{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:06:26Z","timestamp":1768565186546,"version":"3.49.0"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T00:00:00Z","timestamp":1704499200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Maritz Family Foundation"},{"DOI":"10.13039\/100009992","name":"Seattle Children's Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009992","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005977","name":"Kaiser Permanente","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005977","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Maritz Family Foundation"},{"DOI":"10.13039\/100009992","name":"Seattle Children's Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009992","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005977","name":"Kaiser Permanente","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005977","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Mothers of children with chronic conditions or disabilities have benefited from mindfulness programs, yet culturally relevant mindfulness programs for Spanish-speaking mothers are lacking. We aimed to explore how this population experienced a peer-led mindfulness program to inform adaptations. Sixteen mothers attended a 6-week program and completed semi-structured interviews. Using a realist evaluation framework, we explored relationships between participants\u2019 context, the program\u2019s mechanisms and outcomes. Our thematic analysis found that four contextual factors\u2014faith, self-concept as a woman and mother, trauma, and level of social support\u2014influenced how participants experienced the mechanisms. Mechanisms included having positive experiences when trying practices, engaging in self-reflection, and sharing life experiences and learning in community. The mechanisms led to four outcomes: emotion regulation, savoring daily life experiences, empowerment to practice self-care and common humanity. Faith was an important enabling factor because participants had positive experiences when integrating their faith with program content. Future research should examine adaptations that invite participants to explore this synergy. Self-reflection should also be emphasized because it increased motivation to use practices and helped address barriers to engagement. Because the four contextual factors apply to many Spanish-speaking immigrants, these adaptations could enhance mindfulness programs for this population more broadly.<\/jats:p>","DOI":"10.1093\/her\/cyad043","type":"journal-article","created":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T11:31:58Z","timestamp":1704540718000},"page":"68-83","source":"Crossref","is-referenced-by-count":2,"title":["Identifying adaptations for a mindfulness program for Spanish-speaking mothers of children with chronic conditions or disabilities"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6653-2171","authenticated-orcid":false,"given":"Kimberly C","family":"Arthur","sequence":"first","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Araceli","family":"Mendez Sanchez","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Odessa Brown Children\u2019s Clinic , 3939 S Othello St., Suite 101, Seattle, WA 98118, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angie","family":"Tamayo Montero","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Odessa Brown Children\u2019s Clinic , 3939 S Othello St., Suite 101, Seattle, WA 98118, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Delgado","sequence":"additional","affiliation":[{"name":"The Arc of King County , 660 SW 39th St #205, Renton, WA 98057, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ofelia","family":"Rosas Ramos","sequence":"additional","affiliation":[{"name":"Auburn , WA 98002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felice","family":"Orlich","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington , 1959 NE Pacific Street, Box 356560, Seattle, WA 98195-6560, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7596-8479","authenticated-orcid":false,"given":"Arti D","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington , 4800 Sand Point Way NE, Seattle, WA 98105, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"2024012319581109400_R1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2431-4-1","article-title":"Caregiving process and caregiver burden: conceptual models to guide research and practice","volume":"4","author":"Raina","year":"2004","journal-title":"BMC Pediatr"},{"key":"2024012319581109400_R2","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.2105\/AJPH.2007.129817","article-title":"Health among caregivers of children with health 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