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Can We Agree What Skilled Mindfulness-Based Teaching Looks Like? Lessons From Studying the MBI:TAC.

Rebecca S. Crane, Frederick M Hecht, Judson A. Brewer, Gemma M Griffith, Wendy Hartogensis, Lynn S Koerbel, Patricia J Moran, Sophie A Sansom, Alison Yiangou, Willem Kuyken

Global Advances in Health and Medicine October 13, 2020 DOI: 10.1177/2164956120964733 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Training evaluation study with qualitative and quantitative data Peer reviewed
Sample size 31
Population Senior mindfulness-based program teachers from different regions internationally
Measures Mindfulness-Based Interventions: Teaching Assessment Criteria (MBI:TAC)
Topics Meditation
Keywords Fidelity Mindfulness-based cognitive therapy Mindfulness-based stress reduction Mindfulness-based interventions
Key findings A structured online training program for MBI:TAC assessors was well received and produced high interrater reliability at the end of training, ranging from 0.67 to 1.0, with participants' ratings becoming progressively more aligned with one another and with benchmark ratings. The authors conclude that senior mindfulness-based program trainers from different regions can align toward common understandings of teaching competence and program integrity.

Abstract

Background: The Mindfulness-Based

Interventions: Teaching Assessment Criteria (MBI:TAC) is a widely used tool for assessing fidelity in mindfulness-based program (MBP) research and training. It also supports MBP teacher reflective and skill development. MBI:TAC assessors review MBP teaching and rate the teaching on 6 domains. The MBI:TAC yields individual domain and overall scores, using 6 levels of competence. Although the MBI:TAC is widely used in MBP research and training, research is at an early stage.

Objective: We developed and tested a method of training MBI:TAC assessors to use the tool reliably and examined interrater reliability of the tool.

Methods: A total of 31 international senior MBP teachers were recruited to join an online training to build their skills in using the MBI:TAC. The training systematically and iteratively built familiarity and skills in assessing the 6 MBI:TAC domains. Qualitative and quantitative data on trainee's experience of the training were gathered. Interrater reliability in using the tool was tested each week of the training. At the end of the training, interrater reliability was tested by asking trainees to individually assess videos that they had not previously seen. Their ratings were compared to benchmark assessments, which had been established via consensus agreement between 4 expert users of the MBI:TAC.

Results: The training was well received and appreciated, with some challenges experienced in applying the assessment methodology. Participants' ratings became progressively more in line with one another and the benchmark ratings during the training. At the end, interrater reliability was high (ranging from 0.67 to 1.0).

Conclusion: It is possible for senior MBP trainers, coming from different regions in the world, to align toward common understandings of the elements of MBP teaching competence and program integrity. An assessor training methodology was tested, and the learning from this project has led to refinements for future delivery.

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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