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Mindfulness

Gepubliceerd in:

16-06-2022 | ORIGINAL PAPER

Training Mindfulness Facilitators: Evaluating the VA CALM Program at the Veterans Health Administration

Auteurs: J. Greg Serpa, Kathy Atwood, Stephen R. Shamblen, Aree Sangpukdee, Melissa A. Jents, Christiane Wolf

Gepubliceerd in: Mindfulness | Uitgave 7/2022

Abstract

Objectives

As the demand for Mindfulness-Based Interventions (MBIs) expands, there is a growing need for training healthcare professionals to deliver these interventions. To meet this demand, VA CALM (Veterans Affairs – Compassionate Awareness Learning Module) was developed and evaluated.

Methods

Participants (n = 74, female = 73%) were a national sample of VA clinicians including psychologists (48%), social workers (33%), physicians (10%), nurses (5%), and other clinicians (4%) who joined the year-long training program delivered via hybrid learning platforms including live video and in-person instruction. The evaluation was a single-arm, repeated measures design comparing outcomes at baseline, at the halfway point of training, and immediately post-training. Outcomes from standardized measures included burnout, competence, mindfulness, self-compassion, and stress. Participant self-efficacy was also assessed.

Results

Random intercept regressions were performed examining linear and quadratic time contrasts as predictors of study outcome change trajectories. The pattern of change was largely linear, where there were statistically significant and large magnitude (r > .50) increases at each observation period for burnout (r = − 0.52), competence with one-on-one interventions (r = 0.68) and groups (r = 0.76), mindfulness (r = 0.61), perceived stress (r = − 0.51), self-compassion (r = 0.58), and self-efficacy (r = 0.83). The linear model indicates changes in study outcomes were cumulative over the course of the training.

Conclusions

VA CALM is an effective training program for mindfulness facilitators and appears to confer additional participant benefits, even when participants have significant experience with mindfulness.

vorige artikel Embracing the Complexity of our Inner Worlds: Understanding the Dynamics of Self-Compassion and Self-Criticism

volgende artikel Being Mindful of What is Absent

Baminiwatta, A., & Solangaarachchi, I. (2021). Trends and developments in mindfulness research over 55 years: A bibliometric analysis of publications indexed in Web of Science. Mindfulness, 12(9), 2099–2116. https://doi.org/10.1007/s12671-021-01681-xCrossRefPubMedPubMedCentral

Bokhour, B. G., Haun, J. N., Hyde, J., Charns, M., & Kligler, B. (2020a). Transforming the veterans affairs to a whole health system of care: Time for action and research. Medical Care, 58(4), 295–300. https://doi.org/10.1097/MLR.0000000000001316

Bokhour, B. G., Hyde, J. K., Zeliadt, S., & Mohr, D. C. (2020b) Whole health system of care evaluation: A progress report on outcomes of the WHS Pilot at 18 Flagship Sites. Veterans Health Administration, Center for Evaluating Patient-Centered Care in VA (EPCC-VA). Retrieved from https://www.va.gov/WHOLEHEALTH/docs/EPCC_WHSevaluation_FinalReport_508.pdf. Accessed 9 June 2022.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. https://doi.org/10.13072/midss.461CrossRefPubMed

Crane, R. S. (2017). Implementing mindfulness in the mainstream: Making the path by walking it. Mindfulness, 8(3), 585–594. https://doi.org/10.1007/2Fs12671-016-0632-7CrossRefPubMed

Crane, R. S., Kuyken, W., Williams, J. M. G., Hastings, R. P., Cooper, L., & Fennell, M. J. (2012). Competence in teaching mindfulness-based courses: Concepts, development and assessment. Mindfulness, 3(1), 76–84. https://doi.org/10.1007/s12671-011-0073-2CrossRefPubMed

Creswell, J. D., Lindsay, E. K., Villalba, D. K., & Chin, B. (2019). Mindfulness training and physical health: Mechanisms and outcomes. Psychosomatic Medicine, 81(3), 224–232. https://doi.org/10.1097/PSY.0000000000000675CrossRefPubMed

Datta, J., & Petticrew, M. (2013). Challenges to evaluating complex interventions: A content analysis of published papers. BMC Public Health, 13, 568. https://doi.org/10.1186/1471-2458-13-568CrossRefPubMedPubMedCentral

Demarzo, M. M. P., Cebolla, A., & Garcia-Campayo, J. (2015). The implementation of mindfulness in healthcare systems: A theoretical analysis. General Hospital Psychiatry, 37(2), 166–171. https://doi.org/10.1016/j.genhosppsych.2014.11.013CrossRefPubMed

Department of Veterans Affairs. (2016). 20 reasons doctors like working for the veterans health administration. [Press Release]. Retrieved from https://www.va.gov/HEALTH/docs/20ReasonsVHA_508IB10935.pdf. Accessed 9 June 2022.

Dobkin, P. L., & Hassed, C. S. (2016). Mindful medical practitioners. Springer International Publishing.CrossRef

Gleig, A. (2019). American dharma: Buddhism beyond modernity. Yale University Press.

Goldberg, S. B., Zeliadt, S. B., Hoggatt, K. J., Simpson, T. L., Fortney, J. C., & Taylor, S. L. (2019). Utilization and perceived effectiveness of mindfulness meditation in Veterans: Results from a national survey. Mindfulness, 10(12), 2596–2605. https://doi.org/10.1007/s12671-019-01214-7CrossRef

Gyaltsen, K. (2016). A lamp illuminating the path to liberation: An exploration of essential topics for dharma students (2nd ed.). Lhasay Lotsawa Publications.

Heckman, J. J. (1976). The common structure of statistical models of truncation, sample selection and limited dependent variables and a simple estimator for such models. Annals of Economic and Social Measurement, 5(4), 475–492.

International Integrity Network of Mindfulness-based Programs (2021). A framework for the Integrity of Mindfulness-based Programs. Institut Pleine Conscience. Retrieved from https://iminetwork.org/wp-content/uploads/2021/07/IMI_Ethics-and-standards-for-MBP-JULY_2021.pdf. Accessed 9 June 2022.

Kabat-Zinn, J. (2011). Some reflections on the origins of MBSR, skillful means, and the trouble with maps. Contemporary Buddhism, 12(1), 281–306. https://doi.org/10.1080/14639947.2011.564844CrossRef

Kenny, M., Luck, P., & Koerbel, L. (2020). Tending the field of mindfulness-based programs: The development of international integrity guidelines for teachers and teacher training. Global Advances in Health and Medicine, 9, 1–10. https://doi.org/10.1177/2164956120923975CrossRef

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., & Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005CrossRefPubMed

Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2019). Mindfulness-based interventions in the workplace: An inclusive systematic review and meta-analysis of their impact upon wellbeing. The Journal of Positive Psychology, 14(5), 625–640. https://doi.org/10.1080/17439760.2018.1519588CrossRef

Marx, R., Strauss, C., & Williamson, C. (2015). Mindfulness apprenticeship: A new model of NHS-based MBCT teacher training. Mindfulness, 6(2), 253–263. https://doi.org/10.1007/s12671-013-0254-2CrossRef

Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). MBI: Maslach burnout inventory manual (3rd ed.). Consulting Psychologists Press.

Piet, J. Fjorback, L. & Santorelli, S. (2016). What is required to teach mindfulness effectively in MBSR and MBCT? In E. Shonin, W Gordon & Griffiths (Eds.), Mindfulness and Buddhist-derived approaches to mental health and addition (pp.61–83). Springer. https://doi.org/10.1007/978-3-319-22255-4_4

Purser, R., & Loy, D. (2013). Beyond McMindfulness. Huffington Post, 1(7), 13.

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255. https://doi.org/10.1002/cpp.702CrossRef

Ruijgrok-Lupton, P. E., Crane, R. S., & Dorjee, D. (2018). Impact of mindfulness-based teacher training on MBSR participant well-being outcomes and course satisfaction. Mindfulness, 9(1), 117–128. https://doi.org/10.1007/s12671-017-0750-xCrossRefPubMed

Segal, Z. V., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications.

Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—the Freiburg mindfulness inventory (FMI). Personality and Individual Differences, 40(8), 1543–1555. https://doi.org/10.1016/j.paid.2005.11.025CrossRef

Whitehead, A. M., & Kligler, B. (2020). Innovations in care: Complementary and integrative health in the Veterans Health Administration whole health system. Medical Care, 58, S78–S79. https://doi.org/10.1097/MLR.0000000000001383CrossRefPubMed

Whole Veteran Act. 116th Cong., Rec. 2359 (2020) (enacted). Retrieved from https://www.congress.gov/116/plaws/publ185/PLAW-116publ185.pdf. Accessed 9 June 2022.

Wolf, C., & Serpa, J. G. (2015). A clinician's guide to teaching mindfulness: The comprehensive session-by-session program for mental health professionals and health care providers. New Harbinger Publications.

Titel: Training Mindfulness Facilitators: Evaluating the VA CALM Program at the Veterans Health Administration
Auteurs: J. Greg Serpa
Kathy Atwood
Stephen R. Shamblen
Aree Sangpukdee
Melissa A. Jents
Christiane Wolf
Publicatiedatum: 16-06-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01905-8

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Abstract

Objectives

Methods

Results

Conclusions

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