The Implementation of Mindfulness-Based Programs in the Swedish Healthcare System-A Qualitative Study.
Susanne Andermo, Rebecca S. Crane, Maria Niemi
Global Advances in Health and Medicine 2021 DOI: 10.1177/21649561211058698 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study Peer reviewed |
|---|---|
| Sample size | 17 |
| Population | 15 mindfulness-based program providers and 2 other stakeholders from a range of health care settings in Sweden |
| Topics | Meditation |
| Keywords | Fidelity Implementation Intervention integrity Mindfulness-based programs National guidelines |
| Key findings | The authors argue that MBP implementation in Swedish health care is shaped by teacher training and champion individuals, patient characteristics and referral pathways, organizational factors such as funding and manager and colleague acceptance, and structural gaps. They conclude that national guidelines for MBP provision and teacher training pathways are needed, that a stepped-care model is indicated, and that greater awareness among referrers, managers, and the public may enable successful implementation. |
Abstract
As the provision of Mindfulness-Based Programs (MBPs) in health care settings progresses, more research is needed to develop guidelines and structures for implementation in various contexts. This study is part of a larger project were MBP provision in Sweden is explored. The objective is to provide knowledge for the next steps of MBP implementation both in Sweden and internationally. The specific aim of the study is to explore how MBP teachers and other relevant stakeholders experience the implementation of MBP. Qualitative in-depth interviews were conducted with 15 MBP providers and 2 other stakeholders from a range of health care settings in Sweden. The results, presented in 3 themes, provide insights into the factors that are crucial for facilitating or hindering MBP implementation; (1) MBP teachers and their training, including the importance of champion individuals and the benefit and shortcomings of various forms of MBP; (2) Patients and patient referrals, including patient characteristics and referral pathways; (3) Organizational prerequisites to successful implementation, highlighting the importance of financial factors and managers' and colleagues' knowledge and acceptance of MBP; and (4) the need for structural changes, including future recommendations on quality assessment and guidelines. This study highlights the need for national guidelines for MBP provision and teacher training pathways, as well as improved availability of teacher training. Also, the benefit of a stepped-care model of MBP provision is indicated by the findings. Finally, increasing awareness of MBPs among referrers, managers, and the public may enable successful implementation.
Comparable studies
Other qualitative studies on meditation, most cited first.
Citations in the library
Cites 12
- What defines mindfulness-based programs? The warp and the weft Psychological Medicine December 29, 2016
- Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse JAMA Psychiatry April 28, 2016
- Prospects for a clinical science of mindfulness-based intervention. American Psychologist October 1, 2015
- Coherence between emotional experience and physiology: Does body awareness training have an impact? Emotion 2010
- Mindfulness-based interventions for addictive behaviors: Implementation issues on the road ahead. Psychology of Addictive Behaviors October 26, 2017
and 7 more in the library