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’ context, the program’s mechanisms and outcomes. Our thematic analysis found that four contextual factors—faith, self-concept as a woman and mother, trauma, and level of social support—influenced 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.

中文翻译：

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为患有慢性病或残疾儿童的西班牙语母亲确定正念计划的适应性

患有慢性病或残疾儿童的母亲受益于正念计划，但缺乏针对西班牙语母亲的文化相关的正念计划。我们的目的是探索这一人群如何经历同伴主导的正念计划来为适应提供信息。十六位母亲参加了为期六周的项目并完成了半结构化访谈。使用现实主义的评估框架，我们探索了参与者的背景、项目的机制和结果之间的关系。我们的主题分析发现，四个背景因素——信仰、作为女性和母亲的自我概念、创伤和社会支持水平——影响参与者如何体验这些机制。机制包括在尝试实践时获得积极的经验、进行自我反思以及在社区中分享生活经验和学习。这些机制带来了四种结果：情绪调节、品味日常生活体验、赋予自我保健能力和共同人性。信仰是一个重要的推动因素，因为参与者在将信仰与项目内容结合起来时获得了积极的体验。未来的研究应该研究邀请参与者探索这种协同作用的适应性。还应该强调自我反思，因为它增加了使用实践的动力并有助于解决参与的障碍。由于这四个背景因素适用于许多西班牙语移民，因此这些调整可以更广泛地增强针对该人群的正念计划。