Training Clinicians to Deliver a Mindfulness Intervention
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
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.
- Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. CrossRef
- 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. CrossRef
- 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., 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.
- Crane, R. S., Kuyken, W., Hastings, R. P., Rothwell, N., & Williams, J. M. G. (2010). Training teachers to deliver mindfulness-based interventions: learning from the UK experience. Mindfulness, 1, 74–86. doi:10.1007/s12671-010-0010-9. CrossRef
- 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, 76–84. doi:10.1007/s12671-011-0073-2. CrossRef
- Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2, 186–193. doi:10.1007/s12671-011-0058-1. CrossRef
- 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. CrossRef
- Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, G. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders, 22, 716–721. doi:10.1016/j.janxdis.2007.07.005. CrossRef
- Fjorback, L. O., Arendt, M., Ornbol, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119. doi:10.1111/j.1600-0447.2011.01704.x. CrossRef
- 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. CrossRef
- Greben, D. H., & Segal, Z. V. (2004). Psychotherapy education: innovation and evolution. Canadian Journal of Psychiatry, 49(4), 219–220.
- Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. doi:10.1016/S0022-3999(03)00573-7. CrossRef
- 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. (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. (2009). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (15th ed.). New York: Random House.
- Langer, A. I., Cangas, A. J., Salcedo, E., & Fuentes, B. (2012). Applying mindfulness therapy in a group of psychotic individuals: a controlled study. Behavioural and Cognitive Psychotherapy, 40(1), 105–109. doi:10.1017/S1352465811000464. CrossRef
- Lehrhaupt, L. (2010). Institute for mindfulness-based approaches. From http://www.institute-for-mindfulness.eu/homepage.html. Accessed 6 Jan 2012.
- 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. CrossRef
- 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.
- 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.
- 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.
- Persad, E., & Leverette, J. (2003). Training issues in psychiatry in Canada. Canadian Journal of Psychiatry, 48, 213–214.
- Ravitz, P., & Silver, I. (2004). Advances in psychotherapy education. Canadian Journal of Psychiatry, 49(4), 230–237.
- 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., 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., 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. CrossRef
- 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. CrossRef
- UK Network for Mindfulness-Based Teachers. (2011), Good practice guidelines for teaching mindfulness-based courses. (2011). From http://mindfulnessteachersuk.org.uk/pdf/teacher-guidelines.pdf. Accessed 6 Apr 2012.
- Williams, M., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindfulway through depression: freeing yourself from chronic unhappiness. New York: The Guilford Press.
- 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
- Training Clinicians to Deliver a Mindfulness Intervention
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Clinician training
- Mindfulness-based approaches
- Author Affiliations
- 1. Research Department, St. Joseph’s Care Group, 580 North Algoma Street, Thunder Bay, ON, Canada, P7C 3W4
- 2. Department of Adult Education and Continuing Education, St. Francis Xavier University, Antigonish, NS, Canada
- 3. West Park Healthcare Centre, Toronto, ON, Canada
- 4. Rehabilitation Centre, The Ottawa Hospital, Ottawa, ON, Canada
- 5. Department of Psychology, Lakehead University, Thunder Bay, ON, Canada
- 6. Human Sciences Division, Northern Ontario School of Medicine, Thunder Bay, ON, Canada
- 7. Department of Psychology, The Ottawa Hospital, Ottawa, ON, Canada
- 8. Rehabilitation Institutes of America, Brookhaven Hospital, Tulsa, OK, USA
- 9. Royal Ottawa Mental Health Centre, Ottawa, ON, Canada
- 10. Department of Health Sciences, Lakehead University, Thunder Bay, ON, Canada