Mindfulness in Schools: A Pilot Cluster Randomised Trial of a Novel Blended Intervention for Early Adolescents

Abstract Objectives Mindfulness-based interventions (MBIs) are increasingly implemented in schools to support students. However, the effects remain modest and inconsistent, particularly across developmental stages, delivery formats, and school contexts. Method In response to these limitations, we conducted a pilot cluster randomised controlled trial (cRCT) of a novel blended MBI in a socioeconomically diverse Croatian school. A total of 178 early adolescents (ages 10–14) from 12 classrooms were randomised to either the intervention group ( n = 95) or a teaching-as-usual (TAU) control group ( n = 83). The 8-week intervention combined pre-recorded mindfulness content designed by an external expert with in-person facilitation by an internal school staff member. Results Feasibility was high in terms of recruitment (83.6% of eligible students enrolled), retention (74.7% completed both assessments), and session attendance (96.8% attended at least five of eight sessions). However, home practice was low (8.3% practised mindfulness regularly outside school) and challenges related to data matching, absences, and outlier exclusion reduced the final analytic sample to 103 (57 intervention, 46 control). Acceptability was moderate overall, with younger students generally reporting higher engagement and perceived usefulness, whereas one 7th-grade classroom exhibited peer contagion effects that undermined feasibility and intervention fidelity. Preliminary effect sizes were small, with negligible improvements observed in behavioural difficulties ( β = −0.67, η 2 = 0.00), prosocial behaviour ( β = 0.22, η 2 = 0.00), global assertiveness ( β = −0.17, η 2 = 0.03), and trait mindfulness ( β = 0.07, η 2 = 0.01), but subgroup analysis revealed variations by grade. Conclusions These findings provide evidence for the feasibility and acceptability of a blended MBI and align with broader evidence showing modest effects of universal school-based approaches. The study highlights the importance of contextual and individual factors in MBI research and provides recommendations for future studies examining factors that may shape engagement and outcomes. Preregistration The study was pre-registered at the Open Science Framework (identifier: y465x).

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Journal
Mindfulness
Published
2026-05-29
DOI
https://doi.org/10.1007/s12671-026-02876-w
Primary Topic
Mindfulness and Compassion Interventions
Type
article
Field-Weighted Citation Impact
0.00
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article

Mindfulness in Schools: A Pilot Cluster Randomised Trial of a Novel Blended Intervention for Early Adolescents

Irena Miksic, Sanja Kišiček, Ivana Burić, Ivana Marijanovic et al.
Mindfulness
Mindfulness and Compassion Interventions
article

Mindfulness in Schools: A Pilot Cluster Randomised Trial of a Novel Blended Intervention for Early Adolescents

Irena Miksic, Sanja Kišiček, Ivana Burić, Ivana Marijanovic, Ema Muza
article en

Abstract

Abstract Objectives Mindfulness-based interventions (MBIs) are increasingly implemented in schools to support students. However, the effects remain modest and inconsistent, particularly across developmental stages, delivery formats, and school contexts. Method In response to these limitations, we conducted a pilot cluster randomised controlled trial (cRCT) of a novel blended MBI in a socioeconomically diverse Croatian school. A total of 178 early adolescents (ages 10–14) from 12 classrooms were randomised to either the intervention group ( n = 95) or a teaching-as-usual (TAU) control group ( n = 83). The 8-week intervention combined pre-recorded mindfulness content designed by an external expert with in-person facilitation by an internal school staff member. Results Feasibility was high in terms of recruitment (83.6% of eligible students enrolled), retention (74.7% completed both assessments), and session attendance (96.8% attended at least five of eight sessions). However, home practice was low (8.3% practised mindfulness regularly outside school) and challenges related to data matching, absences, and outlier exclusion reduced the final analytic sample to 103 (57 intervention, 46 control). Acceptability was moderate overall, with younger students generally reporting higher engagement and perceived usefulness, whereas one 7th-grade classroom exhibited peer contagion effects that undermined feasibility and intervention fidelity. Preliminary effect sizes were small, with negligible improvements observed in behavioural difficulties ( β = −0.67, η 2 = 0.00), prosocial behaviour ( β = 0.22, η 2 = 0.00), global assertiveness ( β = −0.17, η 2 = 0.03), and trait mindfulness ( β = 0.07, η 2 = 0.01), but subgroup analysis revealed variations by grade. Conclusions These findings provide evidence for the feasibility and acceptability of a blended MBI and align with broader evidence showing modest effects of universal school-based approaches. The study highlights the importance of contextual and individual factors in MBI research and provides recommendations for future studies examining factors that may shape engagement and outcomes. Preregistration The study was pre-registered at the Open Science Framework (identifier: y465x).

Mindfulness
University of Zagreb (HR), Amsterdam University of the Arts (NL), University of Amsterdam (NL)
Reduced inequalities
Openalex Percentile: Top 4%
Mindfulness and Compassion Interventions
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