Prevention Research Center 2009 Retreat Mindfulness Presentations Definitions of Mindfulness • Mindfulness is: paying attention, in a particular way, on purpose, in the present moment, non-judgmentally. --Kabat-Zinn,1990 • Open-hearted, moment-to-moment, non-judgmental awareness --Kabat-Zinn, 2005 2 What is Interpersonal Mindfulness? (Teachers/Parents – Duncan, Coatsworth, Jennings, Greenberg) • Listening with full attention to children and colleagues • Present-centered awareness of emotions experienced by self and students during interactions • Openness and non-judgmental acceptance and receptivity to child’s thoughts and feelings • Self-regulation in teaching - Low reactivity and automaticity in reaction to normative child and adolescent behavior • Awareness of and responsiveness to students’ individual needs – “teachable moments” • Compassion for self and students 3 Are Mindfulness and Practices the Same Thing? Mindfulness Practices Meditation Yoga Martial Arts Service Learning Three Components of Change? Practices Dharma World View Sangha Community Measuring Mindfulness • • • • • • Self-report Observations Hypothetical Vignettes Psycho-physiological Reactivity and Regulation Immunological Function Neural Activity 1997 2000 2001-2003 Cultivating Emotional Balance Mind &Life Invite M & Life Destructive Emotions Doug C arrives Tibetan Teacher Training in India Mark& Doug start thinking!! Larrisa arrives and now 3 think 2004-2005 Tish Jennings. joins CEB Project Garrison Institute Discussion and Mapping Report 2006 Tish Hired to Run Garrison Program Mark Chairs Garrison Board Mark keeps saying to M & L what about Education HHDL says Yes! Education!! Christa, Elaine, Rob join the plot Parenting Pilot Study CYFC Larrisa dissert on Mindful Parenting Tish, Christa, Richard begin to develop CARE 2007 Garrison Adv Board and Garrison Science Meetings CARE is piloted 2008 2009 Tish Jennings. joins Penn State Kari joins Penn State IES-CARE is funded Mind &Life Education Research Network Begins Doug Submits NIDA Grant Mark joins with Travelling Yogis Multisite CARE Study Submitted Garrison CYFCInstitute Discussion CARE is and Mapping funded Report EWC Meeting with HHDL in DC Tamar Mendelson joins the team Yoga is funded Mindful Parenting Papers First Yoga Study in Baltimore 2010 NIDA Parenting Mindfulness Starts!! BREATHE grant to IES Yoga Grants Submitted NIDA/IES Mind &Life Education Research Network II Begins Cultivating Awareness and Resilience in Education (CARE) Tish Jennings & Kari Snowberg Garrison Institute Penn State University Presented at the PRC Staff Retreat August 28, 2009 Social & Emotional Demands of Teaching Expectations vs. Challenges The Burnout Cascade Emotional Exhaustion De-personalization Lack of Accomplishment 50% leave within first 5 years of teaching (NEA, 2006) The Prosocial Classroom: A Model of Teacher Social and Emotional Competence and Classroom and Child Outcomes Healthy Teacher/Student Relationships Teachers’ Social & Emotional Competence Effective classroom management skills Healthy Classroom Climate Student Social, emotional & academic outcomes Effective SEL implementation School/Community Context Factors Jennings & Greenberg, 2009 Mindful Teaching Listening with full attention to children and colleagues Present-centered awareness of emotions experienced by self and students during interactions Openness and non-judgmental acceptance of and receptivity to child’s thoughts and emotions Self-regulation in teaching - low reactivity and low automaticity in reaction to normative child and adolescent behavior Compassion for self and students Awareness of “teachable moments” Awareness of environment (e.g. Kunin’s “withitness”) CARE Training 2 days separated by 1 month of application and coaching by phone Sustainability plan How CARE Supports Teachers’ SEC Selfmanagement Relationship skills Emotional knowledge Selfawareness Mindfulness School/Community Support Socialawareness Responsible decisionmaking Compassion Emotional Knowledge Introduction to emotions, purpose, universal expressions, relevant brain research How emotions affect teaching and learning Didactic information about emotions including physiology, facial expression, cognitive and behavioral responses Exploring individual differences in emotional expression (emotional profile, triggers & scripts) Mindfulness Setting intention Body awareness practice Basic breath awareness practice Exploring bodily awareness of emotions Using mindful awareness and reflection to recognize and manage strong emotions Standing - centering Walking Simple interactions “Stage” activity (practicing mindful presence in front of group) Role plays to practice mindfulness in context of a challenging social interaction Compassion Reflection on feeling loved or cared for Caring practice – guided reflection focused on caring for self, loved one, colleague, challenging person Deep listening – accessing “felt sense” Deep listening with poetry Deep listening partner practice, one person talks from “felt sense,” partner listens with presence and acceptance Research IES Goal 2 Project to complete development and piloting of CARE ◦ ◦ ◦ ◦ ◦ Feasibility Sustainability Attractiveness to teachers Preliminary assessment of effectiveness Pilot RCT Sample: ◦ Harrisburg elementary teachers ◦ PSU student teachers and their mentors Research – Year 1 Harrisburg ◦ Fall & Spring programs ◦ Pre-post self-report ◦ Focus groups State College (pilot RCT) ◦ Spring & Summer programs ◦ Pre-post self-report & CLASS ◦ Focus groups Research – Year 2 Harrisburg (pilot RCT) ◦ One Spring program ◦ Pre-post self-report & CLASS ◦ Focus groups State College (pilot RCT) ◦ Spring & Summer programs ◦ Pre-post self-report & CLASS ◦ Focus groups Measures PANAS Problems in Schools Questionnaire CESD Interpersonal Mindfulness in Teaching Teachers’ Sense of Efficacy 5-Facet Mindfulness Questionnaire Time Urgency Scale Social and Emotional Learning Scale for Teachers Maslach Burnout Inventory Daily Physical Symptoms Stressful Occurances CLASS Observational Measure 10 items- 3 Factors: ◦ Emotional 2 climate items (Positive & Negative) Teacher sensitivity Regard for student perspectives ◦ Management Behavior management Productivity Instructional learning formats ◦ Instructional Concept development Quality of feedback Language modeling Future Directions Study value added for school-based intervention programs such as PATHS on student, teacher, and classroom outcomes No CARE CARE No PATHS Control CARE only PATHS PATHS only CARE & PATHS Doug Coatsworth Larissa Duncan Mark Greenberg Rob Nix Elaine Berrena Christa Turksma Mark Feinberg Virginia Molgaard Mindful Parenting Turning an idea and model Mindful Parenting 1 .60 Non-Judge Emot Aware 1 1.1 7 1 .68 .78 Attention 1 .83 Non-React 1 .88 1 IEM-P 4 IEM-P 7 IEM-P 3 IEM-P 6 IEM-P 1 IEM-P 9 IEM-P 2 IEM-P 8 1 1 1 1 1 1 1 1 E E E E E E E E 1 2 3 4 5 6 7 8 …into an intervention 2 How did we think we could do this this? Adapt an EXISTING PROGRAM by adding Mindfulness principles and activities Selected: The Strengthening Families Program: For Parents and Youth 10-14 Outstanding Effects Mindfulness easily (??) integrated 3 Three Steps: 1. Theoretical model 2. Feasibility Study 3. Pilot RCT Study 4 Theoretical Model of Mindfulness in Parenting Mindfulness – contextualized for parenting situations Intrapersonal and Interpersonal 5 Core elements 5 Theoretical Model of Mindfulness in Parenting Listening with Full Attention Paying attention in the present moment -- Mindful Speech Emotional Awareness of Self and Child Recognize & label emotions -subtle 6 Theoretical Model of Mindfulness in Parenting Nonjudgmental Acceptance of Child and Self Open and Accepting attitude rather than judgment and harsh negative attributions Self Regulation in parenting Awareness -> breath -> calm 7 Theoretical Model of Mindfulness in Parenting Compassion for self and child replace harsh negative judgments with compassion Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009). A model of mindful parenting: Implications for parentchild relationships and prevention research. Clinical Child and Family Psychology Review, 12, 255-270. 8 Feasibility Study Research Questions: Can we modify intervention and implement it? Is it acceptable to Central PA parents? Do parents think it is helpful? 1 Intervention Group (5 families) Bellefonte Area Middle School 9 Feasibility Study Wrote new activities Guided meditations Didactic re: Mindfulness Interactive activities Parents rated activities after each session End of program focus group 10 Feasibility Study Parents engaged Liked Mindful activities Wanted mindful activities to be longer Guided meditations = distracting Overall – activities needed to be shortened 11 Feasibility Study Parents felt new activities were very helpful “I really find myself stopping and thinking about situations all the time, especially when they might be difficult…or an argument might be about to start. “ Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009). Pilot study to gauge acceptability of a mindfulness-based, family-focused preventive intervention. Journal of Primary Prevention, 30, 605-618. 12 Revisions Workgroup on revising activities, with Virginia Molgaard Wrote NEW MINDFULNESS Activities– Reviewed EVERY SFP activity Average of 2 NEW activities per session Short REFLECTION ACTIVITIES (start and end) New Didactic/Interactive Activities Modified SFP language to highlight being “mindful” Attention, Emotions, Expectations, Judgments, Patience, Compassion…. 13 Pilot trial -- Research Design Partnered with CTC and ongoing implementation of SFP. 65 Families Recruited + Assigned + Assessed at Baseline Recruited from Bellefonte, Bald Eagle , Penns Valley Stratified by town and randomly assigned to: SFP:10-14 (N= 23) MSFP (N= 25) Delayed Intervention Control (N=17) Assessed immediate Pre and Post -intervention 14 Mindfulness Activity 15 Results Significant changes in mindful parenting – medium effect size (~.63) Generally comparable effects between SFP and MSFP on Child Management Variables (monitoring, Rules Communication) Discipline Consistency 16 Results Substantial effects on relationship quality and affective quality variables Anger Management Emotional parenting (affective attunement) More positive and less negative Perceived youth as more positive and less negative 17 Results Indirect effects – Changes in mindful parenting associated with changes in: Anger Management Mother’s positive affect/behavior (m) Mother’s negative affect/behavior (m) Youths positive affect/behavior (m & y) Youth’s negative affect/behavior (m & y) 18 What parents said they learned “it was nice to be able to find positive things to think about him. …this was making us find positives, which, was a good thing because we do love them….” “What I learned most from this class [is] to really really listen… kind of just slow down and listen and treat your kid like a person and not......a robot” “don’t react right away. Stop and try to figure out where he is coming from with this. You know and try not to flip out. Don’t overreact. “ 19 "I think if I had to sum up what I got out of this I would say, it’s made me more conscious of my parenting…" Coatsworth, J. D., Duncan, L. G., Greenberg, M. T., & Nix, R. L. (in press) Changing parents’ mindfulness, child management skills, and relationship quality with their youth: Results from a randomized pilot intervention trial. Journal of Child and Family Studies. 20 New Project Randomized Clinical Trial N = 600 families 3 conditions SFP Mindfulness-enhanced SFP Control Sites State College Lewistown Huntingdon Lower Dauphin/Susquahanna 21 Acknowledgements Parent Facilitators: Elaine Barrena, Christa Turksma, Sandy Stewart Youth Facilitators: Brian Hutchinson, Rebecca CorumWeaver, Amy Syvertsen, Becky Derousie, Melissa Lippold, Spring Cooper, Chris Fortunato, Sarah Meyer Staff: Ashley Barr, Nicole Gredja, Nicole Weigl, Jessie Connell, Ana Taffel, Whitney Maurer, Joche Gayles Centre County Communities That Care Working Group: Rob Nix, Jose Policarpo, Virginia Molgaard Funding: Penn State University Children Youth and Families Consortium Pennsylvania Department of Delinquency Prevention , Prevention Research Center 22 The End 23