to achieve generalized improvements in psychological functioning. Therefore, this study tests whether the less effortful and more acceptable ReST approach is attended by any meaningful disadvantage compared to CMT in terms of its effects on central aspects psychological functioning. We analyze data from four rounds of development of the ReST course, in each of which we compared it to a parallel and formally matched CMT course. Randomly assigned participants (total course starters = 152) provided ratings of dispositional mindfulness, cognitive functioning, and chronic stress before and after the 5-week ReST and CMT courses. Round 4 also included a separately recruited passive control condition. ReST and CMT were attended by similar average improvements in the three outcomes, although the effects on chronic stress were inconsistent. Moderate to large improvements in the three outcomes could also be affirmed in contrasts with the passive controls. Using a reliable change index, we saw that over one third of the ReST and CMT participants enjoyed reliably improved psychological functioning. The risk of experiencing deteriorated functioning was no greater with either ReST or CMT than for passive control group participants. None of the contrasts exceeded our stringent criterion for inferiority of ReST compared with CMT. We conclude that ReST is a promising alternative for otherwise healthy people with stress or concentration problems who would be less likely to complete more effortful CMT. By adapting the meditation practices to draw on restorative setting characteristics, ReST can mitigate the demands otherwise incurred in early stages of mindfulness training without compromising the acquisition of widely applicable mindfulness skills.

Place, publisher, year, edition, pages
Frontiers Media SA , 2020. Vol. 11, article id 1560
Keywords [en]
Mindfulness, Restoration, Meditation, Nature, Environment, Training
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-391656DOI: 10.3389/fpsyg.2020.01560ISI: 000565337900001PubMedID: 32903687OAI: oai:DiVA.org:uu-391656DiVA, id: diva2:1345469
Note

Title in thesis list of papers: Mindfulnesss-based restoration skills training (ReST) in a natural setting compared to conventional mindfulness training: A randomized trial with six-month follow-up

Available from: 2019-08-25 Created: 2019-08-25 Last updated: 2022-02-10Bibliographically approved
In thesis
1. Mindfulness training supported by a restorative natural setting: Integrating individual and environmental approaches to the management of adaptive resources
Open this publication in new window or tab >>Mindfulness training supported by a restorative natural setting: Integrating individual and environmental approaches to the management of adaptive resources
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis integrates restorative environments research and mindfulness research: two disparate but related approaches to managing the demands of modern living. Both offer ways to improve attention regulation by detaching from routine mental contents and engaging with present experience. However, restoration works bottom-up, from supportive environmental features, while mindfulness meditation works top-down, through effortful training. Complementarities between the two are the foundations of restoration skills training (ReST), a five-week mindfulness-based course that uses mindful sensory exploration in a natural setting to build a meditative state effortlessly. As in conventional mindfulness training (CMT), ReST involves a learning structure to teach versatile adaptive skills.

Data were collected in four rounds, with successively refined versions of ReST given in a botanic garden and formally matched CMT given indoors. Data were collected to test short-term outcomes of practice sessions and long-term course outcomes. Four papers aim to determine whether ReST confers similar health benefits as CMT and has specific advantages related to lower effort and enhanced restoration. Paper I shows that on repeated measurement occasions across the course weeks, attention tests obtained before and after ReST practice sessions showed restorative effects (improved performance) consistently for general attention and increasingly for executive attention. In contrast, CMT practice indoors incurred increasing effort (deteriorated performance) seen in general attention. Despite these different short-term outcomes, ReST and CMT conferred similar generalized improvements over the course weeks. Paper II shows that ReST compared with CMT had higher course completion and better establishment of a regular practice. Compliance was mediated through perceived restorative qualities in the meditation setting and state mindfulness during the classes. Paper III shows that ReST was attended by at least similar benefits for general psychological functioning as CMT. Ratings of dispositional mindfulness and attention problems remained improved six months after ReST. After CMT, only attention problem ratings remained improved. However, chronic stress ratings were not lastingly improved with either course. Paper IV shows that with ReST, participants with higher initial ratings of attention problems subsequently completed more homework practice during the course. Homework practice in turn explained part of the improvement in dispositional mindfulness and attention problems. With CMT, homework practice was unrelated to initial attention problems and improvement. In conclusion, ReST is a promising alternative for people who struggle under heavy attention demands; effortful training is not necessary to improve attention regulation in early stages of mindfulness training. The theoretical and practical integration can guide further exchange between these related research fields.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2019. p. 159
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 171
Keywords
Mindfulness, Restorative, Environment, Meditation, Setting, Training, Attention, Adaptation, Attention, Resource, Integration, Individual, Environmental
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-391661 (URN)978-91-513-0735-0 (ISBN)
Public defence
2019-10-18, Sydney Alrutz-salen, Blåsenhus, von Kraemers Allé 1, Uppsala, 10:15 (English)
Opponent
Supervisors
Available from: 2019-09-26 Created: 2019-08-25 Last updated: 2019-10-15

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