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The effect of Transcendental Meditation on self-efficacy, perceived stress, and quality of life in mothers in Uganda

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Vulnerable women living in poverty in Uganda, who are primarily single, illiterate mothers, face high levels of physical and psychological stress. Our study assessed the impact of the Transcendental Meditation® (TM®) technique on self-efficacy, perceived stress, and mental and physical quality of life of these women. This single-blind controlled study involved eighty-one women who were assigned to either practice of the Transcendental Meditation program (n = 42) or wait-list (delayed start) control group (n = 39). Participants learned the Transcendental Meditation program over five sessions, then practiced at home for twenty minutes twice a day, and attended twice monthly group meetings over a three-month period. The primary outcome measure was self-efficacy using the General Self-Efficacy Scale (GSES). Perceived stress using Cohen's Perceived Stress Scale, and physical and mental quality of life using subscales of the Medical Outcomes Survey (MOS, HIV version) were secondary outcome measures. Significant improvements were shown in self-efficacy (p < .001), perceived stress (p < .010), and mental and physical well-being (p < .010). Compliance with TM home practice was > 88%. This is the first controlled study to demonstrate the effect of TM in the daily lives of mothers living in impoverished conditions. Further questionnaires were administered to participants at 8 months and at 36 months with questions about changes they may have experienced in their daily life since starting TM. “Yes”, “No” self-reported answers suggested that the women experienced improved health, improved relationships with others, and increased employment rates. These findings taken as a whole have important implications for developing self-efficacy, improving mental and physical quality of life, and reducing stress in the lives of these vulnerable women.
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... High levels of self-efficacy may also lead to higher levels of motivation because they believe they can self-manage the conditions induced by breast cancer treatment (Zulkosky, 2009). A single-blind design study recruited 81 women facing high levels of physical and psychological stress and allocated them to either a waiting list (delayed start) control group or a meditation intervention group (Goldstein et al., 2018). These findings have critical implications for developing selfefficacy in coping with cancer and alleviating life stress in these vulnerable women (Goldstein et al., 2018). ...
... A single-blind design study recruited 81 women facing high levels of physical and psychological stress and allocated them to either a waiting list (delayed start) control group or a meditation intervention group (Goldstein et al., 2018). These findings have critical implications for developing selfefficacy in coping with cancer and alleviating life stress in these vulnerable women (Goldstein et al., 2018). These studies indicated that MBSR could improve women's self-efficacy, which was consistent with the findings of this study. ...
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... For example, in a study with a TM intervention, general self-efficacy was found to be a significant determinant. 48 In a related MTM study, in explaining yoga behaviors in predominantly Black college students also behavioral confidence was found to be statistically significant. 49 Therefore, based on the findings of this study, it can be said that behavioral confidence has a potential for application in behavior change interventions geared toward promoting meditation. ...
... However, very few behavioral theory models have been used to assist in adoption and adherence to meditation behavior. 48,49,54 Based on this study, we found that the fourth-generation MTM is a useful approach in designing meditation programs that promote any kind of meditation. First, the potential participants of the programs should be motivated by underscoring the benefits of meditation over the potential disadvantages at a personal level (participatory dialogue). ...
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... Dans l'é tude d'Elder et al. [15], une population d'enseignants travaillant sur des publics en difficulté a é té formé e à la MT suivant une formation standard et reconnue dans ce domaine [20]. Aprè s plusieurs sé ances de pratiques, des mesures de l'anxié té , du burn-out et de la dé pression ont é té effectué es sur quatre mois. ...
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... These female assistants were trained to play their roles in a systematic and standardised manner to eliminate potential biases. Furthermore, these research assistants were highly supervised by the researcher during data collection (Goldstein et al., 2018;Buor, 2004). ...
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... Because of the low level of literacy and subject matter sensitivity, face-to-face interviews were essential. Interviewer administered questionnaires were used for those participants who were less or uneducated (Buor, 2004;Goldstein et al., 2018). Educated women entrepreneurs were permitted to complete the questionnaire by themselves. ...
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... To eliminate potential biases, these female assistants were trained to play their roles in a systematic and standardized manner. Furthermore, these research assistants were highly supervised by the researcher during data collection [61,62]. ...
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This study examines the impact of women’s entrepreneurial income on wellbeing. Women entrepreneurs (N = 504) from district Mardan, Khyber Pakhtunkhwa, Pakistan participated in the study. ANOVAs and multiple regressions were used to analyze the impact of predictors on the dependent variables (i.e., per capita income, education, health, entertainment, social, household, and other miscellaneous expenditures, investment, savings, and charity). The findings indicated that women’s informal entrepreneurship has a significant role in family, economic, and societal wellbeing. The results contribute to the understanding of women’s entrepreneurial income on individual and family wellbeing. Women’s informal entrepreneurship plays an important role, particularly in the developing world, consistent with the multiplier effect of women entrepreneurs’’ wellbeing. Measures were suggested to empower such women informal, home-based entrepreneurs in view of the United Nations’ Sustainable Development Goals.
... These female assistants were trained to play their roles in a systematic and standardized manner to eliminate potential biases. Furthermore, these research assistants were highly supervised by the researcher during data collection (Goldstein et al., 2018;Buor, 2004). ...
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Purpose The coronavirus (COVID-19) pandemic has had profound economic effects, putting women entrepreneurs at considerable risk of losing income and sales growth as a result. This study aims to examine whether the COVID-19 pandemic is a blessing or a curse for women entrepreneurs in Pakistan’s informal sector. The influence of business type, family support and other socio-economic factors on the sales volume of women’s businesses is examined. Design/methodology/approach Data were collected from 400 women entrepreneurs using a survey questionnaire. Logistic regression was used to investigate the relationships between perceived sales volume and socio-economic as well as demographic factors of women entrepreneurs. Findings Findings for RQ1 revealed that the pandemic was a blessing for cloth and cosmetic entrepreneurs, but a curse for those women selling dairy products. Results for RQ2 showed that age, homeownership, household size, family support and type of business were significant predictors of sales. Furthermore, women entrepreneurs were greatly influenced by their family’s desires and decisions, such that women entrepreneurs who received support from families and relatives reported higher sales than those who did not receive such support. Practical implications The results may assist policymakers in designing supportive programs to encourage women’s informal entrepreneurial activities. Creating entrepreneurial ecosystems may provide support for women entrepreneurs beyond family support. The findings provide a better understanding of women’s business effectiveness during COVID-19 pandemic. It reveals the resilience of women entrepreneurs in the face of cultural, economic and institutional constraints encountered during the pandemic. Originality/value This study is unique because it focuses on the impact of the pandemic at the household level rather than examining broad macroeconomic scenarios. To the best of the authors’ knowledge, this study is the first attempt to explore the informal, home-based business sector of women entrepreneurs in Pakistan during the pandemic.
... month-old infants and 16.8 in mothers of the 36 month-old children) and comparable with means of 16.8 among Chinese mothers of 6-8 week old infants (Gao et al., 2009) and 22.4-23.4 among Ugandan mothers aged 14-46 (Goldstein et al., 2018). Interestingly, although the mean levels of perceived stress in the current study were lower than the mean levels of 20.5 reported in American mothers of six to 12 month-old infants in a study that did not find any association between maternal perceived stress and infant EEG (Troller-Renfree et al., 2020), perceived stress rates were markedly higher than the mean score of 10.2 and 12.9 observed among American mothers of 2 month-old infants in a study that did find association of maternal stress and infant EEG power (Pierce et al., 2019). ...
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