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Assessing program or intervention fidelity/integrity is an important methodological consideration in clinical and educational research. These critical variables influence the degree to which outcomes can be attributed to the program and the success of the transition from research to practice and back again. Research in the Mindfulness-Based Program (MBP) field has been expanding rapidly over the last 20 years, but little attention has been given to how to assess intervention integrity within research and practice settings. The proliferation of different program forms, inconsistency in adhering to published curriculum guides, and variability of training levels and competency of trial teachers all pose grave risks to the sustainable development of the science of MBPs going forward. Three tools for assessing intervention integrity in the MBP field have been developed and researched to assess adherence and/or teaching competence: the Mindfulness-Based Cognitive Therapy-Adherence Scale (MBCT-AS), the Mindfulness-Based Relapse Prevention-Adherence and Competence Scale (MBRP-AC), and the Mindfulness-Based Interventions: Teaching Assessment Criteria (MBI:TAC). Further research is needed on these tools to better define their inter-rater reliability and their ability to measure elements of teaching competence that are important for participant outcomes. Research going forward needs to include systematic and consistent methods for demonstrating and verifying that the MBP was delivered as intended, both to ensure the rigor of individual studies and to enable different studies of the same MBP to be fairly and validly compared with each other. The critical variable of the teaching also needs direct investigation in future research. We recommend the use of the “Template for Intervention Description and Replication” (TIDieR) guidelines for addressing and reporting on intervention integrity during the various phases of the conduct of research and provide specific suggestions about how to implement these guidelines when reporting studies of mindfulness-based programs.
Borrelli, B. (2011). The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. Journal of Public Health Dentistry, 71(s1), S52–S63. https://doi.org/10.1111/j.1752-7325.2011.00233.x CrossRefPubMedCentral
Boutron, I., Moher, D., Altman, D. G., Schulz, K. F., & Ravaud, P. (2008). Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: Explanation and elaboration. Annals of Internal Medicin, 148, 295–309. https://doi.org/10.7326/0003-4819-148-4-200802190-00008 CrossRef
Center for Mindfulness in Medicine, Health Care and Society, University of Massachusetts Medical School. (2014). Mindfulness-based stress reduction (mbsr): Standards of practice. Retrieved from https://www.umassmed.edu/contentassets/24cd221488584125835e2eddce7dbb89/mbsr_standards_of_practice_2014.pdf
Craig, P., Dieppe, P., Macintyre, S., Michie, S. and Nazareth, I. (2006). Developing and evaluating complex interventions: New guidance. medical research council. Retrieved from https://www.mrc.ac.uk/documents/pdf/complex-interventions-guidance/
Crane, R. S., Eames, C., Kuyken, W., Hastings, R. P., Williams, J. M. G., Bartley, T., …, Surawy, C. (2013). Development and validation of the Mindfulness-Based Interventions – Teaching Assessment Criteria (MBI:TAC). Assessment, 20(6), 681–688. https://doi.org/10.1177/1073191113490790
Crane, R. S., Soulsby, J. G., Kuyken, W., Williams, J. M. G. and Eames, C. (2016). The bangor, exeter and oxford Mindfulness-Based Interventions: Teaching Assessment Criteria (MBI-TAC) for assessing the competence and adherence of mindfulness-based class-based teaching, Retrieved from https://www.bangor.ac.uk/mindfulness/documents/MBI-TACmanualsummaryaddendums05-16.pdf
Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., …, Hecht, F. M. (2016). Effects of a mindfulness-based weight loss intervention in adults with obesity: A randomized clinical trial. Obesity, 24(4), 794–804. https://doi.org/10.1002/oby.21396
Dobkin, P. L., & Hassed, C. (2016). Mindful medical practitioners: A guide for clinicians and educators. Switzerland: Springer International Publishing. CrossRef
Dobkin, P. L., Hickman, S., & Monshat, K. (2013). Holding the heart of mindfulness-based stress reduction: Balancing fidelity and imagination when adapting MBSR. Mindfulness, 5(6), 710–718. CrossRef
European Association of Mindfulness based Approaches (EAMBA). (2017). Recommended ethical guidelines for mindfulness teachers. Retrieved from http://eamba.apps-1and1.net/about
Evans, A., Crane, R. S., Cooper, L., Mardula, J., Wilks, J., Surawy, C., …, Kuyken, W. (2014). A framework for supervision for mindfulness-based teachers:A space for embodied mutual inquiry. Mindfulness, 6, 572–581. https://doi.org/10.1007/s12671-014-0292-4
Herschell, A. D. (2010). Fidelity in the field: Developing infrastructure and fine-tuning measurement. Clinical psychology: Science and Practice, 17, 253–257. https://doi.org/10.1111/j.1468-2850.2010.01216.x
Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., …, Michie, S. (2014). Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. British Medical Journal, 348(g1687). https://doi.org/10.1136/bmj.g1687
Huijbers, M., Crane, R. S., Kuyken, W., Heijke, L., van den Hout, I., Donders, A. R. T., & Speckens, A. E. M. (2017). Mindfulness-based cognitive therapy; recurrent depression; intervention integrity; therapist competence; teacher competence. Mindfulness. https://doi.org/10.1007/s12671-016-0672-z
Koo, T., & Li, M. A. (2016). Guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15, 155–163. https://doi.org/10.1016/j.jcm.2016.02.012 CrossRefPubMedPubMedCentral
Kuyken, W., Nuthall, E., Byford, S., Crane, C., Dalgleish, T., Ford, T., …, Williams, J. M. G. (2017). The effectiveness and cost-effectiveness of a mindfulness training programme in schools compared with normal school provision (MYRIAD): Study protocol for a randomised controlled trial. Trials, 18, 194. https://doi.org/10.1186/s13063-017-1917-4
Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006). A brief mindfulness-based stress reduction intervention for nurses and nurse aides. Applied Nursing Research, 19, 105–109. https://doi.org/10.1016/j.apnr.2005.08.002 CrossRefPubMed
Mindfulness in School Project. (2017). The .b programme. Retrieved from https://mindfulnessinschools.org/.
National Center for Complementary and Integrative Health (NCCIH). (2017). Framework for developing and testing mind and body interventions. Retrieved from https://nccih.nih.gov/grants/mindbody/framework
Peacock, J., Baer, R., Segal, Z. V., Crane, R. S., Kuyken, W. and Surawy, C. (2016). What is the role of retreats in Mindfulness-Based Cognitive Therapy for teachers? A dialogue on the perils, possibilities and ways forward. Retrieved from http://oxfordmindfulness.org/news/role-retreats-mbct-teachers/
Perepletchikova, F., Treat, T. A., & Kazdin, A. E. (2007). Treatment integrity in psychotherapy research: Analysis of the studies and examination of the associated factors. Journal of Consulting and Clinical Psychology, 75(6), 829–841. https://doi.org/10.1037/0022-006X.75.6.829 CrossRefPubMed
Ruijgrok-Lupton, P. E., Crane, R. S., and Dorjee, D. (2017). Impact of mindfulness-based teacher training on MBSR participant well-being outcomes and course satisfaction. Mindfulness, 1–12. https://doi.org/10.1007/s12671-017-0750-x
Sanetti, L. M. H., & Kratochwill, T. R. (2009). Toward developing a science of treatment integrity: Introduction to the special series. School Psychology Review, 38(4), 445–449.
Santorelli, S. F., Kabat-Zinn, J., Blacker, M., Meleo-Meyer, F. and Koerbel, L. (2017). Mindfulness-based stress reduction (MBSR) authorized curriculum guide. Retrieved from http://www.umassmed.edu/cfm/training/mbsr-curriculum
Schulz, K. F., Altman, D. G., Moher, D., for the CONSORT Group (2010). CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. British Medical Journal, 340, 698–792.
Segal, Z. V., Teasdale, J. D., Williams, J. M., & Gemar, M. C. (2002). The mindfulness-based cognitive therapy adherence scale: Inter-rater reliability, adherence to protocol and treatment distinctiveness. Clinical Psychology and Psychotherapy, 9, 131–138. https://doi.org/10.1002/cpp.320 CrossRef
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression. New York: Guilford.
Segal, Z. V., Mark Williams, J. M. G., Teasdale, J. D., Crane, R. S., Dimidjian, S., Ma, H., …, Kuyken, W. (2016). Mindfulness-based cognitive therapy training pathway. Retrieved from http://oxfordmindfulness.org/wp-content/uploads/2016/10/MBCT-Training-Pathway-Final_Version1-0_07_Oct_2016-1.pdf
Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. https://doi.org/10.1037/0022-006X.68.4.615 CrossRefPubMed
UK Network for Mindfulness-Based Teacher Training Organisations. (2016). Good practice guidance for mindfulness-based teachers. Retrieved from https://www.mindfulnessteachersuk.org.uk/
Van Dam, N. T., van Vugt, M. K., Vago, D. R., Schmalzl, L., Saron, C. D., Olendzki, A., …, Meyer, D. E. (2017). Mind the hype: A critical evaluation and prescriptive agenda for research on mindfulness and meditation. Perspectives on Psychological Science. https://doi.org/10.1177/1745691617709589
Weck, F., Weigel, M., Richtberg, S., & Stangier, U. (2011). Reliability of adherence and competence assessment in psychoeducational treatment influence of clinical experience. Journal of Nervous and Mental Disease, 199(12), 983–986. https://doi.org/10.1097/NMD.0b013e3182392da1 CrossRefPubMed
- Intervention Integrity in Mindfulness-Based Research
Rebecca S. Crane
Frederick M. Hecht
- Springer US