49 Mindfulness-Based Stress Reduction intervention for elementary school teachers: a mixed method study The present study also has several limitations. Firstly, although school weight will be used for stratification, the study population based on initial recruitment and the pilot study will be predominantly from urban areas. This might limit generalizability to areas with other demographic characteristics such as rural areas. However, research shows that teachers in rural areas experience less stress compared to those in urban areas (Abel & Sewell, 1999). Due to the current growing shortage in teachers in urban areas (AVS, 2019), the discrepancy between teachers’ stress levels in urban versus rural areas may increase further. The fact that only one trainer delivered the program could be considered another limitation of the study, as this might compromise the generalizability of the results. Should this study demonstrate that the MBSR-program is effective among teachers, further research should be set up with a broader diversity in the setting of schools and mindfulness trainers. 3
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