The implementation of mindfulness-based cognitive therapy for patients with inflammatory bowel disease: a qualitative study.
BMC Psychology July 3, 2026 DOI: 10.1186/s40359-026-05082-4 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study Peer reviewed |
|---|---|
| Sample size | 32 |
| Population | Key stakeholders involved in implementing MBCT for inflammatory bowel disease patients |
| Topics | Meditation |
| Key findings | Stakeholders identified scepticism about MBCT and its evidence, limited funding and time, and low perceived competency to discuss mental health as key barriers, while a local champion, growing attention to lifestyle factors, and MBCT's group-based peer support acted as facilitators. Although stakeholders preferred integrating MBCT within a regional network, opinions differed, and they emphasized that a strong business case, including long-term cost-effectiveness evidence, is needed to secure broad support and insurance coverage. |
Abstract
Abstract:
Background: Our recent trial studying mindfulness-based cognitive therapy (MBCT) for Inflammatory Bowel Disease (IBD) patients demonstrated reductions in psychological distress and improvements in well-being. Building on these findings, the present study aimed to explore barriers and facilitators for implementation and scenarios to overcome these.
Methods: We conducted a sequential two-part study consisting of qualitative interviews followed by a survey. Semi-structured interviews were conducted with key stakeholders ( n = 32) on barriers and facilitators for implementation. The Consolidated Framework for Implementation Research guided data collection and framework analysis. Based on interview outcomes, implementation scenarios were formulated and presented in a survey to stakeholders ( n = 21) to explore their perspectives on the most suitable scenario.
Results: Key barriers identified were scepticism and misconceptions about MBCT and its lack of evidence, and limited funding, time, and perceived competency to discuss mental health in medical consultations. Facilitators included the presence of a local champion, growing attention to lifestyle factors in society and healthcare, and the group-based design of MBCT providing peer support. Stakeholders preferred integrating MBCT within a regional network, but opinions differed. Irrespective of the preferred scenario, stakeholders emphasized the need for a strong business case, including evidence on long-term (cost-)effectiveness, to secure broad support and insurance coverage.
Conclusions: Although implementing MBCT for IBD patients is worthwhile, several prominent barriers currently hinder this process. A strong business case is needed to gain broad support and insurance coverage. Further research is required to determine the most suitable and feasible implementation scenario and associated strategies. Clinical trial number: not applicable.
Comparable studies
Other qualitative studies on meditation, most cited first.