{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T21:56:52Z","timestamp":1772920612069,"version":"3.50.1"},"reference-count":94,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010010","name":"Glasgow Caledonian University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010010","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000364","name":"Stroke Association","doi-asserted-by":"publisher","award":["SA PPA 18\\\\100011"],"award-info":[{"award-number":["SA PPA 18\\\\100011"]}],"id":[{"id":"10.13039\/501100000364","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Complementary Therapies in Clinical Practice"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.ctcp.2025.102041","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T16:23:13Z","timestamp":1766506993000},"page":"102041","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Mechanisms of sustained mindfulness practice in stroke survivors: A critical realist secondary analysis of the HEADS: UP intervention"],"prefix":"10.1016","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9171-6255","authenticated-orcid":false,"given":"Naomi E.","family":"Clark","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Parkinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Kidd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maggie","family":"Lawrence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ctcp.2025.102041_bib1","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/S1474-4422(24)00369-7","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the global burden of disease study 2021","volume":"23","year":"2024","journal-title":"Lancet Neurol."},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib2","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1093\/ageing\/afz163","article-title":"The future incidence, prevalence and costs of stroke in the UK","volume":"49","author":"King","year":"2020","journal-title":"Age Ageing"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003048","article-title":"Long-term trends in death and dependence after ischaemic strokes: a retrospective cohort study using the south london stroke Register (SLSR","volume":"17","author":"Wafa","year":"2020","journal-title":"PLoS Med."},{"issue":"5","key":"10.1016\/j.ctcp.2025.102041_bib4","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/S1474-4422(14)70016-X","article-title":"Neuropsychiatric outcomes of stroke","volume":"13","author":"Hackett","year":"2014","journal-title":"Lancet Neurol."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib5","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1177\/1747493019896958","article-title":"Frequency of anxiety after stroke: an updated systematic review and meta-analysis of observational studies","volume":"15","author":"Knapp","year":"2020","journal-title":"Int. J. Stroke"},{"key":"10.1016\/j.ctcp.2025.102041_bib6","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.genhosppsych.2020.06.011","article-title":"Post-stroke depression: a 2020 updated review","volume":"66","author":"Medeiros","year":"2020","journal-title":"Gen. Hosp. Psychiatry"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib7","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1161\/STROKEAHA.121.035499","article-title":"Depression, anxiety, and suicide after stroke: a narrative review of the best available evidence","volume":"53","author":"Chun","year":"2022","journal-title":"Stroke"},{"key":"10.1016\/j.ctcp.2025.102041_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.lanepe.2024.100882","article-title":"Natural history of depression up to 18 years after stroke: a population based South London stroke register study","volume":"40","author":"Liu","year":"2024","journal-title":"Lancet Regional Health - Europe"},{"issue":"10","key":"10.1016\/j.ctcp.2025.102041_bib9","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1136\/jnnp-2016-313361","article-title":"Patient outcomes up to 15 years after stroke: survival, disability, quality of life, cognition and mental health","volume":"87","author":"Crichton","year":"2016","journal-title":"J. Neurol. Neurosurg. Psychiatr."},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib10","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1161\/STROKEAHA.111.679340","article-title":"The natural history of depression up to 15 years after stroke: the south London stroke register","volume":"44","author":"Ayerbe","year":"2013","journal-title":"Stroke"},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib11","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-025-12875-x","article-title":"Association between post-stroke depressiveness and the utilization of healthcare services three months after the stroke","volume":"15","author":"Artner","year":"2025","journal-title":"Sci. Rep."},{"issue":"8","key":"10.1016\/j.ctcp.2025.102041_bib12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0309158","article-title":"Association between post-stroke depression and functional outcomes: a systematic review","volume":"19","author":"Butsing","year":"2024","journal-title":"PLoS One"},{"key":"10.1016\/j.ctcp.2025.102041_bib13","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/846732","article-title":"Depression increases stroke hospitalization cost: an analysis of 17,010 stroke patients in 2008 by race and gender","author":"Husaini","year":"2013","journal-title":"Stroke Res. Treat."},{"key":"10.1016\/j.ctcp.2025.102041_bib14","doi-asserted-by":"crossref","first-page":"926","DOI":"10.3389\/fneur.2019.00926","article-title":"Post-stroke depression increases disability more than 15% in ischemic stroke survivors: a case-control study","volume":"10","author":"Paolucci","year":"2019","journal-title":"Front. Neurol."},{"key":"10.1016\/j.ctcp.2025.102041_bib15","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.genhosppsych.2018.03.009","article-title":"Effects of depression and anxiety on quality of life in five common neurological disorders","volume":"52","author":"Prisnie","year":"2018","journal-title":"Gen. Hosp. Psychiatry"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib16","doi-asserted-by":"crossref","DOI":"10.1136\/svn-2020-000693","article-title":"Role of depressive symptoms in cardiometabolic diseases and subsequent transitions to all-cause mortality: an application of multistate models in a prospective cohort study","volume":"6","author":"Qiao","year":"2021","journal-title":"Stroke and Vascular Neurology"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib17","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/10749357.2016.1196908","article-title":"Psychological and emotional needs, assessment, and support post-stroke: a multi-perspective qualitative study","volume":"24","author":"Harrison","year":"2017","journal-title":"Top. Stroke Rehabil."},{"issue":"10","key":"10.1016\/j.ctcp.2025.102041_bib18","doi-asserted-by":"crossref","first-page":"404","DOI":"10.3390\/bs12100404","article-title":"Exploring stroke patients' needs after discharge from rehabilitation centres: meta-ethnography","volume":"12","author":"Temehy","year":"2022","journal-title":"Behav. Sci."},{"key":"10.1016\/j.ctcp.2025.102041_bib19","series-title":"Shaping Stroke Research to Rebuild Lives: the Stroke Priority Setting Partnership Results for Investment [Internet]","year":"2021"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib20","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1177\/17474930221096935","article-title":"International research priority setting exercises in stroke: a systematic review","volume":"18","author":"Leitch","year":"2023","journal-title":"Int. J. Stroke"},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib21","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s40814-018-0244-1","article-title":"Acceptability of mindfulness from the perspective of stroke survivors and caregivers: a qualitative study","volume":"4","author":"Jani","year":"2018","journal-title":"Pilot and Feasibility Studies"},{"key":"10.1016\/j.ctcp.2025.102041_bib22","doi-asserted-by":"crossref","first-page":"391","DOI":"10.3389\/fpsyg.2019.00391","article-title":"Tailoring self-help mindfulness and relaxation techniques for stroke survivors: examining preferences, feasibility and acceptability","volume":"10","author":"Wang","year":"2019","journal-title":"Front. Psychol."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib23","doi-asserted-by":"crossref","first-page":"355","DOI":"10.3390\/healthcare11030355","article-title":"The HEADS: UP development study: working with key stakeholders to adapt a mindfulness-based stress reduction course for people with anxiety and depression after stroke","volume":"11","author":"Lawrence","year":"2023","journal-title":"Healthcare"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib24","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1093\/clipsy.bpg016","article-title":"Mindfulness-based interventions in context: past, present, and future","volume":"10","author":"Kabat-Zinn","year":"2003","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"10.1016\/j.ctcp.2025.102041_bib25","series-title":"Full Catastrophe Living: How to Cope with Stress, Pain and Illness Using Mindfulness Meditation","author":"Kabat-Zinn","year":"2013"},{"issue":"6","key":"10.1016\/j.ctcp.2025.102041_bib26","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1017\/S0033291716003317","article-title":"What defines mindfulness-based programs? The warp and the weft","volume":"47","author":"Crane","year":"2017","journal-title":"Psychol. Med."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003481","article-title":"Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: a systematic review and meta-analysis of randomised controlled trials","volume":"18","author":"Galante","year":"2021","journal-title":"PLoS Med."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib28","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1093\/bmb\/ldab005","article-title":"Mindfulness-based interventions: an overall review","volume":"138","author":"Zhang","year":"2021","journal-title":"Br. Med. Bull."},{"issue":"6","key":"10.1016\/j.ctcp.2025.102041_bib29","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1111\/ijs.12135","article-title":"A systematic review of the benefits of mindfulness-based interventions following transient ischemic attack and stroke","volume":"8","author":"Lawrence","year":"2013","journal-title":"Int. J. Stroke"},{"issue":"5","key":"10.1016\/j.ctcp.2025.102041_bib30","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1007\/s12671-020-01583-4","article-title":"A feasibility study of a one-to-one mindfulness-based intervention for improving mood in stroke survivors","volume":"12","author":"Wrapson","year":"2021","journal-title":"Mindfulness"},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib31","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1186\/s40814-024-01545-w","article-title":"In-person and online mixed method non-randomised studies exploring feasibility and acceptability of HEADS: UP, an adapted mindfulness-based stress reduction programme for stroke survivors experiencing symptoms of anxiety and depression","volume":"10","author":"Lawrence","year":"2024","journal-title":"Pilot and Feasibility Studies"},{"key":"10.1016\/j.ctcp.2025.102041_bib32","series-title":"National Clinical Guideline for Stroke for the UK and Ireland","year":"2023"},{"issue":"5","key":"10.1016\/j.ctcp.2025.102041_bib33","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1017\/S135246581000010X","article-title":"The long-term effects of mindfulness-based cognitive therapy as a relapse prevention treatment for major depressive disorder","volume":"38","author":"Mathew","year":"2010","journal-title":"Behav. Cognit. Psychother."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib34","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1080\/17439760.2012.674548","article-title":"Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators","volume":"7","author":"Baer","year":"2012","journal-title":"J. Posit. Psychol."},{"issue":"8","key":"10.1016\/j.ctcp.2025.102041_bib35","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1007\/s12671-019-01100-2","article-title":"Long-term mental health effects of mindfulness training: a 4-year follow-up study","volume":"10","author":"Solhaug","year":"2019","journal-title":"Mindfulness"},{"issue":"5","key":"10.1016\/j.ctcp.2025.102041_bib36","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1007\/s12671-023-02113-8","article-title":"A framework for the empirical investigation of mindfulness meditative development","volume":"14","author":"Galante","year":"2023","journal-title":"Mindfulness"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib37","first-page":"26","article-title":"Overview of systematic reviews of mindfulness meditation-based interventions for people with long-term conditions","volume":"31","author":"Long","year":"2017","journal-title":"Adv. Mind Body Med."},{"key":"10.1016\/j.ctcp.2025.102041_bib38","series-title":"Eastern Influences on Neuropsychotherapy: Accepting, Soothing, and Stilling Cluttered and Critical Minds","first-page":"211","article-title":"Mindfulness MBSR\/MBCT in a UK public health neurological service: depression, anxiety, and perceived stress outcomes in a heterogeneous clinical sample of ninety-eight patients with neurological or functional neurological disorders","author":"Detert","year":"2018"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib39","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1891\/0889-8391.23.3.198","article-title":"Do mindfulness meditation participants do their homework? And does it make a difference? A review of the empirical evidence","volume":"23","author":"Vettese","year":"2009","journal-title":"J. Cognit. Psychother."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib40","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/00002508-198602030-00004","article-title":"Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: treatment outcomes and compliance","volume":"2","author":"Kabat-Zinn","year":"1986","journal-title":"Clin. J. Pain"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib41","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/s12671-011-0070-5","article-title":"A grounded-theory study of mindfulness practice following mindfulness-based cognitive therapy","volume":"2","author":"Langdon","year":"2011","journal-title":"Mindfulness."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib42","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s12671-018-0951-y","article-title":"An exploration of formal and informal mindfulness practice and associations with wellbeing","volume":"10","author":"Birtwell","year":"2019","journal-title":"Mindfulness"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib43","doi-asserted-by":"crossref","first-page":"301","DOI":"10.3109\/09638288.2016.1140836","article-title":"Stroke patients' and informal carers' experiences with life after stroke: an overview of qualitative systematic reviews","volume":"39","author":"Lou","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"10.1016\/j.ctcp.2025.102041_bib44","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1007\/s12671-025-02595-8","article-title":"A pilot randomized controlled trial testing the feasibility and acceptability of helping ease anxiety and depression after stroke (HEADS: up): an online mindfulness-based intervention for stroke survivors","volume":"16","author":"Lawrence","year":"2025","journal-title":"Mindfulness"},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib45","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1177\/1473325017700701","article-title":"Conducting secondary analysis of qualitative data: should we, can we, and how?","volume":"18","author":"Ruggiano","year":"2019","journal-title":"Qual. Soc. Work"},{"key":"10.1016\/j.ctcp.2025.102041_bib46","series-title":"Reworking Qualitative Data [Online]","author":"Heaton","year":"2011"},{"key":"10.1016\/j.ctcp.2025.102041_bib47","series-title":"The SAGE Handbook of Social Research Methods [Online]","article-title":"Secondary analysis of qualitative data","author":"Heaton","year":"2012"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib48","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1097\/00012272-199712000-00008","article-title":"Secondary analysis of qualitative data","volume":"20","author":"Szabo","year":"1997","journal-title":"Adv. Nurs. Sci."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib49","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.pedhc.2017.09.007","article-title":"Qualitative secondary analysis: a case exemplar","volume":"32","author":"Tate","year":"2018","journal-title":"J. Pediatr. Health Care"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib50","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1177\/104973239700700306","article-title":"The possibilities and pitfalls of doing a secondary analysis of a qualitative data set","volume":"7","author":"Hinds","year":"1997","journal-title":"Qual. Health Res."},{"key":"10.1016\/j.ctcp.2025.102041_bib51","series-title":"Secondary Qualitative Data Analysis in the Health and Social Sciences","author":"Beck","year":"2019"},{"key":"10.1016\/j.ctcp.2025.102041_bib52","year":"2021"},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib53","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/1471-2288-13-117","article-title":"Using the framework method for the analysis of qualitative data in multi-disciplinary health research","volume":"13","author":"Gale","year":"2013","journal-title":"BMC Med. Res. Methodol."},{"key":"10.1016\/j.ctcp.2025.102041_bib54","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g1687","article-title":"Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide","volume":"348","author":"Hoffmann","year":"2014","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib55","first-page":"7","article-title":"Evaluating preexisting qualitative research data for secondary analysis","volume":"19","author":"Sherif","year":"2025","journal-title":"Forum Qualitative Sozialforschung\/Forum Qual. Soc. Res."},{"key":"10.1016\/j.ctcp.2025.102041_bib56","article-title":"A realist theory of science","author":"Bhaskar","year":"1978","journal-title":"Hemel Hempstead: Harvester"},{"key":"10.1016\/j.ctcp.2025.102041_bib57","series-title":"Explaining Society: Critical Realism in the Social Sciences","author":"Danermark","year":"2019"},{"key":"10.1016\/j.ctcp.2025.102041_bib58","series-title":"Critical Realism: Basics and Beyond","author":"Buch-Hansen","year":"2020"},{"key":"10.1016\/j.ctcp.2025.102041_bib59","series-title":"Critical Realism for Health and Illness Research: a Practical Introduction","author":"Alderson","year":"2021"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib60","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1080\/14767430.2021.1894909","article-title":"A realist approach to thematic analysis: making sense of qualitative data through experiential, inferential and dispositional themes","volume":"20","author":"Wiltshire","year":"2021","journal-title":"J. Crit. Realism"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib61","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/14767430.2022.2076776","article-title":"A critical realist approach to thematic analysis: producing causal explanations","volume":"21","author":"Fryer","year":"2022","journal-title":"J. Crit. Realism"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib62","doi-asserted-by":"crossref","first-page":"279","DOI":"10.17763\/haer.62.3.8323320856251826","article-title":"Understanding and validity in qualitative research","volume":"62","author":"Maxwell","year":"1992","journal-title":"Harv. Educ. Rev."},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib63","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/s12671-011-0070-5","article-title":"A grounded-theory study of mindfulness practice following mindfulness-based cognitive therapy","volume":"2","author":"Langdon","year":"2011","journal-title":"Mindfulness."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib64","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s12671-018-0951-y","article-title":"An exploration of formal and informal mindfulness practice and associations with wellbeing","volume":"10","author":"Birtwell","year":"2019","journal-title":"Mindfulness"},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib65","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12883-025-04144-1","article-title":"Identifying mediators of healthy lifestyle adoption after stroke: a focus group study using a theoretical domains framework guided analysis","volume":"25","author":"Hall","year":"2025","journal-title":"BMC Neurol."},{"issue":"12","key":"10.1016\/j.ctcp.2025.102041_bib66","doi-asserted-by":"crossref","first-page":"659","DOI":"10.12968\/ijtr.2009.16.12.45422","article-title":"Long-term stroke survivors' needs and perceptions of an exercise maintenance model of care","volume":"16","author":"Patterson","year":"2009","journal-title":"Int. J. Ther. Rehabil."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib67","article-title":"The importance of psychological and social factors in influencing the uptake and maintenance of physical activity after stroke: a structured review of the empirical literature","volume":"2012","author":"Morris","year":"2012","journal-title":"Stroke Res. Treat."},{"issue":"9","key":"10.1016\/j.ctcp.2025.102041_bib68","doi-asserted-by":"crossref","first-page":"795","DOI":"10.3109\/09638288.2014.946154","article-title":"Motivators for uptake and maintenance of exercise: perceptions of long-term stroke survivors and implications for design of exercise programmes","volume":"37","author":"Poltawski","year":"2015","journal-title":"Disabil. Rehabil."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib69","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1080\/17437199.2016.1151372","article-title":"Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories","volume":"10","author":"Kwasnicka","year":"2016","journal-title":"Health Psychol. Rev."},{"issue":"21\u201322","key":"10.1016\/j.ctcp.2025.102041_bib70","doi-asserted-by":"crossref","first-page":"1990","DOI":"10.3109\/09638288.2011.553709","article-title":"The influence of participation on health-related quality of life in stroke patients","volume":"33","author":"Kwok","year":"2011","journal-title":"Disabil. Rehabil."},{"issue":"7","key":"10.1016\/j.ctcp.2025.102041_bib71","article-title":"The relationship between self-efficacy and well-being in stroke survivors","volume":"1","author":"Maujean","year":"2013","journal-title":"International Journal of Physical Medicine & Rehabilitation"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib72","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1111\/ijs.12149","article-title":"The influence of psychological factors on health-related quality of life after stroke: a systematic review","volume":"9","author":"van Mierlo","year":"2014","journal-title":"Int. J. Stroke"},{"issue":"11","key":"10.1016\/j.ctcp.2025.102041_bib73","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1177\/0269215514534086","article-title":"What does confidence mean to people who have had a stroke?\u2013A qualitative interview study","volume":"28","author":"Horne","year":"2014","journal-title":"Clin. Rehabil."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib74","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/j.1747-4949.2012.00942.x","article-title":"Top 10 research priorities relating to life after stroke\u2013consensus from stroke survivors, caregivers, and health professionals","volume":"9","author":"Pollock","year":"2014","journal-title":"Int. J. Stroke"},{"issue":"6","key":"10.1016\/j.ctcp.2025.102041_bib75","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1080\/10749357.2017.1318339","article-title":"Increased work and social engagement is associated with increased stroke specific quality of life in stroke survivors at 3 months and 12 months post-stroke: a longitudinal study of an Australian stroke cohort","volume":"24","author":"Tse","year":"2017","journal-title":"Top. Stroke Rehabil."},{"issue":"5","key":"10.1016\/j.ctcp.2025.102041_bib76","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1007\/s12671-023-02113-8","article-title":"A framework for the empirical investigation of mindfulness meditative development","volume":"14","author":"Galante","year":"2023","journal-title":"Mindfulness"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib77","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1080\/19012276.2024.2303432","article-title":"Integrating mindfulness practice into everyday life after completing a course in mindfulness-based stress reduction","volume":"76","author":"Beblo","year":"2024","journal-title":"Nord. Psychol."},{"issue":"6","key":"10.1016\/j.ctcp.2025.102041_bib78","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1080\/10503300802326038","article-title":"Beyond the individual: group effects in mindfulness-based stress reduction","volume":"18","author":"Imel","year":"2008","journal-title":"Psychother. Res."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib79","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1080\/10503307.2019.1587193","article-title":"Predictors of social identification in group therapy","volume":"30","author":"Cruwys","year":"2020","journal-title":"Psychother. Res."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib80","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3109\/09638288.2015.1031831","article-title":"Stroke survivors' and family members' perspectives of multimodal lifestyle interventions for secondary prevention of stroke and transient ischemic attack: a qualitative review and meta-aggregation","volume":"38","author":"Lawrence","year":"2016","journal-title":"Disabil. Rehabil."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib81","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1093\/tbm\/iby010","article-title":"Are physical activity interventions for healthy inactive adults effective in promoting behavior change and maintenance, and which behavior change techniques are effective? A systematic review and meta-analysis","volume":"9","author":"Howlett","year":"2019","journal-title":"Translational Behavioral Medicine"},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib82","doi-asserted-by":"crossref","first-page":"399","DOI":"10.3390\/healthcare11030399","article-title":"\u201cI assumed it would be somebody who had a stroke that was doing this\u201d: views of stroke survivors, caregivers, and health professionals on tailoring a relaxation and mindfulness intervention","volume":"11","author":"Atkinson","year":"2023","journal-title":"Healthcare"},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib83","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1037\/0893-3200.15.4.706","article-title":"Fathers' participation in family research: is there a self-selection bias?","volume":"15","author":"Costigan","year":"2001","journal-title":"J. Fam. Psychol."},{"issue":"11","key":"10.1016\/j.ctcp.2025.102041_bib84","doi-asserted-by":"crossref","first-page":"2573","DOI":"10.1007\/s12671-021-01715-4","article-title":"A retrospective systematic review of diversity variables in mindfulness research, 2000\u20132016","volume":"12","author":"Eichel","year":"2021","journal-title":"Mindfulness"},{"issue":"8","key":"10.1016\/j.ctcp.2025.102041_bib85","doi-asserted-by":"crossref","first-page":"2205","DOI":"10.1007\/s10902-017-9919-1","article-title":"Mindfulness based flourishing program: a cross-cultural study of Hong Kong Chinese and British participants","volume":"19","author":"Ivtzan","year":"2018","journal-title":"J. Happiness Stud."},{"issue":"4","key":"10.1016\/j.ctcp.2025.102041_bib86","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1080\/17439760.2018.1484941","article-title":"How WEIRD are positive psychology interventions? A bibliometric analysis of randomized controlled trials on the science of well-being","volume":"14","author":"Hendriks","year":"2019","journal-title":"J. Posit. Psychol."},{"issue":"1","key":"10.1016\/j.ctcp.2025.102041_bib87","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5334\/irsp.1000","article-title":"Mindfulness in psychosocial research: an integrative literature review of what is studied and how","volume":"38","author":"Chachignon","year":"2025","journal-title":"International Review of Social Psychology"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib88","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s12671-013-0249-z","article-title":"Evaluation of an advanced mindfulness program following a mindfulness-based stress reduction program for participants suffering from mental fatigue after acquired brain injury","volume":"6","author":"Johansson","year":"2015","journal-title":"Mindfulness"},{"issue":"8","key":"10.1016\/j.ctcp.2025.102041_bib89","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1007\/s12671-022-01929-0","article-title":"What next after MBSR\/MBCT? An open trial of an 8-week follow-on program exploring mindfulness of feeling tone (vedan\u0101)","volume":"13","author":"Williams","year":"2022","journal-title":"Mindfulness"},{"key":"10.1016\/j.ctcp.2025.102041_bib90","doi-asserted-by":"crossref","DOI":"10.1016\/j.brat.2024.104478","article-title":"Mindfulness-based cognitive therapy\u2014taking it further (MBCT-TIF) compared to ongoing mindfulness practice (OMP) in the promotion of well-being and mental health: a randomised controlled trial with graduates of MBCT and MBSR","volume":"173","author":"Maloney","year":"2024","journal-title":"Behav. Res. Ther."},{"issue":"11","key":"10.1016\/j.ctcp.2025.102041_bib91","doi-asserted-by":"crossref","first-page":"3485","DOI":"10.1161\/STROKEAHA.122.038457","article-title":"Nursing implications of mindfulness-informed interventions for stroke survivors and their families","volume":"53","author":"Saban","year":"2022","journal-title":"Stroke"},{"issue":"6","key":"10.1016\/j.ctcp.2025.102041_bib92","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1007\/s12671-020-01367-w","article-title":"Why do people begin to meditate and why do they continue?","volume":"11","author":"Sedlmeier","year":"2020","journal-title":"Mindfulness."},{"issue":"3","key":"10.1016\/j.ctcp.2025.102041_bib93","doi-asserted-by":"crossref","first-page":"855","DOI":"10.25300\/MISQ\/2013\/37.3.09","article-title":"Methodological implications of critical realism for mixed-methods research","volume":"37","author":"Zachariadis","year":"2013","journal-title":"Management Information Systems Quarterly"},{"issue":"2","key":"10.1016\/j.ctcp.2025.102041_bib94","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s12671-012-0088-3","article-title":"Benefits and barriers to attending MBCT Reunion meetings: an insider perspective","volume":"3","author":"Hopkins","year":"2012","journal-title":"Mindfulness"}],"container-title":["Complementary Therapies in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1744388125001069?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1744388125001069?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T03:41:32Z","timestamp":1772854892000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1744388125001069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":94,"alternative-id":["S1744388125001069"],"URL":"https:\/\/doi.org\/10.1016\/j.ctcp.2025.102041","relation":{},"ISSN":["1744-3881"],"issn-type":[{"value":"1744-3881","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mechanisms of sustained mindfulness practice in stroke survivors: A critical realist secondary analysis of the HEADS: UP intervention","name":"articletitle","label":"Article Title"},{"value":"Complementary Therapies in Clinical Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ctcp.2025.102041","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"102041"}}