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Development of a Mindfulness-Based Cognitive Therapy Intervention Package for Patients with Obesity

Sahar Saeidiasl, Mahtab Moraveji, Masoumeh Moallem, Mohamad Bagher Hobbi, Vahid Manzari Tavakoli

Mental Health and Lifestyle Journal 2026 DOI: 10.61838/mhlj.139 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative meta-synthesis Peer reviewed
Sample size 15
Population Experts panel for validation
Measures Content Validity Index (CVI), Content Validity Ratio (CVR)
Topics Meditation
Keywords Cognition Intervention counseling Thematic analysis Coding social sciences Cognitive therapy Craving Content validity Psychological intervention Clinical psychology Psychotherapist Identification biology Qualitative research Applied psychology Data collection
Key findings The MBCT intervention package for obesity was coded into nine therapeutic themes, including conceptualization, awareness of emotions, control of craving, and mindful meditation exercises. Validation by 15 experts supported the package's content validity, suggesting it can be used in psychological interventions for obesity.

Abstract

The present study was conducted with the aim of developing a mindfulness-based cognitive therapy (MBCT) intervention package for patients with obesity. This study was qualitative in nature and employed a meta-synthesis strategy and research synthesis approach to extract the components of therapeutic packages from credible sources. Two sampling frameworks were considered for data selection: (1) research studies available in electronic databases, including the Noor Specialized Journals Database, Iranian Journal Database, Scientific Information Database (SID) of Jihad Daneshgahi, and Google Scholar search engine; and (2) academic theses archived in the Iranian Scientific Documents and Archives Center. Subsequently, the findings related to selected documents in the relevant thematic domain were synthesized through the processes of open coding, axial coding, and selective coding to develop a new mindfulness-based cognitive therapy intervention package for patients with obesity. The extracted data were summarized and card-indexed, and each element of the therapeutic packages was categorized accordingly. Validation was performed using the Content Validity Index (CVI) and the Content Validity Ratio (CVR) by a panel of 15 experts. Based on the obtained data, the mindfulness-based cognitive therapy model was coded and classified into nine therapeutic themes: (1) conceptualization, (2) awareness of emotions, (3) awareness of real needs, (4) cultivation of self-acceptance, (5) identification of mental wanderings, (6) control of craving and temptation, (7) inner and outer wisdom, (8) mindful and breathing meditation exercises, and (9) mind–body–emotion connection. These results can be utilized in the design and implementation of psychological intervention programs for patients with obesity.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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