A Qualitative Exploration of Primary School Students Experience & Utilization of Mindfullness-2017

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Contemp School Psychol (2017) 21:304–316

DOI 10.1007/s40688-017-0141-2

A Qualitative Exploration of Primary School Students’


Experience and Utilisation of Mindfulness
Bavani Bannirchelvam 1 & Karen L. Bell 1 & Shane Costello 1

Published online: 10 July 2017


# California Association of School Psychologists 2017

Abstract D e s p i t e t h e i n c r e a s i n g u t i l i s a t i o n o f Introduction
mindfulness-based interventions in children, research in-
vestigating the impact of these interventions in children is Today’s child faces the daunting task of developing social and
still in its infancy. One significant gap in the literature is emotional wellbeing amidst rising levels of stressors and de-
the general omission of the child’s voice in how they clining levels of protective factors in their social world
experience and benefit from mindfulness-based interven- (Antonovsky 1993; Olesen et al. 2010). In Australia, 6.9%
tion. Therefore, the present study explored children’s ex- of children between the ages of 4 and 11 years are diagnosed
periences of a mindfulness-based intervention, as well as with an anxiety disorder, and 1.1% are diagnosed with major
why and how they utilised mindfulness techniques. A depression (Lawrence et al. 2015). The prevalence of mental
semi-structured interview was undertaken with eight up- health problems escalates when looking at adolescent popula-
per primary school-aged students after completion of a tions. Here, 7% of Australian adolescents between the ages 12
classroom-based eight-session mindfulness intervention. and 17 years are diagnosed with an anxiety disorder, 5 % with
Thematic analysis elicited 11 key themes across the three major depression, and 10% reported having ever self-harmed
research questions. Students generally liked the (Lawrence et al. 2015). Significantly, it is estimated that half
mindfulness-based intervention but preferred experiential of all lifetime psychological disorders start by the age of
over passive program components. Students utilised 14 years (Kessler et al. 2005).
mindfulness techniques for emotion regulation, typically Exposure to parental separation (Olesen et al. 2010), vio-
by focusing on their breathing, shifting their attention to lence (Briggs-Gowan et al. 2010), financial difficulty
the present, and using a smartphone application. These (Edwards 2012), and parental mental illness (Olesen et al.
findings provide insights into factors contributing to pro- 2010) all reflect that children are facing significant life
gram engagement and children’s use of mindfulness as a stressors. However, the presence of a risk factor does not in-
strategy for emotion regulation. evitably result in the development of psychopathology
(Haggerty 1994). Rather, it is the interaction between the in-
Keywords Mindfulness . Children . Classroom . Child’s trapersonal and environmental risks and protective factors
voice . Emotion regulation which predicts whether the individual goes on to develop psy-
chological wellbeing or psychopathology (Haggerty 1994).

* Shane Costello
Social and Emotional Competence
shane.costello@monash.edu
One set of protective factors which has been found to
1
Krongold Clinic, Faculty of Education, Monash University, 57 contribute to the development of psychological wellbeing
Scenic Boulevard, Clayton, VIC 3800, Australia and reduce the likelihood of psychopathology is social
Contemp School Psychol (2017) 21:304–316 305

and emotional competence (Hamilton and Redmond 2010; Mindfulness-Based Interventions in Children
Seligman 2011). Social competency is the ability to pro-
cess and respond to social demands and cultivate healthy Mindfulness, as defined by Kabat-Zinn (1994), is the act of
relationships (Rose-Krasnor and Denham 2009), while deliberately paying attention to the present experience with an
emotional competency is the ability to perceive and re- attitude of curiosity, acceptance, and openness. The efficacy of
spond effectively to the emotions within self and others mindfulness-based interventions for enhancing wellbeing and
(Gullone et al. 2010). In healthy, optimal conditions, the treating a range of clinical conditions including anxiety and
growing child develops these competencies through a depression has been well established in adult populations
transactional interplay between intra-individual variables (Eberth and Sedlmeier 2012; Galante et al. 2014; Klainin-
such as the biologically driven unfoldment of genes, syn- Yobas et al. 2012; Piet et al. 2012). In contrast, there is less
aptic shaping and temperament, with environmental fac- research which has investigated mindfulness-based interven-
tors such as parental responsiveness, social learning, and tions in children. However, recent reviews yield promising
secure attachments (Lewis et al. 2010; Sameroff 2009; findings (Greenberg and Harris 2012; Jensen 2014; Zenner
Thompson 1991). The fact that social and emotional com- et al. 2014). Generally, these interventions are well accepted
petencies do not always develop through primarily biolog- by school staff and students (Mendelson et al. 2010; Schonert-
ical processes is seen in the prevalence of mental health Reichl et al. 2015). They are found to be feasible to imple-
problems in adolescent and adult populations, where most ment, and studies report beneficial impacts of both teacher and
psychological conditions such as anxiety and depression external facilitator delivery of the interventions (e.g., Felver
are underscored by the individual’s inability to understand et al. 2014; Flook et al. 2010; Mendelson et al. 2010;
and regulate their own emotions, or to create and sustain Schonert-Reichl et al. 2015). Studies to date have been mainly
healthy relationships with others (Bradley 2000; Cicchetti conducted with upper primary school children.
et al. 1995; Gross and Thompson 2007). In children, studies report the strongest support for the im-
In light of research findings showing the high preva- pact of mindfulness on attention (Felver et al. 2014; Klatt et al.
lence of mental health problems in children (Lawrence 2013; Napoli et al. 2005; Schonert-Reichl et al. 2015; Semple
et al. 2015) and emphasising the importance of social et al. 2010), emotional regulation (Coholic 2012; DeUrquiza
and emotional competencies for long-term psychological 2014; Flook et al. 2015; Schonert-Reichl et al. 2015; White
wellbeing (Cicchetti et al. 1995; Thompson 1991), the 2012), optimism (Schonert-Reichl and Lawlor 2010;
last decade has witnessed the beginnings of a shift in Schonert-Reichl et al. 2015), and prosocial behaviour (Flook
education to encompass social and emotional develop- et al. 2015; Schonert-Reichl and Lawlor 2010; Schonert-
ment, alongside academic achievement. In addition, Reichl et al. 2015). Research investigating the impact of
more than 50 % of Australian children with a diagnosed mindfulness-based interventions on specific emotional and
mental disorder do not access mental health services, behavioural outcomes yields less consistent findings, with
and a significant proportion of children in non-clinical studies reporting mixed results of the efficacy of mindfulness
populations report that their needs for counselling or life to ameliorate symptoms of anxiety (Lee et al. 2008; Linden
skills support are partially or completely unmet 1973; Napoli et al. 2005; White 2012), depression (Britton
(Lawrence et al. 2015). The greatest barrier impeding et al. 2014; Lee et al. 2008; Schonert-Reichl et al. 2015),
children from accessing mental health services is finan- and externalising behaviour problems (Britton et al. 2014;
cial constraints (Lawrence et al. 2015). Further, the fam- Lee et al. 2008; Semple et al. 2005).
ilies with the greatest amount of need for targeted men- Looking specifically at emotional regulation due to its im-
tal health interventions are often the most difficult to portance for social and emotional wellbeing, there is signifi-
retain in services (Fox et al. 2015). cant support for the efficacy of mindfulness interventions in
With the majority of children enrolled in schools, and with improving emotional control and coping in children (Coholic
children spending a significant amount of time at school, 2012; DeUrquiza 2014; Flook et al. 2015; Schonert-Reichl
schools have more scope than any other institution to deliver et al. 2015; White 2012). Three randomised controlled trials
accessible social and emotional wellbeing programs to the investigating the impact of mindfulness on coping and emo-
majority of children (Durlak et al. 2011; Fox et al. 2015; tional control consistently found that children who underwent
Moore et al. 2014). In Australia, the growing number of a mindfulness-based intervention showed greater levels of
schools adopting the Kids Matter framework for school- emotional control and coping, as well as lower emotional re-
based social and emotional wellbeing is just one illustration activity, as measured through self or teacher report (Flook
of this movement (KidsMatter 2015). Educators are also in- et al. 2015; Schonert-Reichl et al. 2015; White 2012).
creasingly choosing mindfulness-based interventions as a Consistent findings of decreased emotional reactivity were
means to foster social and emotional competence in primary reported in a cohort of children demonstrating behavioural
school children (Greenberg and Harris 2012). problems (Coholic 2012). Providing some insight into how
306 Contemp School Psychol (2017) 21:304–316

mindfulness may be facilitating emotional control and coping, Methods


in a clinical case study, children reported becoming more
aware of physiological sensations associated with anxiety, Participants
connecting these sensations with the recognition of anxiety,
and using breathing exercises to calm down (DeUrquiza The participants in the current study were recruited from a
2014). Thus, it appears that mindfulness interventions en- single public primary school in suburban Melbourne,
hance emotional control and coping in children, and this rela- Australia. All third, fourth, fifth, and sixth grade teachers at
tionship may be mediated by enhanced emotional awareness the school nominated students who they perceived to have
and conscious use of regulatory strategies. elevated levels of anxiety, low coping strategies, or students
Together, these findings demonstrate that mindfulness- who would potentially find the transition from primary to
based interventions may enhance the social and emotional secondary school difficult. Parents of these students were pro-
competency of primary school children, particularly in the vided with explanatory statements outlining the program. A
domains of emotional regulation, attention, prosociality, and total of 20 English-speaking students elected to participate in
optimism (Felver et al. 2014; Flook et al. 2015; Klatt et al. the program. Of these, eight were randomly selected (stratified
2013; Schonert-Reichl and Lawlor 2010; Schonert-Reichl by gender) to participate in follow-up interviews. This group
et al. 2015). However, almost all studies attempting to com- consisted of four girls and four boys from grades 3 to 6. The
prehend the impact of mindfulness-based interventions on students ranged in age from 7 to 11 years (M = 9.5 years,
children’s social and emotional wellbeing have been conduct- SD = 1.5 years). None of the students had been previously
ed on children, rather than with them, despite research dem- diagnosed with a psychological disorder. Comments by the
onstrating children’s capacity to share their views and be ex- classroom teachers with relevant information about why each
perts of their own lives (Christensen and James 2000). Rather, participant was identified as being at risk, as well as demo-
to date, the child’s voice has been largely underrepresented in graphic characteristics of study participants, are provided in
the scientific journey towards an understanding of how Table 1. All students were given pseudonyms to protect
mindfulness-based interventions impact the young person. confidentiality.
Costello and Lawler (2014) conducted a thematic analysis
exploring children’s experience of a mindfulness-based inter- Materials
vention and perceived stress. By listening to the child’s voice,
this study contributed significant insights into changes in chil- Intervention
dren’s awareness; concentration; ability to deal with stress;
and cognitive, emotional, and behavioural regulation capaci- The Triple R Program is a mindfulness-based program that
ties following a mindfulness-based intervention. Whilst pro- consists of six, once a week session each 1 h in duration,
viding one of the first insights into children’s experience of followed by two booster sessions. A pilot study into the
mindfulness, many questions pertaining to how children ex- Triple R Program found moderate increases in mindfulness
perience, consciously use, or practice mindfulness remain skills after 6 weeks, with increased mindfulness skills signif-
unanswered. icantly associated with decreased negative emotional symp-
toms (Dove and Costello 2017). With the exception of the first
session which started with introduction and relationship build-
The Current Study ing activities, the sessions started and finished with a brief
guided mindfulness meditation. These meditations involved
Because of the interest in preventing the development of psy- visualisations, scanning the different parts of the body, paying
chopathology as well as the research generally centred upon attention to sensory stimuli, focussing on the breath, observ-
upper primary school students, this study focuses on grade 3 ing thoughts, and noticing feelings. Each session also included
to 6 students identified to be at risk of developing further activities, discussions, and story books related to weekly
mental health concerns. The current study sought to explore topics. These topics included awareness of feelings, mindful-
a group of primary school student’s experiences of a ness, noticing feelings in the body, noticing thoughts, and
mindfulness-based intervention. healthy friendships. The first six sessions were completed
The following research questions were examined: within the second school term.
At the beginning of both the third and fourth school terms,
1. What are student’s experiences of the mindfulness-based booster sessions were delivered. The first booster session fo-
intervention? cused on managing worries by sharing with caring adults who
2. What were the student’s motivations to use mindfulness were identified by the students during the session. The second
techniques? booster session focused on managing worries with coping
3. How do students practice mindfulness? strategies. An outline of the Triple R Program is presented in
Contemp School Psychol (2017) 21:304–316 307

Table 1 Demographic
information for study participants Pseudonym Gender Age/grade Teacher comments

Hamish Male 7 years, grade 3 Low social skills and low confidence
Julie Female 11 years, grade 6 Strategies for managing transition to high school
Liam Male 10 years, grade 5 Low coping skills, high level of anxiety
Belle Female 11 years, grade 5 Family separation and trauma; low confidence.
Charlie Male 8 years, grade 3 Family separation, high level of anxiety, and low self esteem
Georgia Female 8 years, grade 3 Family separation, high level of anxiety and low self confidence
Tamara Female 10 years, grade 5 Low coping skills, family issues
Jack Male 11 years, grade 5 Low social skills and low coping skills

Appendix A, and further information is available by that all information and opinions shared within the interview
contacting the corresponding author. was confidential and any responses included in reports and
publications would be completely de-identified. Participants
Intervention and Data Collection Procedures were also encouraged to share their true perceptions of the
program, regardless of whether these were positive or
Upon return of parental consent forms, the participants negative.
underwent the Triple R mindfulness-based intervention.
This was conducted at their school during school time Data Analysis
by two external facilitators and provisionally registered
psychologists from Monash University. The initial phase Transcripts were analysed in an iterative process by the
of the intervention lasted 6 weeks, with one booster first author using thematic analysis (Braun and Clark
session delivered at the beginning of each subsequent 2006) to inductively identify themes within the data
school term for two terms (totalling eight intervention related to participants’ experiences, motivations for
sessions). using, and practice, of mindfulness. This involved read-
Within 1 week following the delivery of the final ing the transcripts several times for familiarisation with
booster session, the first author, who was not involved the raw data, before identifying parts of the data salient
with the facilitation of the mindfulness-based interven- to the research questions and generating codes for these.
tion, conducted individual interviews with the partici- Next, different codes relating to the same issue were
pants at their school. The semi-structured interviews categorised together to make a theme. These themes
were guided by six questions (Appendix B) focussed were then reviewed for redundancy, in which case they
on exploring the participant’s experiences of the mind- were combined with other themes. Themes which were
fulness program and their practice of mindfulness too broad were split into separate themes. Finally,
(Mertens 2005). Questions also asked about when and themes were defined and named.
under what conditions they used mindfulness techniques Results were discussed with the facilitators and provisional
in order to explore their implicit motivation to utilise psychologists involved in implementing the program at other
mindfulness. primary schools and found to be consistent with their experi-
Before asking the interview questions, the interviewer ences of the program. Another provisional psychologist, who
briefly recapped the different mindfulness meditations and was not involved in the study, reviewed the data and resulting
sessions covered during the Triple R Program. Due to ethical themes to ensure accurate representation and coding of the
limitations of conducting research with students in a school data and that no other feasible interpretations could be put
setting, the interviews were not audio recorded. Instead, the forward to account for the data.
interviewer made a verbatim written record of the student’s
responses to the interview questions during the course of the
interview. Pauses were taken after each response for the inter- Results
viewer to complete writing down the response. Interviews
were completed over 2 days and all interviews were complet- The thematic analysis process applied to the partici-
ed before analysis began. Interviews lasted no more than pants’ responses to interview questions revealed a num-
20 min. ber of themes and subthemes which related to the three
To minimise responses based on social desirability, partic- research questions. These themes are summarised in
ipants were assured at the commencement of the interview Table 2 below.
308 Contemp School Psychol (2017) 21:304–316

Table 2 Summary of themes


elicited from the thematic analysis Research question Theme Subthemes

What was the student’s experience of Active versus passive participation Guided meditation
the Triple R Program? Sharing feelings with peers
Previous experience with
mindfulness and program
disengagement
What were the student’s motivations to Emotional control
use mindfulness techniques? Awareness of negative emotional Anxiety and fear
state
Anger
Sadness
Awareness of repetitive cognitive Worry
processes
Rumination
Perceived utility of mindfulness for Liking mindfulness because
emotional control and coping of its perceived utility
Awareness of impact of mindfulness Calm and relaxed
on emotional states
Less worried
Recovering from panic
How do students practice Breathing
mindfulness? Shifting attention to the present
Smiling Mind application
Misconceptions of mindfulness Mindfulness is relaxation
Mindfulness is distraction

Students’ Experiences of Mindfulness the repeated practice of guided mindfulness meditation each
week was not reported to lower the students’ enjoyment and
Overall, the students reported that they Bliked^ the engagement in the program.
Triple R program and found it to be Bhelpful^. Students also shared that they enjoyed activities in which
However, some students also reported that they found they shared their feelings as well as fears with others. Whilst
parts of the program Bboring^, whilst a small subgroup the Triple R program incorporated opportunities for students
of students expressed a general dislike of the whole to discuss and explore other concepts such as friendship and
program. More detailed thematic analysis of the stu- thoughts together, it is notable that students only expressed a
dents’ responses elicited specific themes which help to particular enjoyment of sharing their feelings and fears.
explain why students liked or disliked the Triple R A subsection of students in this study expressed dislike and
Program. boredom, as well as a perceived uselessness of the Triple R
One theme which was drawn from the responses was a Program because they had prior exposure to mindfulness.
preference for active participation in activities or mindfulness These were the same students who expressed that they Bnearly
meditation, rather than listening to the facilitator’s explanation always didn’t want to go^ (Tamara and Jack). However, other
of mindfulness. For example, Julie reflected, BIt was good but students who reported previous experience with mindfulness
sometimes boring when the lady talked about mindfulness…I conveyed that they enjoyed the Triple R Program and used
liked doing things more than listening^. Indeed, no students strategies learnt previously alongside those learnt in the Triple
expressed that they enjoyed the facilitator’s explanations of R Program.
mindfulness.
Most students reported that enjoying the guided mindful- Motivations for Using Mindfulness Techniques
ness meditations. For example, Georgia shared, BI liked the
zooming in and zooming out on the mindfulness CD, because Through the interviews, it emerged that many of the students
you see a lot of things that you like…and it makes you had experience with mindfulness prior to the Triple R
relaxed^. Further, exempting Tamara who expressed that Bthe Program, therefore the findings presented for questions two
guided meditations became boring…[after]…the first time^, and three reflect student’s experiences with mindfulness in
Contemp School Psychol (2017) 21:304–316 309

general, rather than skills developed from the Triple R Though only reported by one boy, Charles, it is significant that
Program specifically. students may find it difficult to practice mindfulness when
Without exception, all of the students reported using mind- experiencing anger: BIt’s really hard to do it when you’re upset
fulness techniques as a means to control their emotions, to and angry^. Interestingly, Charles also reported that mindful-
shift from an undesired affective state, or to cope with situa- ness Bhelps to get away anger and I feel calmer^, suggesting
tions which provoked anger or anxiety. For example, Julie that mindfulness may be useful at lower levels of anger, but
recalled, BI used mindfulness in a test. I sat down and I took not when this emotion is at its highest.
a deep breath and I calmed myself down^. Certainly, within all A small subgroup composed of two girls, Georgia and
of the student’s responses describing their use of mindfulness Belle, also reported using mindfulness when they were aware
was the theme of actively seeking emotional control, or calm- of feeling Bsad^. Georgia shared, BI do this one [zooming in
ness, instead of allowing an undesired emotion to escalate or zooming out meditation] when I am home and feeling sad or
continue. Further, two girls indicated that they pre-empted an lonely^.
emotional reaction and used mindfulness to maintain control Students also used mindfulness when they were aware of
of their emotional state. For example, Tamara shared that she repetitive cognitive processes, or as one girl shared, Bto take
takes Bdeep breaths when I have a silly fight with friends— my mind off things^. Predominantly, nearly all the students
instead of getting frustrated and angry^. reported using mindfulness techniques on an occasion when
Further analysis of responses provided an insight into the they found themselves worrying. Hamish recalled, BI used
specific emotional and cognitive states and situations which mindfulness before a test when I was feeling worried…the
prompted students to use mindfulness techniques, as well as day before the test^. One boy, Liam, who had experienced
how this motivation may have developed. A strong theme bullying at his previous school also reported using mindful-
drawn here from the student’s recollection of occasions when ness when he was aware of himself ruminating: BWhen I am
they used mindfulness techniques was the awareness of a neg- remembering the bad things that happened at my old school, I
ative emotional state. For example, all of the students who take a deep breath^.
reported that they used mindfulness techniques before a test The responses revealed a global perception expressed by
also expressed being Bworried^ or Bnervous^ beforehand. all of the students that mindfulness is Bgood^ or Bhelpful^ for
Conversely, many students who did not use mindfulness tech- emotional regulation. The students either identified specific
niques before tests or performances reported that they Bdon’t emotions for which they perceived mindfulness would be use-
get nervous^, including Hamish who noted, BI don’t really use ful in regulating, or named situations in which they felt they
it for tests because I’m an expert at taking tests^. could better cope by using mindfulness. For example, Charles
Whilst most of the students did not indicate how they be- reported that Bmindfulness is good for when you are scared or
came aware of their emotional state, two students made refer- sad^ and Georgia shared BI think I’ll use it [mindfulness]
ences to physiological sensations. Charles recalled, BI did when I’m staying with dad and missing my mum^.
deep breathing when my heart was pounding^. Another boy, Interestingly, even the students who reported that they
Jack, shared, BI liked noticing feelings in the body—because disliked the Triple R Program acknowledged the utility of
you go straight away and see if something’s wrong^, indicat- mindfulness in managing emotions. Linking to the earlier sec-
ing the utility of mindfulness techniques for emotional tion exploring student’s engagement with the Triple R
awareness. Program, a subtheme drawn from some of the student’s re-
Three subthemes related to the negative emotions that sponses was that they Bliked^ mindfulness because it helped
prompted students to use mindfulness techniques. One of them to regulate their emotions. For example, Tamara shared,
these was when students experienced an element of anxiety BI like it [mindfulness] because it helped me feel less worried
and fear. All except for one boy reported practicing mindful- about the NAPLAN (National Assessment Program—
ness when they were aware of feeling Bnervous^ or Banxious^ Literacy and Numeracy)^. Together, students perceived mind-
about an upcoming event. For example, Hamish recalled, BI fulness to be useful in coping with challenging situations or
used the breathing when I was feeling nervous the day before regulating emotions, regardless of whether or not they enjoyed
a performance^. Indeed, the majority of students reported the Triple R Program, and liked mindfulness because of this
using mindfulness when they felt anxious or nervous before perceived utility. Moreover, students in this study reported
a test, and a few also used mindfulness before a performance. being aware of the impact of mindfulness techniques on their
Notably, for this group, all of the students who reported that emotional state.
they did not use mindfulness before a test were boys. All of the students reported experiencing and noticing
Students in this study also reported using mindfulness tech- changes in their emotional state after practicing mindfulness.
niques when they were aware of feeling Bangry^ or A strong subtheme was the experience of returning to an emo-
Bannoyed^. Julie shared, BI used the Smiling Mind app [a tional equilibrium after practicing mindfulness, or as Liam de-
smartphone application] when my sister really annoyed me^. scribed, simply feeling Bbetter and happier^. Predominantly, the
310 Contemp School Psychol (2017) 21:304–316

students expressed feeling Bcalm^ and Brelaxed^ after practic- emerged through the interview process, further information
ing mindfulness. For example, Belle shared how focussing on was sought regarding the use of Smiling Mind in the class-
the breath and practicing the Bpause button^ meditation helped room. It was found that all of the teachers of the participants in
her to calm down. Additionally, a small subgroup of students the current study used Smiling Mind regularly in the class-
expressed that calming down through the practice of mindful- room after being exposed to it within the Triple R Program,
ness facilitated clarity of thought or attentional control. For whilst no teachers had used this application before the
instance, Julie shared that Bit makes me calm down and think program.
instead of panicking^, whilst Tamara said, BI put on Smiling A final theme relevant to the practice of mindfulness
Mind before I had a test and I felt relaxed and focussed^. was the students’ misconceptions of what constitutes
The thematic analysis also elicited several subthemes mindfulness. Notably, three of the four boys (Liam,
outlining which negative affective states were experienced Jack, and Hamish) expressed the understanding that
by the students to improve after practicing mindfulness. mindfulness involved distraction while Jack also
Students were aware of feeling less Bworried^ after practicing expressed that he understood mindfulness as relaxation
mindfulness. For example, Tamara shared, BIt makes me relax and that he uses it to help him sleep. None of the
and stop worrying^. Another prominent subtheme was regu- comments made by the girls were classified as miscon-
lating or recovering from Bpanic^. Georgia recalled, B…so I ceptions regarding the practice of mindfulness.
did the breathing. I felt calm and I was not panicking
anymore^. Some students also reported being aware of reduc-
tions in Banger^ and Bsad[ness]^ after practicing mindfulness; Discussion
however, these codes did not arise frequently enough in the
student’s responses to qualify as subthemes. The aim of the present study was to explore primary
school student’s experience of a 6-week mindfulness-
Practice of Mindfulness based intervention, as well as their motivations and
means of using mindfulness techniques. The thematic
Student’ responses regarding their practice of mindfulness re- analysis identified eleven themes surrounding the gener-
vealed a number of techniques are utilised including breath- al acceptance of the mindfulness-based intervention, the
ing, shifting to the present, and use of the Smiling Mind use of mindfulness for emotional regulation as well as
smartphone application (Smiling Mind 2016). The spontane- factors contributing to the formulation of this motiva-
ous use of a smartphone application was particularly notewor- tion, specific techniques utilised by the students, and
thy given that participants were not introduced to the applica- several misconceptions of mindfulness.
tion as a component of the program. Participant responses also
indicated a number of misconceptions regarding the practice Students’ Experiences of Mindfulness-Based Programs
of mindfulness.
Out of the mindfulness techniques practiced, students most Our findings support previous research reporting
frequently reported practicing mindfulness by Bfocus[ing] on mindfulness-based interventions to be generally embraced
their breath^. Indeed, all of the students except for Jack re- by students (Mendelson et al. 2010; Schonert-Reichl et al.
ported focussing on or taking deep breaths. Even Jack report- 2015). Additionally, the present findings extend existing liter-
ed that he would consider using Bthe breathing^ when Bthere’s ature by specifying program and participant factors which
something important^ in the future. Some of the students promoted or limited students’ engagement with the
shared that they also practice mindfulness by shifting their mindfulness-based intervention. Namely, students enjoyed
attention to the present. Belle reflected, Bthe mindfulness parts of the program in which they were actively involved,
helped me overcome fear by practicing that right now, I’m rather than passively listening. Further, previous experience
in the present^. Significantly, this theme was drawn from the with mindfulness may be a barrier to program engagement,
responses of the only two students interviewed who were though as depicted above, this is not always the case.
known to have experienced trauma, in the form of either fam-
ily trauma or high levels of bullying. Mindfulness for Emotional Regulation
Three of the girls (Julie, Tamara, and Georgia) reported
their acquisition and use of the Smiling Mind smartphone Compared to other indices of social and emotional wellbeing
application to practice mindfulness at home. Julie shared that studied in paediatric populations, emotional regulation, cop-
she uses it at home to help her relax, slow down, and think. ing, and emotional reactivity are amongst the few domains
These girls also reported using the Smiling Mind application consistently shown by a number of studies to be enhanced
to control or recover from feelings of nervousness and panic, by mindfulness-based interventions (Coholic 2012;
as well as frustration, and improve a Bbad day^. As this theme DeUrquiza 2014; Flook et al. 2015; Schonert-Reichl et al.
Contemp School Psychol (2017) 21:304–316 311

2015; White 2012). Our findings strongly support previous the mental event, and focussing directly on awareness
research demonstrating the salutary impact of mindfulness rather than the experienced external or internal event.
on emotional regulation, with all of the eight students By doing so, the individual is to recognise the indepen-
interviewed reporting that they use mindfulness techniques dence and unaffectedness of the awareness from experi-
to regulate their emotions, as well as emotion-related repeti- enced events. In the present study, the students most
tive cognitive processes. Interestingly, whilst research consis- frequently reported that they focused on the breath in
tently reports the impact of mindfulness on emotional regula- the presence of an undesired emotion. The question,
tion, studies investigating the impact of mindfulness on the then, is whether this reflects a form of avoidance or
regulation of specific emotions or behaviours (e.g., anxiety, distraction from the disturbing emotion. Indeed, some
aggressiveness), report inconsistent findings (e.g., Mendelson students expressed misconceptions of mindfulness as be-
et al. 2010; Semple et al. 2010; White 2012). Our findings ing the practice of distracting oneself from distressing
indicated that not all students reported using mindfulness mental events, a direct antithesis to the essence of
techniques for the same emotions. For example, while mindfulness (Kabat-Zinn 1994). Further, none of the
many students in the present study used mindfulness students reported observing the emotional response
when experiencing anxiety or fear, only a few students whilst consciously refraining from appraisal, as is one
did so when experiencing sadness or anger. Thus, it process of mindful emotional regulation (Chambers
may well be that studies investigating the impact of et al. 2009). At the same time, when students reported
mindfulness on specific emotional and behavioural out- Bputting on Smiling Mind^ after a Bbad day^, it is likely
comes yield inconsistent findings because different chil- that they were regulating their emotions by bringing
dren use mindfulness techniques to regulate different their attention nonjudgmentally to their present emotion-
emotions, resulting in large interpersonal differences on al, cognitive, and physiological state as part of the guid-
specific emotional and behavioural outcome measures ed meditation on the Smiling Mind application. In ad-
(e.g., Semple et al. 2005). dition, student reports of Bfocusing on the breath^ per-
Looking at specific emotional states, the students’ use haps represents the student bringing his or her attention
of mindfulness to regulate anxiety and fear in the pres- to the present experience without ignoring, changing, or
ent study corroborates the results of some studies suppressing their emotional response. This perhaps re-
highlighting reductions in self-rated or teacher-rated flects their first step towards focussing upon and iden-
anxiety (Linden 1973; Mendelson et al. 2010; Napoli tifying with awareness, rather than with the emotional
et al. 2005). Several studies have indicated reductions experience, consistent with the construct of mindful
in aggressive or oppositional behaviour (Schonert-Reichl emotional regulation (Chambers et al. 2009).
and Lawlor 2010; Semple et al. 2005, 2010), which is The construct of mindful emotional regulation reso-
consistent with reports by a few of the students in the nates strongly with the processes of decentering and
present study of utilising mindfulness techniques to reg- exposure argued by other researchers to mediate the re-
ulate emotions of anger, frustration, and annoyance. lationship between mindfulness and emotional regulation
Finally, several students also reported using mindfulness (Holzel et al. 2011; Shapiro et al. 2006). Decentering is
when experiencing sadness or noticing repetitive cogni- the practice of perceiving thoughts, emotions, and sensa-
tive processes such as worry or rumination. Whilst pre- tions as events in the mind, rather than as reflections of
vious studies have not found mindfulness to impact self- the self, thereby creating a distance between the experi-
reported negative affect (Mendelson et al. 2010; ence and experiencer and allowing greater flexibility to
Schonert-Reichl and Lawlor 2010), some report reduc- consciously respond, rather than react to external and
tions in depressive symptomatology (Schonert-Reichl internal events (Bishop et al. 2004; Safran and Segal
et al. 2015), and rumination (Lee et al. 2008; 1990; Shapiro et al. 2006). In the present study, the re-
Mendelson et al. 2010), consistent with present findings. sponses of the students reflected some level of distance
Contextualising mindfulness within the umbrella of between the child and their experienced emotion. The
emotion regulation, Chambers et al. (2009) proposed a students’ awareness of their emotional state and attempts
construct of mindful emotional regulation as one strate- to modulate their emotions indicates their understanding
gy of emotion regulation, distinct from other emotion that emotions are separate from self. In addition, the
regulation strategies such as suppression of emotional students’ active selection of a response or regulatory
expression, and cognitive reappraisal of emotion pro- strategy supports the current understanding that
voking events. Mindful emotional regulation involves decentering in mindfulness practice allows the individual
changing one’s relationship with emotions by not iden- greater freedom and mental flexibility to choose a re-
tifying with mental events as they arise, consciously sponse rather than react instinctively in a given situation
disengaging from any tendency to judge or appraise (Coffey et al. 2010; Shapiro et al. 2006).
312 Contemp School Psychol (2017) 21:304–316

Mindfulness is also thought to counter the tendency to make the mindfulness-based intervention accessible to
avoid undesirable emotional states and promote greater students (Semple et al. 2005, 2010).
exposure to undesirable emotional states by enabling the indi- Second, mindfulness techniques are strategies of emo-
vidual to experience strong emotions with enhanced objectiv- tional regulation which students perceive to be useful
ity and less reactivity through practices such as decentering, and which are spontaneously utilised by students in
and aided by the relaxation often accompanying mindfulness the presence of undesired emotions for self-regulation.
practices (Bishop et al. 2004; Holzel et al. 2011; Shapiro et al. Third, the most common mindfulness technique remem-
2006). Through this exposure, the individual learns that emo- bered and utilised by students was focussing on the
tions, thoughts, and sensations are not overwhelming or per- breath, emphasising the importance of incorporating
manent, thus enabling the extinction of the fear response and breathing in mindfulness-based interventions for stu-
avoidance behaviours which maintain and escalate anxiety dents. Finally, incorporating applications such as
(Shapiro et al. 2006). The students frequently recalled using Smiling Mind which provide free and easily accessible
a mindfulness technique (e.g., focussing on the breath) when guided meditations within a mindfulness-based interven-
experiencing anxiety, fear, or panic, and subsequently report- tion encourages students to independently access and
ed facing the feared situation (e.g., test, performance), utilise such applications, thus supporting the continued
supporting previous research highlighting the mechanism of practice and benefits of mindfulness.
exposure in mindfulness meditation (Holzel et al. 2011;
Shapiro et al. 2006). Strengths and Limitations

Practice of Mindfulness This study provided important contributions to the under-


standing of mindfulness and mindfulness-based interventions
This study found students to practice mindfulness pri- in primary school students. Significantly, this research has
marily by focussing on the breath, consistent with pre- been conducted with¸ and not on, students in that it has aimed
vious research sharing student’s reports of focussing on to capture and express their experiences of mindfulness in
their breath (Costello and Lawler 2014). Students also their voices.
reported shifting their attention from the past to the There were, however, several limitations in this study.
present experience, consistent with the central concept Firstly, the findings reflect the experience of the eight,
in mindfulness asserting that remaining in the present Australian, primary school-aged participants in this
moment, ruminating about the past, and worrying about group, all of whom were perceived by their teachers
the future are mutually exclusive actions (McKenzie and to have elevated levels of anxiety, low coping strategies,
Hassed 2013). Surprisingly, several students practiced or potential difficulties in transitioning to secondary
mindfulness using the guided meditations on the school. The results should therefore be considered with-
Smiling Mind application. This was an unexpected find- in this context. Future replication of this study in other
ing, and to our knowledge, this study is the first to settings may determine whether the experiences and
report student’s spontaneous use of technology to sup- themes which were identified are comparable across
port their practice of mindfulness. This last finding has settings.
significant implications for future development, imple- Additionally, during the interview process, it emerged
mentation, and research of mindfulness-based interven- that a few of the students had previous experience with
tions for students which will be discussed below. mindfulness, before the Triple R Program. This was
unexpected, and therefore findings reflect to some de-
Implications gree the impact of mindfulness in general, rather than
only skills taught within the Triple R Program.
The key implications of the present study are fourfold. Consequently, future replications of this study should
Firstly, our findings have significant implications for the involve pre-intervention screening of participants to es-
implementation and development of mindfulness-based tablish baseline perceptions and habits against which to
interventions, indicating that limited amounts of formal evaluate the impact of this program. A methodological
explanations of mindfulness where students are passive- limitation was that the interviews were not recorded,
ly listening, and greater emphasis on experiential com- which may have led to omission of information.
ponents is likely to promote greater program engage- Cross-validation of themes with the participants them-
ment in primary school students. This implication sup- selves would also have added significantly to the trust-
ports the adaptations made in the Mindfulness-Based worthiness of the results; however, the desire to ensure
Cognitive Therapy for Students where hands on activi- methodological rigour has to be balanced with the edu-
ties and experiential components are emphasised to cational costs in a school setting.
Contemp School Psychol (2017) 21:304–316 313

After the completion of the interviews, it was retrospective- that promote or bar students from accessing and using appli-
ly determined that two of the prompts in the interview sched- cations such as Smiling Mind, how and when students use
ule were leading questions (e.g., BDid you use mindfulness such applications, and the impact of such use on social and
when you were worried and could not sleep?^). Therefore, emotional wellbeing.
responses from these questions were not included in the the-
matic analysis. Finally, as this study was largely exploratory
and followed an inductive process, the interview schedule was Conclusion
not tailored to investigate models of emotional regulation and
mindfulness. In summary, this study added to previous research
reporting the acceptance of mindfulness-based interven-
Directions for Future Research tions by primary school students and extended the liter-
ature by highlighting the importance of experiential ac-
The findings and limitations of the present study provide tivities to enhance student’s engagement in mindfulness
several directions on how future research can extend our sessions. Our findings also demonstrated that students
current understanding of students’ experiences of used mindfulness to regulate their emotions, consistent
mindfulness-based interventions, and use of mindfulness with many studies reporting the impact of mindfulness
techniques. In relation to program and participant factors on emotional regulation. However, not all students
moderating program engagement or disengagement, fur- utilised mindfulness techniques for the same undesired
ther research is needed to explore whether previous expe- emotional states, potentially explaining the inconsistent
rience with mindfulness is a barrier to program engage- findings in the literature investigating the impact of
ment. Additionally, alternative ways of delivering infor- mindfulness on specific emotional and behavioural out-
mation about mindfulness need to be investigated as many come measures in students. Contextualising these find-
students reported this aspect of the program to be boring. ings within current theoretical models of mindfulness
Looking at the use of mindfulness to regulate emotions, a and emotional regulation, some of the students’ re-
number of questions remain to be investigated. Foremost, our sponses reflected misconceptions of mindfulness as a
study is the first to suggest that different students may use form of distraction. Nevertheless, our findings did show
mindfulness to regulate different emotions and more research some evidence that the students attended nonjudgmen-
is needed to explore interpersonal differences in the use of tally to their emotions and began to shift their attention
mindfulness techniques. Similarly, the observation that it is from the experience to the awareness, consistent with
difficult to practice mindfulness when experiencing anger Chambers et al. (2009)‘s model of mindful emotional
warrants further investigation into when, and under which regulation. Our findings also supported current theories
conditions, mindfulness may be useful for emotional regula- emphasising the mechanisms of decentering and expo-
tion, particularly anger. sure in explaining the connection between mindfulness
Second, research specifically investigating whether and emotional regulation. Finally, the findings of this
student’s use of mindfulness truly reflects mindful emo- study indicated that students practice mindfulness by
tional regulation is needed. When students report using focussing on their breath, consistent with previous stud-
mindfulness to regulate their emotions, a question arises ies and shifting their attention to the present.
as to whether they are attempting to observe the mental Significantly, this study was amongst the first to find
event without judgement or appraisal or whether they that students spontaneously access guided meditation
are trying to suppress the emotion. Further research through technology to practice mindfulness. The results
should also explore whether they are shifting their at- of the current study suggest that mindfulness interven-
tention towards the awareness of the experience, thereby tions in schools are well received by students and can
practicing decentering, or if their Bpractice of be an effective tool for emotional regulation.
mindfulness^ is merely distraction from the undesired
emotional experience. Relatedly, student’s conceptions
of what mindfulness is need to be investigated to deter-
mine whether mindfulness-based interventions are truly Compliance with Ethical Standards All procedures performed in
teaching mindfulness to students, as opposed to other studies involving human participants were in accordance with the ethical
emotional regulation strategies which may contradict standards of the institutional and/or national research committee and with
the 1964 Helsinki declaration and its later amendments or comparable
the construct of mindfulness.
ethical standards.
Pertaining to how students practice mindfulness, our study
revealed the spontaneous use of technology to support mind- Conflict of Interest Statement The authors declare that they have no
fulness. Further research is now needed to understand factors conflict of interest.
314 Contemp School Psychol (2017) 21:304–316

Appendix A: Outline of Program Sessions

Session 1: Mindfulness of breath activity


Robust and resilient Introduction to the workshop
Relationship building activity
Worksheet about worrying
How different people worry about different things
Wellbeing garden metaphor
Two pictures - one thriving garden, one neglected
Discuss how we care for a garden
Metaphor for wellbeing - how we can care for ourselves
Mindfulness feather activity
Mindful Monkey/Happy Panda book
Mindfulness activity - Little Frog
Session 2: BThe Heart Chamber^ mindfulness activity
My heart Picking a feeling card and describing to the group how/why I am feeling that way
Modelling how to share negative emotions
Brainstorming different emotions
Identifying emotions from facial expression cards
Weather report as a metaphor for emotions
Personal weather report mindfulness activity
Session 3: Body scan mindfulness activity
My body Given outline of body
Write the body cues of that emotion on the outline
Reflect on thoughts when those emotions are felt
Share results with class
Group discussion of experiences of situations that elicited similar emotions
Spaghetti test mindfulness activity
Session 4: Mindfulness activity: conveyor belt of worries
My mind Group discussion about anxiety promoting situations and how to cope
Group activity - discuss a given anxiety provoking scenario
Some issues are not solvable - discuss Bletting go^
Individual differences in anxiety
Reflection on breathing as a coping strategy
Session 5: Mindfulness exercise - using the pause button
Mindful relationships Using mindfulness to be a better friend
Using mindfulness to Bread minds^ - how others are thinking and feeling
Problem solving social difficulties
Consider how to use mindful problem solving to manage social difficulties such as fights with friends
Zoom in, zoom out mindfulness activity
Session 6: BA little boost^ mindfulness activity
Mindful me - ready to go Reflection -a word, image or model to describe mindfulness
Reflection - what works for you, how do we apply mindfulness to the real world
Sensory mindfulness activity
Session 7: Smiling Mind mindfulness exercise - BThe Bubble Journey^
Booster one - fighting worries Discussion of catastrophizing - the problems with thinking, what is the worst that can happen
Catastrophe chart
Rate scenarios based on how anxious I would feel
Write coping strategies alongside scenarios - things I can do, things I can think
Social connectedness - string exercise
Smiling Mind mindfulness exercise - BThoughts^
Contemp School Psychol (2017) 21:304–316 315

(continued)
Session 8: Progressive muscle relaxation
Booster two - sharing worries Book - The Huge Bag of Worries
Worry box activity
Make and decorate a worry box
Write worries on strips of paper and put into box
Social support
Trace hand and write on each finger one person I can talk to about worries (must include some trusted adults)
Smiling Mind Mindfulness exercise - BThe Bubble Journey^

Appendix B: Interview Questions Costello, E., & Lawler, M. (2014). An exploratory study of the effects of
mindfulness on perceived levels of stress among school-children
from lower socioeconomic backgrounds. The International
1) How did you find the Triple R Program? Journal of Emotional Education, 6(2), 21–39.
2) Were there any things you learnt in the sessions that you DeUrquiza, E. F. (2014). Mindfulness, body scan, narrative, and
liked or used outside the session? mentalization in the New York City schools. Children & Schools,
3) When did you practice mindfulness? 36(2), 125–127.
Dove, C., & Costello, S. (2017). Supporting emotional well-being in
4) How did you feel after practicing mindfulness? schools: a pilot study into the efficacy of a mindfulness-based group
5) Did you use mindfulness in any of the following situations intervention on anxious and depressive symptoms in children.
(before tests and performances, to help fall asleep, around Advances in Mental Health: Promotion, Prevention, and Early
people who make you feel nervous)? Intervention, 1–11. doi: 10.1080/18387357.2016.1275717.
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., &
6) Do you think you will use mindfulness in the future?
Schellinger, K. B. (2011). The impact of enhancing students’ social
and emotional leaning: a meta-analysis of school-based universal
interventions. Child Development, 82, 405–432.
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