Self-Assessed Time Span of Focused Attention During a Breath Focus Test Task as a Measure of Mindfulness: A Preliminary Evaluation

Keywords: Focussed attention, Measurement, Meditation, Mindfulness


Introduction: An easy task-based measure of mindfulness that can be self-administered in a daily life setting is still not available. We aimed to perform a preliminary evaluation of the Breath Focus Test Task to measure mindfulness. Methods: A quantitative observational study was performed among medical students. Each participant was instructed to focus attention to the participant’s own breath and count each breath with awareness until the participant noticed mind wandering. The last breath count attended before losing awareness of the task (breath count with awareness) was recalled and self-reported by each participant. Three such breath focus sessions were planned for each participant. The mean ‘breath count with awareness’ of each participant was then converted to time span of focused attention using the rate of breathing. This time span of focused attention was reported as the proposed measure of mindfulness. Each participant also completed the 'Mindful Attention Awareness Scale questionnaire'. Results: Out of 101 participants, 76 completed at least one breath focus session satisfactorily. The median time span of focused attention was three minutes (first quartile = 1.9 minutes and third quartile = 4.5 minutes). The Mindful Attention Awareness Score was 3.9 (SD = 0.6). The results did not show a significant correlation between the time span of focused attention and the Mindful Attention Awareness Score (r s = 0.04, p = 0.74). Conclusion: This study shows the feasibility of the proposed test task. However, the measure obtained from the current form did not correlate with the Mindful Attention Awareness Score.


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Author Biographies

Lok Raj Joshi, Lumbini Medical College and Teaching Hospital


Department of Physiology.

Shaligram Chaudhary, Lumbini Medical College and Teaching Hospital


Department of Physiology.

Bibek Koju, Lumbini Medical College and Teaching Hospital

Assistant Professor,

Department of Physiology.

Saurav Dani, Lumbini Medical College and Teaching Hospital

Final Year Medical Student

Anuska Khadka, Lumbini Medical College and Teaching Hospital

Final Year Medical Student.


Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J PersSoc Psychol. 2003;84(4):822-48. PMID: 12703651 DOI:

Tickell A, Ball S, Bernard P, Kuyken W, Marx R, Pack S, et al. The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services. Mindfulness (NY). 2020;11(2):279-90. PMID: 32064009 DOI:

Ruffault A, Cernichow S, Hagger MS, Ferrand M, Erichot N, Carette C, et al. The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis. Obes Res Clin Pract. 2017;11(5Suppl 1):90-111. PMID: 27658995 DOI:

Mehta R, Sharma K, Potters L, Wernicke AG, Parashar B. Evidence for the Role of Mindfulness in Cancer: Benefits and Techniques. Cureus. 2019;11(5):e4629. PMID: 31312555 DOI:

Guillaumie L, Boiral O, Champagne J. A mixed-methods systematic review of the effects of mindfulness on nurses. J AdvNurs. 2017;73(5):1017-34. PMID: 27706912 DOI:

Sumantry D, Stewart KE. Meditation, Mindfulness, and Attention: a Meta-analysis. Mindfulness. 2021;12(6):1332-49. DOI:

Baer R. Assessment of mindfulness by self-report. Curr Opin Psychol. 2019;28:42-8. PMID: 30423507 DOI:

Hadash Y, Bernstein A. Behavioral assessment of mindfulness: defining features, organizing framework, and review of emerging methods. Curr Opin Psychol. 2019;28:229-37. PMID: 30959378 DOI:

Ziegler DA, Simon AJ, Gallen CL, Skinner S, Janowich JR, Volponi JJ, et al. Closed-loop digital meditation improves sustained attention in young adults. Nat Hum Behav. 2019;3(7):746-57. PMID: 31160812 DOI:

Champely S. pwr.f2.test: Power calculations for the general linear model in pwr: Basic Functions for Power Analysis [Internet]. [Cited 2021 Aug 8]. Available from:

Yates J, Immergut M, Graves J. The Mind Illuminated: A Complete Meditation Guide Integrating Buddhist Wisdom and Brain Science for Greater Mindfulness. New Delhi: Atria Books; 2017.

Sauer S, Walach H, Schmidt S, Hinterberger T, Lynch S, Büssing A, et al. Assessment of Mindfulness: Review on State of the Art. Mindfulness. 2012;4:3-17. DOI:

Brown KW. Mindful Attention Awareness Scale (MAAS), trait version. Available from

Frewen P, Hargraves H, DePierro J, D’Andrea W, Flodrowski L. Meditation Breath Attention Scores (MBAS): Development and investigation of an internet-based assessment of focused attention during meditation practice. Psychological Assessment. 2016;28(7):830-40. DOI:

Levinson DB, Stoll EL, Kindy SD, Merry HL, Davidson RJ. A mind you can count on: validating breath counting as a behavioral measure of mindfulness. Front Psychol. 2014;5:1202. PMID: 25386148 DOI:

F Wong K, Massar SAA, Chee MWL, Lim J. Towards an objective measure of mindfulness: Replicating and extending the features of the breath-counting task. Mindfulness 2018;9(5):1402-1410. PMID: 30294387 DOI:

Hasenkamp W. Catching the wandering mind: Meditation as a window into spontaneous thought. In: Christoff K, Fox KCR. The Oxford Handbook of Spontaneous Thought: Mind-Wandering, Creativity, and Dreaming. New York: Oxford University Press; 2018. p. 539-52. DOI:

How to Cite
Joshi L, Chaudhary S, Koju B, Dani S, Khadka A. Self-Assessed Time Span of Focused Attention During a Breath Focus Test Task as a Measure of Mindfulness: A Preliminary Evaluation. J Lumbini Med Coll [Internet]. 3Jul.2022 [cited 3Dec.2022];10(1):9 pages. Available from:
Original Research Article