Table 1.
Included studies (N=15).
| Authors (year; country) | Participants (sample size) | Intervention | Control group | Adherence | Positive results | Null or inconclusive results | Gender (% female) and age (mean) | ||||||||
| Calm | |||||||||||||||
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Huberty et al (2019; United States) [40] | College students (n=88) | 10 minutes of daily use for 8 weeks | Waitlist | On average, intervention participants completed 37.9/70 (54%) minutes of meditation per week over the course of the study | Improved stress, mindfulness, and self-compassion | N/Aa |
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| Headspace | |||||||||||||||
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Bennike et al (2017; Denmark) [26] | University staff novice meditators (n=95) | 10 minutes daily for week 1, 15 minutes daily for week 2, and 20 minutes daily for week 3 | Cognitive-training app use for 30 days | On average, intervention participants completed 302.7/450 (67%) minutes of the required meditation minutes over the study period | Improved dispositional mindfulness and mind wandering | N/A |
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Bjorkstrand et al (2019; Sweden) [27] | Adults without extensive meditation experience (n=26) | Daily 10-20–minute guided mindfulness meditation sessions over 4 weeks | Waitlist | On average, intervention participants completed 13.2 minutes of meditation per day | Improved retention of extinction learning on day 2 | No effect on fear acquisition or extinction of conditioned response on day 1 |
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Bostock et al (2019; United Kingdom) [28] | Adult employees of 2 firms in the United Kingdom reporting work stress (n=238) | 45 sessions of guided mindfulness meditation over 8 weeks | Waitlist | On average, participants completed 16.6/45 sessions (37%) | Improved global well-being, daily positive affect, anxiety and depressive symptoms, job strain, and workplace social support | Marginally significant improvement in systolic blood pressure. No effect on diastolic blood pressure |
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Champion et al (2018; United Kingdom) [29] | Adult novice meditators (n=74) | Daily use for 30 days | Waitlist | On average, intervention participants completed 6.21/10 (62%) sessions in the first 10 days and 11.66/20 (58%) sessions in the second 20 daysb | Improved satisfaction with life, stress, and resilience | N/A |
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DeSteno et al (2018; United States) [30] | College student novice meditators (n=46) | Daily meditation training (approximately 15 min) for 3 weeks | Daily logic problem | 53/77 (68%) intervention participants completed all required sessions | Improved aggression | No effect on anger or executive control |
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Economides et al (2018; United States) [31] | Adult novice meditators (n=88) | 10 sessions in 1 month | Mindfulness or meditation psychoeducational audiobook | 69/88 (78%) participants completed all sessions | Improved irritability, affect, and stress from external issues | No effect on stress from internal pressure |
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Flett et al (2018; New Zealand) [32] | College students (n=208) | Daily use for 10 days | Intervention arm 2: Smiling Mind app use; control: Evernote app use | On average, intervention participants completed 8.24/10 sessions (82%)b | Improved depressive symptoms and college adjustment (for both Headspace and Smiling Mind users). Improved mindfulness for Headspace users. (Improved resilience for Smiling Mind users). Improvements were maintained for participants who continued to use intervention apps | No differences in flourishing, stress, or anxiety. No effect on resilience for Headspace users. (No effect on mindfulness for Smiling Mind users) |
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Howells et al (2016; United Kingdom) [33] | Adult app users (n=121) | 10 minutes daily for 10 days | List-making app use (Catch Notes) | Not reported | Improved positive affect and depressive symptoms | No effect on satisfaction with life, flourishing, or negative affect |
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Kubo et al (2019; United States) [34] | Arm 1: patients with a diagnosis of cancer (n=72). Arm 2: their caregivers (26) | 8 weeks of daily mindfulness sessions delivered via Headspace app | Waitlist | Not reported | Patients: improved overall well-being. (Caregivers: improved FFMQc observing mindfulness domain score) | Patients: no statistically significant differences in change in anxiety, depression, sleep, or fatigue |
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Lim et al (2015; United States) [35] | College student novice meditators (n=56) | 14 sessions plus daily quiz over 3 weeks | 14 sessions of cognitive-training app plus daily questionnaire | Not reported | Improved compassionate responding | No effect on empathic accuracy |
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Noone and Hogan (2018; Ireland) [36] | College students (n=91) | 30 mindfulness meditation sessions over 6 weeks | 30 sham meditations delivered through Headspace interface | On average, intervention participants completed 15/30 (50%) sessions | N/A | No difference between groups in mindful disposition, critical thinking, or executive functioning |
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Quinones and Griffiths (2019; United Kingdom) [37] | Adult novice meditators with signs of compulsive internet use (n=994) | Daily 10-minute mindfulness podcast | Active control: muscle relaxation podcast. Passive control: waitlist | Not reported | Improved mindfulness and compulsive internet use in the intervention group compared to active control and waitlist groups | No differences between mindfulness and active control groups in anxiety or depression, but both outperformed waitlist group |
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Rosen et al (2018; United States) [38] | Women diagnosed with breast cancer (n=112) | Self-guided app-delivered mindfulness training for 8 weeks | Waitlist | On average, intervention patients used the app 18/72 (25%) days. | Improved quality of life and mindfulness. | N/A |
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Yang et al (2018; United States) [39] | Medical students (n=88) | App-delivered mindfulness training over 30 days | Waitlist | On average, intervention participants completed 11.97/30 (40%) sessionsb | Improved well-being and stress | No differences between groups for mindfulness |
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aN/A: not applicable.
bSelf-report data.
cFFMQ: Five Facet Mindfulness Questionnaire