Promoting mental health is a major global challenge. As mindfulness meditation apps can help maintain and restore good mental health, it is important to understand how their efficacy and safety are portrayed in the media. This study systematically evaluates whether evidence from academic research is used to communicate the health effects of two popular mindfulness apps, Calm and Smiling Mind. A scoping review mapped research findings from 16 relevant articles, and a media analysis examined the types of evidence used in news reporting. Analysing 105 news articles revealed that 98% did not use evidence from academic research on app-based meditation to support health claims. Only 28.5% of articles included advice from a health expert, and 9.5% mentioned potential risks and alternative treatments. Stronger evidence-based reporting on the health effects of mindfulness apps is needed to enable people to make more informed decisions for their health and wellbeing.
AmbergASaundersDN (2020) Cancer in the news: Bias and quality in media reporting of cancer research. PLoS ONE15(11): e0242133.
3.
Australian Institute of Health and Welfare (2020) Australia’s health 2020 data insights. Report, Australia’s health series no. 17. Available at: www.aihw.gov.au
Barel-Ben DavidYGartyESBaram-TsabariA (2020) Can scientists fill the science journalism void? Online public engagement with science stories authored by scientists. PLoS ONE15(1): e0222250.
6.
BarkerKK (2014) Mindfulness meditation: Do-it-yourself medicalization of every moment. Social Science & Medicine106: 168–176.
7.
BellosI (2021) A metaresearch study revealed susceptibility of COVID-19 treatment research to white hat bias: First, do no harm. Journal of Clinical Epidemiology136: 55–63.
BohlinGHostGE (2014) Is it my responsibility or theirs? Risk communication about antibiotic resistance in the Swedish daily press. Journal of Science Communication13(3): 1–17.
10.
BonevskiBWilsonAHenryDA (2008) An analysis of news media coverage of complementary and alternative medicine. PLoS ONE3(6): e2406.
BubelaTMCaulfieldTA (2004) Do the print media hype genetic research? A comparison of newspaper stories and peer-reviewed research papers. CMAJ170(9): 1399–1407.
13.
CallenderKATrusteyCEAltonLHaoY (2021) Single case evaluation of a mindfulness-based mobile application with a substance abuse counselor. Counseling Outcome Research and Evaluation12(1): 16–29.
14.
Catalan-MatamorosDParienteAElias-PerezC (2019) What we know about media communication on antibiotics and antimicrobial resistance: A systematic review of the scientific literature. Patient Education and Counseling102(8): 1427–1438.
ClarkeJDraperS (2020) Intermittent mindfulness practice can be beneficial, and daily practice can be harmful. An in depth, mixed methods study of the Calm app’s (mostly positive) effects. Internet Interventions19: 100293.
19.
CohenBC (1963) The Press and Foreign Policy. Princeton, NJ: Princeton University Press.
20.
ConditC (2004) Science reporting to the public: Does the message get twisted?CMAJ170(9): 1415–1416.
21.
CopeMBAllisonDB (2010) White hat bias: Examples of its presence in obesity research and a call for renewed commitment to faithfulness in research reporting. International Journal of Obesity34(1): 84–88.
22.
CrawfordR (1980) Healthism and the medicalization of everyday life. International Journal of Health Services10(3): 365–388. Available at: www.jstor.org/stable/45130677
23.
CuadrosDFMorenoCMMusukaGMillerFDCoulePMacKinnonNJ (2022) Association between vaccination coverage disparity and the dynamics of the COVID-19 Delta and Omicron waves in the US. Frontiers in Medicine9: 898101.
DempsterGSutherlandGKeoghL (2022) Scientific research in news media: A case study of misrepresentation, sensationalism and harmful recommendations. Journal of Science Communication21(1): A06.
DwesiniXSMagadeME (2021) Mapping audience perceptions of how digital media impacts the reception of news from traditional media sources. Global Media Journal19(Suppl. 6): 240. Available at: www.globalmediajournal.com
30.
El-JardaliFKarroumLBBawabLKdouhOEl-SayedFRachidiH, et al. (2015) Health reporting in print media in Lebanon: Evidence, quality and role in informing policymaking. PLoS ONE10(8): e0136435.
31.
FinkK (2019) The biggest challenge facing journalism: A lack of trust. Journalism20(1): 40–43.
32.
FlettJAMHayneHRiordanBCThompsonLMConnerTS (2019) Mobile mindfulness meditation: A randomised controlled trial of the effect of two popular apps on mental health. Mindfulness10: 863–876.
GalEStefanSCristeaIA (2021) The efficacy of mindfulness meditation apps in enhancing users’ well-being and mental health related outcomes: A meta-analysis of randomised controlled trials. Journal of Affective Disorders279: 131–142.
GilbertFViañaJNMO’ConnellCDDoddsS (2018) Enthusiastic portrayal of 3D bioprinting in the media: Ethical side effects. Bioethics32(2): 94–102.
38.
GoyalMSinghSSibingaEMSGouldNFRowland-SeymourASharmaR, et al. (2014) Meditation programs for psychological stress and wellbeing: A systematic review and meta-analysis. JAMA Internal Medicine174(3): 357–368.
39.
GreenJHubertyJPuziaMStecherC (2021) The effect of meditation and physical activity on the mental health impact of COVID-19-related stress and attention to news among mobile app users in the United States: Cross-sectional survey. JMIR Mental Health8(4): e28479.
40.
HallinDCBrandtMBriggsCL (2013) Biomedicalisation and the public sphere: Newspaper coverage of health and medicine, 1960s–2000s. Social Science & Medicine96: 121–128.
HubertyJLEckertRLarkeyLJoemanLMesaR (2019a) Experiences of using a consumer-based mobile meditation app to improve fatigue in myeloproliferative patients: Qualitative study. JMIR Cancer5(2): e14292.
44.
HubertyJLEckertRLarkeyLKurkaJRodriguez De JesusSAYooW, et al. (2019b) Smartphone-based meditation for myeloproliferative neoplasm patients: Feasibility study to inform future trials. JMIR Formative Research3(2): e12662.
45.
HubertyJLGreenJGlissmannCLarkeyLPuziaMLeeC (2019c) Efficacy of the mindfulness meditation mobile app Calm to reduce stress among college students: Randomised controlled trial. JMIR mHealth and uHealth7(6): e14273.
46.
HubertyJLGreenJPuziaMELarkeyLLairdBVranceanuAM, et al. (2021) Testing a mindfulness meditation mobile app for the treatment of sleep-related symptoms in adults with sleep disturbance: A randomised controlled trial. PLoS ONE16(1): e0244717.
47.
HubertyJLVranceanuAMCarneyCBreusMGordonMPuziaME (2019d) Characteristics and usage patterns among 12,151 paid subscribers of the Calm meditation app: Cross-sectional survey. JMIR mHealth and uHealth7(11): 1–15.
KellenMSaxenaD (2020) Calm my headspace: Motivations and barriers for adoption and usage of meditation apps during times of crisis. In: Proceedings of the 20th international conference on electronic business, Hong Kong SAR, China, 5–8 December 2020, pp. 37–46. Available at: www.researchgate.net
KengSLSmoskMJRobinsCJ (2011) Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychological Review31(6): 1041–1056.
52.
KnollJMatthesJ (2017) The effectiveness of celebrity endorsements: A meta-analysis. Journal of the Academy of Marketing Science45(1): 55–75.
53.
KokanovicRHillN (2012) How information about other people’s personal experiences on the Internet can help with healthcare decision making and recovery: A literature review. Report no. 22-018, 26April. Clayton, VIC Australia: Victorian Government Transport Accident Commission, Monash University. Available at: www.tac.vic.gov.au
54.
KołodziejskaMPalińskiM (2022) ‘Train your mind for a healthy life’. The medicalisation of mediatised mindfulness in the West. Current Psychology. Epub ahead of print 9 February 2022. DOI: 10.1007/s12144-022-02814-8.
55.
LanzJJFristonKHoffertKCarrilloKC (2019) Reducing burnout through a mindful meditation mobile app: A randomised controlled trial. Journal of Psychology and Behavioral Science7(2): 66–73.
56.
LeaskJHookerCKingC (2010) Media coverage of health issues and how to work more effectively with journalists: A qualitative study. BMC Public Health10(535): 535.
57.
LewisMOrrockPMyersS (2010) Uncritical reverence in CM reporting: Assessing the scientific quality of Australian news media reports. Health Sociology Review19(1): 57–72.
58.
LinQPaykinSHalpernDMartinez-CardosoAKolakM (2022) Assessment of structural barriers and racial group disparities of COVID-19 mortality with spatial analysis. JAMA Network Open5(3): e220984.
59.
LitmanEAGortmakerSLEbbelingCBLudwigDS (2018) Source of bias in sugar-sweetened beverage research: A systematic review. Public Health Nutrition21(12): 2345–2350.
60.
LubertoCMHubertyJPuziaMVranceanuAM (2021) Usage patterns of the Calm meditation app among people with cardiovascular disease. Mindfulness12: 983–993.
61.
MacDonaldLAMinahanCL (2018) Mindfulness training attenuates the increase in salivary cortisol concentration associated with competition in highly trained wheelchair-basketball players. Journal of Sports Sciences36(4): 378–383.
62.
MacDonaldLAOprescuFKeanBM (2018) An evaluation of the effects of mindfulness training from the perspectives of wheelchair basketball players. Psychology or Sport & Exercise37: 188–195.
McKnight-EilyLROkoroCAStrineTWVerlendenJHollisNDNjaiR, et al. (2021) Racial and ethnic disparities in the prevalence of stress and worry, mental health conditions, and increased substance use among adults during the COVID-19 pandemic – United States, April and May 2020. Morbidity and Mortality Weekly Report70(5): 162–166.
65.
ManiMKavanaghDJHidesLStoyanovSR (2015) Review and evaluation of mindfulness-based iPhone apps. JMIR mHealth and uHealth3(3): e82.
MichalALZhongYShahP (2021) When and why do people act on flawed science? Effects of anecdotes and prior beliefs on evidence-based decision-making. Cognitive Research: Principles and Implications6: 28.
69.
MoorheadLKrakowMMaggioL (2021) What cancer research makes the news? A quantitative analysis of online news stories that mention cancer studies. PLoS ONE16(3): e0247553.
70.
National Health and Medical Research Council (2009) Levels of evidence and grades for recommendations for developers of guidelines. Report, December. Available at: www.nhmrc.gov.au
71.
NisbetMScheufeleDAShanahanJMoyPBrossardDLewensteinBV (2002) Knowledge, reservations, or promise? A media effects model for public perceptions of science and technology. Communication Research29(5): 584–608.
72.
PengWDe TuyaGAEduardoAAVishnyJAHuangQ (2021) The explanation of a complex problem: A content analysis of causality in cancer news. Public Understanding of Science31(1): 53–69.
73.
PetersonD (2021) How to deal with uncertainty at work. Tri-County Independent, 25May. Available at: www.tricountyindependent.com
74.
ProsserH (2010) Marvelous medicines and dangerous drugs: The representation of prescription medicine in the UK newsprint media. Public Understanding of Science19(1): 52–69.
PuziaMHubertyJEckertRLarkeyLMesaR (2020a) Associations between global mental health and response to an app-based meditation intervention in myeloproliferative neoplasm patients. Interactive Cancer Therapies19: 1–11.
78.
PuziaMLairdBGreenJHubertyJ (2020b) Parents’ perceptions of their children’s engagement in a consumer-based meditation mobile app: Cross-sectional survey study. JMIR Pediatrics and Parenting3(2): 1–8.
79.
RachulCRaskoJEJCaulfieldT (2017) Implicit hype? Representations of platelet rich plasma in the news media. PLoS ONE12(8): e0182496.
80.
RadMSMartinganoAJGingesJ (2018) Toward a psychology of Homo sapiens: Making psychological science more representative of the human population. Proceedings of the National Academy of Sciences of the United States of America115(45): 11401–11405.
81.
RenaudLBouchardCCaron-BouchardMDubéLMaisonneuveDMongeauL (2006) A model of mechanisms underlying the influence of media on health behaviour norms. Canadian Journal of Public Health97(2): 149–152.
82.
RoseN (2001) The politics of life itself. Theory, Culture & Society18(6): 1–30.
SamuelGDiedericksHDerrickG (2020) Population health AI researchers’ perceptions of the public portrayal of AI: A pilot study. Public Understanding of Science30(2): 196–211.
85.
SchlosserMSparbyTVorosSJonesRMarchantNL (2019) Unpleasant meditation-related experiences in regular meditators: Prevalence, predictors, and conceptual considerations. PLoS ONE14(5): e0216643.
ShimRSStarksSM (2021) COVID-19, structural racism, and mental health inequities: Policy implications for an emerging syndemic. Psychiatric Services72(10): 1193–1198.
SmithRBMahnertNDFooteJSaundersKTMouradJHubertyJ (2021) Mindfulness effects in obstetric and gynaecology patients during the coronavirus disease 2019 (COVID-19) pandemic. Obstetrics & Gynecology137(6): 1032–1040.
StoneK (2017) Why journalists should take greater care when reporting on alternative health treatments. Health News Review, 18July. Available at: www.healthnewsreview.org
92.
TangYYHolzelBKPosnerMI (2015) The neuroscience of mindfulness meditation. Nature Reviews Neuroscience16(4): 213–225.
TriccoACLillieEZarinWO’BrienKColquhounHLevacD, et al. (2018) PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine169(7): 467–473.
96.
United Nations (2020) Policy brief: COVID-19 and the need for action on mental health. Report, 13May. Available at: https://unsdg.un.org
97.
Van DamNTVan VugtMKVagoDRSchmalzlLSaronCDOlendzkiA, et al. (2018) Mind the hype: A critical evaluation and prescriptive agenda for research on mindfulness and meditation. Perspectives on Psychological Science13(1): 36–61.
98.
VehofHSandersJVan DoorenAHeerdinkEDasE (2018) Clinical evidence versus preliminary speculation in newspaper coverage in diabetes innovations: A qualitative analysis. Public Health160: 49–51.
99.
ViañaJN (2023) Communicating science on, to, and with racial minorities during pandemics. In: RasekoalaE (ed.) Race and Socio-cultural Inclusion in Science Communication: Global Scenarios of Innovation, Decolonisation and Transformation. Bristol: Bristol University Press. Final version accepted on 20 December 2022. In press.
100.
ViañaJNRamanSBarberM (2021) From paternalism to engagement: Bioethics needs a paradigm shift to address racial injustice during COVID-19. The American Journal of Bioethics21(2): 96–98.
101.
WalkerSLViañaJM (2021) Study of hype in mindfulness meditation apps. Open Science Framework. Available at: https://osf.io/m3exh
102.
WeeksLCStrudsholmTA (2008) Scoping review of research on complementary and alternative medicine (CAM) and the mass media: Looking back, moving forward. BMC Complementary and Alternative Medicine8: 43.
103.
WildingDFrayPMolitoriszSMcKewonE (2018) The impact of digital platforms on news and journalistic content. Report, Australian Competition and Consumer Commission, University of Technology Sydney, Sydney, NSW, Australia. Available at: www.accc.gov.au
104.
WilsonABonevskiBJonesAHenryD (2009) Media reporting of health interventions: Signs of improvement, but major problems persist. PLoS ONE4(3): e4831.
105.
WithamMDAndersonECarrollCDarkPMDownKHallAS, et al. (2020) Developing a roadmap to improve trial delivery for under-served groups: Results from a UK multi-stakeholder process. Trials21: 694.
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