Mindfulness training is often promoted as a method to train cognitive functions and has shown such effects in previous studies. However, many conventional mindfulness exercises for beginners require cognitive effort, which may be prohibitive for some, particularly for people who have more pronounced cognitive problems to begin with. An alternative mindfulness-based approach, called restoration skills training, draws on a restorative natural practice setting to help regulate attention effortlessly and promote meditative states during exercises. Previous research has shown that a 5-week (...) ReST course requires less effort and is attended by higher compliance with practice recommendations than a conventional mindfulness course, without compromising long-term outcomes. Here, we compare ReST and a formally matched conventional mindfulness course regarding the role that initial individual differences in cognitive functioning play in determining practice compliance and long-term improvements in dispositional mindfulness and cognitive functioning. In line with expectations, ReST participants who had more pronounced cognitive problems to begin with practiced more during the course, which in turn explained much of their improvement in dispositional mindfulness and cognitive functioning. In contrast, initial cognitive functioning did not explain practice and improvement in the conventional mindfulness course. The results provide further support for the potential utility of ReST as a low-effort method for enhancing cognitive functioning among people who would struggle with the demands of conventional mindfulness training. With careful integration of mindfulness practices with a restorative natural setting, these people can develop mindfulness and self-regulation capabilities without relying on effortful training. (shrink)

Restoration skills training is a mindfulness-based course in which participants draw support from a natural practice setting while they learn to meditate. Well-established conventional mindfulness training can improve psychological functioning but many perceive it as demanding and fail to sustain practice habits. Applying non-inferiority logic, previous research indicated that ReST overcomes compliance problems without compromising the benefits gained over 5 weeks’ training. This article applies similar logic in a 6-month follow-up. Of 97 contacted ReST and CMT course completers, 68 responded (...) and 29 were included with multiple imputation data. The online survey included questions about their psychological functioning in three domains and the forms and frequencies with which they had continued to practice mindfulness after the course. Former ReST participants continued, on average, to show higher dispositional mindfulness and fewer cognitive lapses compared to pre-course ratings. Improved psychological functioning in one or more domains was demonstrated by 35%, as determined by a reliable change index. Again, analyses detected no indications of any substantive disadvantages compared to the more demanding, established CMT approach. Compared to the CMT group, more ReST participants had also continued to practice at least occasionally. Continued practice was linked to sustained improvements for ReST but not clearly so for CMT. ReST participants thus continued to use the skills and sustained the improvements in psychological functioning that they had gained in the course, further supporting the utility of ReST as a health intervention. (shrink)

Social prescriptions are one term commonly used to describe non-pharmaceutical approaches to healthcare and are gaining popularity in the community, with evidence highlighting psychological benefits of reduced anxiety, depression and improved mood and physiological benefits of reduced risk of cardiovascular disease and reduced hypertension. The relationship between human health benefits and planetary health benefits is also noted. There are, however, numerous barriers, such as duration and frequencies to participate in activities, access, suitability, volition and a range of unpredictable variables impeding (...) a comprehensive approach to their use on a wider scale. From a multidisciplinary perspective, this commentary incorporates a salutogenic and nature-based approach to health, we also provide a range of recommendations that can be undertaken at the patient level to assist in shifting the acknowledged systemic barriers currently occurring. These include using simple language to explain the purpose of health empowerment scripts, ensuing personal commitment to a minimum timeframe, enabling ease of access, co-designing a script program, providing ongoing motivational support and incorporating mindfulness to counter unexpected disruptions. (shrink)