Table 2. Themes, mindfulness and PE components in the MBPE intervention.
Week | Theme of each session | Objectives | MBI component (20 min) | PE component (40 min) |
---|---|---|---|---|
1 | Introduction to MBPE | Help participants to understand mindfulness, MBPE and key points of keeping mindful | 1) Mini lectures on mindfulness, MBPE and key points of remaining mindful during PE 2) Initial experience of mindfulness (3-min breath meditation) |
PE movement 1) Warm up (10 min): mindful torso rotation, mindful shoulder rotation, mindful wrist wrap, mindful knee circles, mindful ankle rotation 2) RE (20 min): mindful lateral hand raises, mindful hip abduction, mindful bicep flexors, mindful straight leg lift, mindful handgrip strength exercise, mindful toes up, mindful heels up 3) Cool down (10 min): mindful bicep stretch, mindful tricep stretch, mindful calf stretch, mindful quadricep stretch, mindful cross-legged twist, mindful back stretch PE intensity 1) Fairly light (10–11 on Borg scale) 2) 2 sets, 8–10 repeats |
2 | Paying attention to breath during static and dynamic movements | Help participants to understand the characteristics of mindfulness and learn how to pay attention to breath | 1) Mini lectures on the key characteristics of mindfulness and the importance of focusing on breath, especially for older people with sarcopenia 2) Mindful practice: 6-min breath meditation 3) Tips on paying attention to breath during PE |
PE movement Same as Week 1 PE intensity Same as Week 1 |
3 | Paying attention to body sensations during static and dynamic movements | Help participants to understand the importance of paying attention to the body and know how to do so | 1) Mini lectures on body sensations and appreciation 2) Mindful practice: 10-min body scan 3) Tips on paying attention to body sensations during PE |
PE movement Same as Week 1 PE intensity 1) Somewhat hard (11–12 on Borg scale) 2) 2 sets, 10–12 repeats |
4 | Working with pain, challenges, and stress | Help participants to learn to notice pain, challenges and stress in the body and to observe their physical limitations non-attachedly | 1) Mini lecture on pain and stress, especially those that older adults with sarcopenia commonly have in daily life 2) Mindful practice of noticing and observing pain, challenges and stress: 10-min seated meditation 3) Tips on noticing physical pain, limitations, stress or challenges during PE |
PE movement Same as Week 1 PE intensity Same as Week 3 |
5 | Working with thoughts during stillness and PE | Help participants to understand the relationship between thoughts and facts and learn to notice thoughts non-judgementally | 1) Mini lecture on the conditioned mind: using some common thoughts of older adults with sarcopenia to elaborate on the topic 2) Awareness of our thoughts: 7-min sitting meditation 3) Tips on noticing and dealing with thoughts during PE |
PE movement Same as Week 1 PE intensity 1) Hard (12–14 on Borg scale) 2) 3 sets, 8–15 repeats |
6 | Understanding habitual thinking patterns during life and PE | Help participants to understand that behaviour, thoughts and feelings are interwoven, and learn to notice the tendency to label things during PE | 1) Mini lectures on becoming unstuck and having a flexible mind: using common negative feelings of older adults with sarcopenia to show how these negative feelings stick in the mind, behaviour, etc. 2) Mindful practice: 7-min sitting meditation 3) Tips on observing the tendency to label things during PE |
PE movement Same as Week 1 PE intensity Same as Week 5 |
7 | Self-compassion during life and PE | Help participants to understand self-compassion, how to improve self-compassion and show more appreciation towards PE and life | 1) Mini lectures on compassion vs criticism and nourishing vs depleting activities 2) Mindful practice: 7-min loving meditation 3) Tips on self-compassion during PE |
PE movement Same as Week 1 PE intensity Same as Week 5 |
8 | Mindfulness-based PE and mindfulness in life | Help participants to learn to integrate mindfulness and MBPE into daily life and to view things from a beginner’s perspective | 1) Mini lecture on incorporating mindfulness and mindfulness-based PE into daily life: what informal mindfulness activities we can do in daily life; when, where and how to do formal mindfulness practice, etc. 2) Mini lecture on keeping a beginner’s mindset: its importance and how to re-view the things that we ignore or take for granted 3) Mindful practice: 7-min sitting meditation with life nourishment |
PE movement Same as Week 1 PE intensity Same as Week 5 |
MBI, Mindfulness-Based Intervention; MBPE, Mindfulness-Based Physical Exercise; PE, Physical Exercise.