Using Mindfulness as a SelfManagement Strategy to Improve Student Behavior and Engaged Time in Classroom and Non-Classroom Settings at School Sara Shababi and Joseph Lucyshyn University of British Columbia Making Connections Conference Richmond, B.C. November 4, 2013 1 Objectives Learn about the roots and origins of Mindfulness Learn what mindfulness is and what it is not. Understand the difference between mindfulness and mindlessness and the various ways that mindfulness can be compromised Understanding why being mindful is important Review the research on the effects of mindfulness for children and adults Understand how to cultivate mindfulness Research on Meditation on the Soles of the Feet 2 Overview Background What is mindfulness? Why is being mindful important? How can we cultivate and foster mindfulness? Research study Resources 3 Who we are Sara Shababi-Shad – Masters student in Special Education with a focus on behaviour disorders – I currently work with ABA Learning Centre with children with developmental disabilities Dr. Joseph Lucyshyn, Ph.D., BCBA-D – Associate professor at the Faculty of Education with a focus on behaviour disorders and autism – Graduate subervisor 4 Background: 5 An old tradition (Siegel, Germer & Olendzki, 2009) Mindfulness has its roots in Easter contemplative traditions. Training the mind to achieve mental, emotional and physical health goes as far back as 4000 years ago. 6 An old tradition (Siegel, Germer & Olendzki, 2009) However, 2,500 years ago, the writings of Buddha more specifically focused on the quality of consciousness in the present moment (i.e., mindfulness). 7 Nonreligious and Nonesoteric (Kabat-Zinn, 2003) The Buddhist contributions have been the emphasis of simple and effective ways to refine mindfulness. We are all mindful to varying degrees. According to behavioural sciences mindfulness is a consciousness discipline. 8 Mindfulness: A State of the Mind Mindfulness is not a religious practice but rather a state of the mind – – – – Moment-to-moment Nonjudgmental Accepting Etc. 9 Mindfulness and Science (Siegel, Germer & Olendzki, 2009) An increased interest in mindfulness in mental health professions over the last 40 years. Science is catching up with practice Most of the research has focused on the effects of mindfulness on adults. 10 Mindfulness for Children (Kabat-Zinn, 2003) The field is in its infancy Most studies so far have focused on the effects of mindfulness for adults. Increasing interest in studying the effects of mindfulness for children. 11 Future of Mindfulness We must focus on systematically sound studies on children and mindfulness. Design and implementation of mindfulness programs in classroom curriculums. 12 Activity What is Mindfulness? 13 Activity Mindful Breathing 14 2009) (The Hawn Foundation, What is Mindfulness? By Jon Kabat-Zinn, founder of mindfulnessBased Stress Reduction Program. http://greatergood.berkeley.edu/gg_live/science_meaningful _life_videos/speaker/jon_kabatzinn/what_is_mindfulness/ 15 Emotional Struggles (Siegel, Germer & Olendzki, 2009) Humans struggle emotionally when confronted with: – Adverse circumstances Or – Benign circumstances that we perceive as adverse 16 Mindfulness to Reduce Struggles (Siegel, Germer & Olendzki, 2009) A deceptively simple way of relating to all our experiences and as a result reduce emotional struggling and suffering 17 What is Mindfulness? (Siegel, Germer & Olendzki, 2009) In ancient texts: –Awareness - Of what is occurring within and around us –Attention - Focused awareness –Remembering - Remember to be aware and pay attention 18 What is Mindfulness? (Siegel, Germer & Olenzki, 2009) As a psychological process is: – What we do with our moment-to-moment, nonjudgmental awareness – Awareness with acceptance 19 What is Mindfulness? (Siegel, Germer & Olendzki, 2009) New qualities added to the original three to help with clinical conditions: – Nonjudgmental – Acceptance – Compassion 20 A Definition of Mindfulness (KabatZinn, 2003) “The awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience moment-to-moment.” 21 What is Mindfulness? (Siegel, Germer & Olendzki, 2009) Simply put: 1) Awareness, 2) Of present experience, 3) With acceptance. 22 What is Mindfulness? (Shapiro, Carlson, Astin & Freedman, 2006) Alternative view: Intention Your intentions set the stage for what is possible Attention Attitude Seeing the experience for what it is without interpreting it. How we attend; what qualities we bring (e.g., cold and critical or affectionate and compassionate 23 Activity: Think of a moment in your life that you really value or you really enjoyed! 24 How Mindfulness is Compromised? (Schonert-Reich & Lawlor, 2010) Multitasking Focusing on times other than the present By refusing to acknowledge thoughts, emotions, motivations or perceived objects 25 What is Mindlessness? (Siegel, Germer & Olendzki, 2009) Spending time lost: – In our memories of the past – Fantasies of the future Making conscious efforts to escape from the present moment http://youtu.be/HzizvU5c7do?t=1m58s SIMON AMSTEL VIDEO: DO NOTHING, NAPISY (2:00 - 3:36) 26 Examples: (Siegel, Germer & Olendzki, 2009) Driving Cutting bagels Talking while eating Anyone else? 27 Common Misunderstanding (Siegel, Germer & Olendzki, 2009) 1. 2. 3. 4. 5. Not having a blank mind Not becoming emotionless Not withdrawing from life Not seeking bliss Not escaping pain 28 Where is it Practiced? (Kabat-Zinn, 2003) Hospitals and clinics around the world Schools Workplaces Corporate offices Law schools Adult and juvenile prisons Inner city health centres 29 Why Should We be Mindful? 30 Jason Images Focus on Strengths (Schonert-Reichl &, Lawlor, 2010) Mindfulness is a shift from preoccupation with repairing weaknesses to developing the person’s positive qualities 31 Enhanced Autonomy (Brown & Ryan, 2003) 3 basic psychological needs – Autonomy, Belongingness, Competence (ABC) Awareness that accompanies mindfulness can be valuable in facilitating choice of behaviours that are consistent with one’s needs, values and interest 32 Benefits of Mindfulness for Adults 33 Activity Mindful Tasting 34 (The Hawn Foundation, 2009) Disorders (Grossman, Niemann, Schmidt & Walach, 2004) Benefits for: – Cancer – Fibromyalgia – Anxiety disorders – Depression – Skin Psoriasis – Obesity and binge eating disorders 35 Brain (Siegel, Germer & Olendzki, 2009) Brain regions responsible for attention and introspection enlarge with mindfulness practice 36 Brain (Davidson et al, 2003) Increased activity in the left-side anterior activation – Associated with feelings of well-being – Associated with reduction in anxiety – More adaptive responding to negative/stressful events 37 Brain (Hözel et al, 2011) Increase in gray matter concentration in left hippocampus – Hippocampus is critically involved in learning and memory processes as well as modulation of emotional control 38 Immune System (Davidson et al, 2003) Significant increase in antibody titers. 39 Physical Benefits Reducing symptoms of: – Eating disorders (Tapper et al., 2009) – Substance abuse (Roemer et al., 2006) – Chronic pain (Grossman et al., 2007) 40 Social Emotional Benefits (SchonertReich & Lawlor, 2010) Develop hardiness in the face of uncomfortable feelings 41 Social Emotional Benefits (Brown & Ryan, 2003) Increase in: – Optimism – Positive affect – Self actualization – Self regulation 42 Social Emotional Benefits (Ryan & Brown, 2003) Reduced psychological and emotional problems: – – – – Negative affect Depression Anxiety and stress Rumination 43 Social Emotional Benefits (Brown & Ryan, 2003) More socially and emotionally competent (Schonert-Reich & Lawlor, 2010) Improvements in selfregulation – Attention – Inhibit aggressive responses – Heightened self-knowledge 44 Benefits of Mindfulness for Children and Adolescents 45 Mindfulness is a SEL skill (Durlak & Weissberg, 2011) Mindfulness is a social and emotional learning skill. SEL is the process of learning important and necessary skills to: – – – – – Recognize and manage emotions, Develop concern for others, Form positive relationships, Make responsible decisions, And deal with challenging situations effectively 46 Social-Emotional Learning Low SEL is associated with drop-out and non attendance. (National Centre for Education Statistics, 2002 Students high in SEL are more likely to engage in prosocial behaviour. (Malecki & Elliott, ) 2002) SEL has positive effects on physical health, and life and academic success. (Zins & Elias, 2006) SEL has positive effects on: – Attitudes about self and school, – and achievement test scores. (Durlak et al., 2010) 47 Mindfulness for Youth (Mendelson et al., 2010) Reduced symptoms of: – Anxiety – Depression – Somatic distress Improved: – Self-esteem – Sleep 48 4th and 5th Graders (Burke, 2009) Enthusiastic about participating in a mindfulness program Positive experience with the program Enhanced self-regulatory capacities – Reduction in activation and persistence of worrying thoughts 49 Other Studies (Burke, 2009) Programs are well-tolerated by youth Mindfulness skills learned are generalized to other settings (e.g., preparing for exam) 50 Other Studies (Burke, 2009) Improvements in attention Reduction of – Externalizing behaviours – Depression – Stress and anxiety 51 Other Studies (Schonert-Reich & Lawlor, 2010) Improvement in general self-concept in adolescents 52 How to Cultivate Mindfulness? 53 Jason Images We are All Mindful (Kabat-Zinn, 2003) A lot of us may not have mindfulness practices but this does not mean that we are not practicing mindfulness or that we are not mindful. We are all mindful to varying degrees 54 How to Become More Mindful? (Siegel, Germer & Olendzki, 2009) Committed practice Sets the foundation for happiness, although on its own it is not sufficient 55 Three Different Kinds, One Thing in Common (Siegel, Germer & Olendzki, 2009) 1. Everyday mindfulness e.g., phone ringing, walking from one place to anther 2. 3. Formal meditation practice Retreat practice All forms have to be repeatedly practiced 56 Core Practices (Hölzel et al., 2011) Aims to develop the capacity for mindfulness: – – – – Body scan Mindful yoga Sitting meditation Open awareness 57 Predominant Mindfulness-Based Approaches (Burke, 2009) Mindfulness-based stress reduction Mindfulness-based cognitive therapy Dialectical behaviour therapy Acceptance and commitment therapy 58 MindUp (The Hawn Foundation, 2009) Mindfulness Education (ME) program Bring the person’s attention to the present experience without inferring judgment 3 times a day, for 3 minutes each time 59 3 times a day, for 3 minutes each time Quieting the mind Mindful attention Managing negative emotions and negative thinking Acknowledge self and others (Schonert-Reichl & Lawlor, 2010) 60 Research Study Use of a Mindfulness Practice to Decrease Problem Behaviour and Increase Engaged Time of Children at Risk for or with Conduct Disorder in the Classroom Principal investigator: Dr. Joseph Lucyshyn Graduate Student: Sara Shababi Currently being conducted in a school in the lower mainland 61 Mental Health Illness 15% of children and youth in BC. (Waddel & Shepherd, 2002) Can impair functioning and development at home, at school, with peers and in the community.(BC Ministry of child and Family Development & Ministry of Health Services, 2003) Often exhibit social, emotional and behavioural problems. If not adequately treated in childhood can lead to persistent problems in adulthood. (Greenberg, Domitrovich, & Bumbarger, 2001) 62 (Mcdougall, 2011) Empowerment Focusing on the individual rather than on his/her problems and symptoms. Encourages maximum involvement. Problem behaviour may be an attempt at taking control. (Bandura et al., 2001) An example: Self-management, has: (Patton, 2005) (Kidd et al., 2011) – Increased and maintained on-task behaviour. (Glynn, Thomas, & Shee, 1973)) – Reduced and maintained problem behaviour. (Bolstad & Johnson, 1972) 63 Conduct Disorder Associated with : – Multiple problems at home, in school and in the community. – Increased risk of additional disorders. (Loeber et al., 2000) Negative long-term outcomes. (Robins, 1991) Current treatments: – Psychopharmacological – Psychosocial 64 Mindfulness Paying attention to the present moment, without imposing judgment on it. Empowering self-management strategy. 65 Meditation on the Soles of the Feet Simple mindfulness procedure that enables an individual to divert his/her attention from an anger- or anxiety provoking situation to a neutral part of the body. 66 Meditation on the Soles of the Feet 27 year old male with aggressive behaviour. – Major reduction in the number of incidents, physical restraints, verbal and physical aggression. – Increase in self-control. Three seventh-grade adolescents with conduct disorder. – Substantial decrease in aggressive behaviour and bullying. 67 Functional Assessment (Bailey & Pyles, 1989) In order to eliminate behavioural problems, it is important to understand the function it serves for the individual. 68 Functional Assessment Function-based behaviour interventions decrease problem behaviour more successfully than nonfunction based interventions. (March et al., 2000) Linking self-management procedures to the function of the problem behaviour enhances the effectiveness of the intervention. (Kern et al., 2001) 69 This Study . . . Replicate the studies by Singh et al. (2003; 2007) to evaluate the effectiveness of Meditation on the Soles of the Feet. Augmented by a functional assessment in order to individualize the training according to each student’s specific behaviour patterns. Younger population (under 13 years of age) 70 Research Questions 1. 2. 3. Is there a functional relation between the use of Meditation on the Soles of the Feet and a reduction in problem behaviour and an increase in engaged time for children at risk for or diagnosed with conduct disorder in the classroom? What is the implementation fidelity of teaching the steps of the mindfulness practice to the target students? What is the social validity of the mindfulness practice from the perspective of the target students, the teachers with whom they work in school and the students’ parents? 71 Research Methodology 1. 2. 3. 4. 5. 6. Participants Settings Measurement Interobserver agreement Research design Research Procedures 72 1. Participants Three elementary-school aged students. Frequent engagement in problem behaviour in the classroom. 73 2. Settings School – Classroom: initial mindfulness training. – Four additional settings: generalization. • 2 settings with covert rehearsal. • 2 settings without training. 74 3. Measurement Dependent variables I. Problem behaviour II. Engaged time III. Social Validity 75 Problem Behaviour Definition – Individualized to each student (e.g., noncompliance, defiance, physical aggression and property destruction). – Identified through a functional assessment. 76 Engaged Time Definition – Will vary depending on the settings (i.e., appropriately attending to and/or engaging in the expected behaviour of the setting). – Examples: orienting towards the task, exhibiting ontask behaviour, and paying attention to the speaker (Brooks, Todd, Toffelmoyer, & Horner, 2003) 77 Social Validity Why? – To evaluate the importance, acceptability and viability of the intervention’s goals, methods, and outcomes. (Kennedy, 2005) When? – During intervention, and follow-up. Who? – Target students, classroom teachers, and parent(s). 78 Measurement Procedures Observation methods: – In vivo observations in all of the settings. 79 Measurement Procedures Data Collection: – Paper and pencil data collection. – 20 minute observation probes. – Minimum of 5 points in the classroom and 1 in the generalization settings. 80 Measurement Procedures Social Validity – Administered 3 times throughout the study. • Halfway through the intervention phase. • Before the start of the follow-up phase. • During follow-up. Individual averages will be added to yield an overall average social validity rating. 81 5. Research Design Non-concurrent multiple baseline design across participants. Three phases: – Baseline – Intervention – Follow-up 82 6. Research Procedures a) b) c) Baseline Intervention Follow-up 83 a) Baseline Randomly select a baseline phase length for each student (e.g., 3, 5, or 7). Conduct in vivo observations in all of the 5 settings. 84 b) Intervention Functional assessment. Meditation on the Soles of the Feet. 85 Functional Assessment To identify: – Student specific problem behaviour. – Settings where behaviour occur(s). – Triggers of the problem behaviour. Will include interviewing: – Teachers. – Target student. 86 Meditation on the Soles of the Feet Focus on the present moment by bringing one’s attention to a neutral part of the body. (Singh et al., 2007) Training phase: – Meet with the student 3 times a week for 15 minutes, for 4 weeks. 87 Meditation on the Soles of the Feet First session: – Explain rationale and obtain cooperation. Second session: – Teach the mindfulness practice. Final 10 sessions: – Meet, discuss frequency of practicing mindfulness, behaviourally rehearse, and retrain steps, if necessary. 88 c) Follow up Once a month until: – Five data points are obtained. Or, – The end of the school year. 89 Anticipated Results 1. 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