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. 2017 May 25;8(6):1653–1664. doi: 10.1007/s12671-017-0740-z

Table 1.

Overarching themes, themes and sample quotes

Overarching themes Themes, sub-themes and sample quotes
Attitude towards engagement Motivation to reduce stress: “I am always keen to learn how to manage stress better”.
Prior knowledge: “I had heard about mindfulness from colleagues, so always wanted to try it out”.
Positive predisposition: “I feel I was already mindful before the course started, so the practice didn’t feel strange, you know”.
Intervention characteristics Rationale
Belief in the rationale of mindfulness: “The justification given about how this [mindfulness] works, kept me motivated to keep carrying on [practice]”.
Lack of rationale: “Maybe a better explanation of why this [thinking about my problems] was not helpful would help, because unless I think about my problem how can I solve it!”
Types of practice
Length of practices:
“Some of those [practices] were so long, I used to fall asleep”
“I have noticed I am able to do the brief practice like 3-min breathing even when I am in a lot of stress”.
Intensity of the intervention: “The course was too intense for me … there was too much to do so I gave up”
Change process Becoming more mindful
Decentering: “I understood my mind is only a part of me … so I can take a step back and read my own mind”.
Present moment focus: “It [sitting mindfulness meditation] helped me find and anchor to the present moment … I realised the current situation is not as stressful as I felt”.
Habitual perseveration: “It was hard to stop myself from thinking about my to-do list, so I wanted to give up”.
Perceived consequences Perceived effects of mindfulness on mental health and well-being
Improved well-being: I have noticed I am calmer now when there is stress”
Emerging negative thoughts: “The thoughts you want to shut down comes to you easily during meditation. I once had to stop meditating because I didn’t want to think about it, it made me sad”.
Change in self-compassion
Increased self-compassion: “I think it is good to practice [mindfulness] because it helps you accept your flaws and its O.K [to have flaws]”.
Becoming self-critical: “I felt I wasn’t motivated [to practice meditation] because I was being harsh and critical of myself all the time. I felt, this is not difficult why can’t I get it”.
Increased sense of agency over thoughts: My mind always kept thinking … but now I can notice [my thoughts] and respond. I feel I have more control over my mind now”.