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May 31, 2026Mindfulness0 citationsOpen Access

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

IMIrena MiksicUniversity of ZagrebEMEma MuzaAmsterdam University of the ArtsIMIvana MarijanovicAmsterdam University of the Arts

Key Points

  • This trial aims to assess the feasibility and acceptability of a novel blended mindfulness-based intervention (MBI) for early adolescents in schools.
  • Pilot cluster randomized controlled trial conducted in a socioeconomically diverse Croatian school.
  • 178 early adolescents aged 10–14 were randomized into intervention (n=95) and control (n=83) groups.
  • The 8-week intervention combined pre-recorded content with in-person facilitation by school staff.
  • 83.6% of eligible students enrolled; 74.7% completed both assessments; 96.8% attended ≥5 sessions.
  • Preliminary effect sizes for behavioral difficulties (β = -0.67), prosocial behavior (β = 0.22), global assertiveness (β = -0.17), and trait mindfulness (β = 0.07) showed negligible improvements.
  • Engagement varied by grade, with lower home practice and some peer contagion effects identified.

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).

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Cite This Study

Miksic et al. (2026) studied this question.

synapsesocial.com/papers/6a1bd0df5783ba022b6fc805https://doi.org/10.1007/s12671-026-02876-w
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