Skip to main content
Top
Gepubliceerd in: Mindfulness 3/2014

01-06-2014 | ORIGINAL PAPER

Training Clinicians to Deliver a Mindfulness Intervention

Auteurs: Carrie Gibbons, Melissa Felteau, Nora Cullen, Shawn Marshall, Sacha Dubois, Hillary Maxwell, Dwight Mazmanian, Bruce Weaver, Laura Rees, Rolf Gainer, Rupert Klein, Amy Moustgaard, Michel Bédard

Gepubliceerd in: Mindfulness | Uitgave 3/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Mindfulness-based cognitive therapy (MBCT) is a relatively new therapeutic approach that is rooted in mindfulness-based stress reduction and cognitive behavioral therapy. Leading MBCT requires a radically different method than other forms of group facilitation. We are currently conducting a multi-site, randomized controlled trial (RCT) of a mindfulness intervention for individuals with a traumatic brain injury where the development of the facilitators' capacity to provide the intervention is as important to the study as the RCT component itself. Thus, the first year of the study was devoted to training ten clinicians to deliver the intervention. The training included a 2-day retreat to introduce mindfulness, teleconferences, support from an experienced instructor and other facilitators within the group, a 5-day professional MBCT training program, and the development of a personal meditation practice. It culminated with trialing the intervention with “healthy” participants (e.g., friends, family, colleagues). Sessions from six facilitators were recorded and assessed by an external reviewer experienced in the delivery of MBCT who provided qualitative feedback. Four facilitators demonstrated consistency and adherence to the skills assessed. Upon completion of the trial intervention, 93.5 % of healthy group participants indicated that the classes were engaging or stimulating and 96.9 % reported that they used the skills acquired. We feel we provided a training program that remained flexible to the needs of the facilitators.
Literatuur
go back to reference Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143.
go back to reference Bédard, M., Felteau, M., Mazmanian, D., Fedyk, K., Klein, R., Richardson, J., & Minthorn-Biggs, M. B. (2003). Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries. Disability and Rehabilitation, 25(13), 722–731. doi:10.1080/0963828031000090489.PubMedCrossRef Bédard, M., Felteau, M., Mazmanian, D., Fedyk, K., Klein, R., Richardson, J., & Minthorn-Biggs, M. B. (2003). Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries. Disability and Rehabilitation, 25(13), 722–731. doi:10.​1080/​0963828031000090​489.PubMedCrossRef
go back to reference Bédard, M., Felteau, M., Gibbons, C., Klein, R., Mazmanian, D., Fedyk, K., & Mack, G. (2005). A mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries: one-year follow-up. The Journal of Cognitive Rehabilitation, Spring, 2–7. doi:10.1080/0963828031000090489. Bédard, M., Felteau, M., Gibbons, C., Klein, R., Mazmanian, D., Fedyk, K., & Mack, G. (2005). A mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries: one-year follow-up. The Journal of Cognitive Rehabilitation, Spring, 2–7. doi:10.​1080/​0963828031000090​489.
go back to reference Bédard, M., Felteau, M., Marshall, S., Dubois, S., Gibbons, C., Klein, R., & Weaver, B. (2012). Mindfulness based cognitive therapy: benefits in reducing depression following a traumatic brain injury. Advances in Mind-Body Medicine, 26(1), 14–20.PubMed Bédard, M., Felteau, M., Marshall, S., Dubois, S., Gibbons, C., Klein, R., & Weaver, B. (2012). Mindfulness based cognitive therapy: benefits in reducing depression following a traumatic brain injury. Advances in Mind-Body Medicine, 26(1), 14–20.PubMed
go back to reference Davis, D., O’Brien, M. A., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? Journal of the American Medical Association, 282(9), 867–874. doi:10.1001/jama.282.9.867.PubMedCrossRef Davis, D., O’Brien, M. A., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? Journal of the American Medical Association, 282(9), 867–874. doi:10.​1001/​jama.​282.​9.​867.PubMedCrossRef
go back to reference Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72–79. doi:10.1037/a0017566.PubMedCrossRef Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72–79. doi:10.​1037/​a0017566.PubMedCrossRef
go back to reference Greben, D. H., & Segal, Z. V. (2004). Psychotherapy education: innovation and evolution. Canadian Journal of Psychiatry, 49(4), 219–220. Greben, D. H., & Segal, Z. V. (2004). Psychotherapy education: innovation and evolution. Canadian Journal of Psychiatry, 49(4), 219–220.
go back to reference Kabat-Zinn, J. (2005a). Loving kindness meditation coming to our senses: healing ourselves and the world through mindfulness (pp. 285–295). New York: Hyperion. Kabat-Zinn, J. (2005a). Loving kindness meditation coming to our senses: healing ourselves and the world through mindfulness (pp. 285–295). New York: Hyperion.
go back to reference Kabat-Zinn, J. (2005b). Meditation—it's not what you think coming to our senses: healing ourselves and the world through mindfulness (pp. 58–63). New York: Hyperion. Kabat-Zinn, J. (2005b). Meditation—it's not what you think coming to our senses: healing ourselves and the world through mindfulness (pp. 58–63). New York: Hyperion.
go back to reference Kabat-Zinn, J. (2009). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (15th ed.). New York: Random House. Kabat-Zinn, J. (2009). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (15th ed.). New York: Random House.
go back to reference Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. doi:10.1037/0022-006X.72.1.31.PubMedCrossRef Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. doi:10.​1037/​0022-006X.​72.​1.​31.PubMedCrossRef
go back to reference Martin, L., Saperson, K., & Maddigan, B. (2003). Residency training: challenges and opportunities in preparing trainees for the 21st century. Canadian Journal of Psychiatry, 48(4), 225–231. Martin, L., Saperson, K., & Maddigan, B. (2003). Residency training: challenges and opportunities in preparing trainees for the 21st century. Canadian Journal of Psychiatry, 48(4), 225–231.
go back to reference Moustgaard, A., Bédard, M., & Felteau, M. (2007). Mindfulness-based cognitive therapy (MBCT) for individuals who had a stroke: application of a novel intervention. The Journal of Cognitive Rehabilitation, Winter, 25(4),4–10. Moustgaard, A., Bédard, M., & Felteau, M. (2007). Mindfulness-based cognitive therapy (MBCT) for individuals who had a stroke: application of a novel intervention. The Journal of Cognitive Rehabilitation, Winter, 25(4),4–10.
go back to reference National Collaborating Centre for Mental Health. (2009). NICE clinical guideline 90: depression: the treatment and management of depression in adults (partial update of NICE clinical guideline 23). London: National Institute for Health and Clinical Excellence. National Collaborating Centre for Mental Health. (2009). NICE clinical guideline 90: depression: the treatment and management of depression in adults (partial update of NICE clinical guideline 23). London: National Institute for Health and Clinical Excellence.
go back to reference Persad, E., & Leverette, J. (2003). Training issues in psychiatry in Canada. Canadian Journal of Psychiatry, 48, 213–214. Persad, E., & Leverette, J. (2003). Training issues in psychiatry in Canada. Canadian Journal of Psychiatry, 48, 213–214.
go back to reference Ravitz, P., & Silver, I. (2004). Advances in psychotherapy education. Canadian Journal of Psychiatry, 49(4), 230–237. Ravitz, P., & Silver, I. (2004). Advances in psychotherapy education. Canadian Journal of Psychiatry, 49(4), 230–237.
go back to reference 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. doi:10.1002/cpp.320.CrossRef 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. doi:10.​1002/​cpp.​320.CrossRef
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. A new approach to preventing relapse. New York: The Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. A new approach to preventing relapse. New York: The Guilford Press.
go back to reference Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., & Levitan, R. D. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264. doi:10.1001/archgenpsychiatry.2010.168.PubMedCentralPubMedCrossRef Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., & Levitan, R. D. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264. doi:10.​1001/​archgenpsychiatr​y.​2010.​168.PubMedCentralPubMedCrossRef
go back to reference Teasdale, J. D., Williams, J. M. G., Soulsby, J. M., Segal, Z. V., Ridgeway, V. A., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.PubMedCrossRef Teasdale, J. D., Williams, J. M. G., Soulsby, J. M., Segal, Z. V., Ridgeway, V. A., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.PubMedCrossRef
go back to reference Williams, M., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindfulway through depression: freeing yourself from chronic unhappiness. New York: The Guilford Press. Williams, M., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindfulway through depression: freeing yourself from chronic unhappiness. New York: The Guilford Press.
go back to reference Woods, S. L. (2009). Training professionals in mindfulness: the heart of teaching. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 463–475). New York: Springer.CrossRef Woods, S. L. (2009). Training professionals in mindfulness: the heart of teaching. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 463–475). New York: Springer.CrossRef
Metagegevens
Titel
Training Clinicians to Deliver a Mindfulness Intervention
Auteurs
Carrie Gibbons
Melissa Felteau
Nora Cullen
Shawn Marshall
Sacha Dubois
Hillary Maxwell
Dwight Mazmanian
Bruce Weaver
Laura Rees
Rolf Gainer
Rupert Klein
Amy Moustgaard
Michel Bédard
Publicatiedatum
01-06-2014
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-012-0170-x

Andere artikelen Uitgave 3/2014

Mindfulness 3/2014 Naar de uitgave

ORTHOGONAL ROTATION IN CONSCIOUSNESS

The Challenge of a Life’s Time—and a Lifetime