The Implementation of Mindfulness-Based Cognitive Therapy: Learning From the UK Health Service Experience.
Rebecca S Crane, Willem Kuyken
Mindfulness 2013 DOI: 10.1007/s12671-012-0121-6 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Mixed-methods implementation study (workshop consultation plus UK-wide online survey) Peer reviewed |
|---|---|
| Sample size | 160 |
| Population | 57 participants in an MBCT implementation workshop in the NHS and 103 MBCT teachers and stakeholders in a UK-wide online survey |
| Topics | Meditation |
| Keywords | Implementation Effectiveness Knowledge transfer Health service Mindfulness-based cognitive therapy |
| Key findings | The authors report that MBCT is starting to become available in the NHS but rarely as part of a strategic, coherent, or appropriately resourced approach, and that nearly a decade after NICE first recommended MBCT only a small number of UK mental health services have systematically implemented the guidance. They identify structural, political, cultural, educational, emotional, and physical/technological obstacles and facilitators to implementation and propose guiding principles and an implementation resource to support knowledge transfer. |
Abstract
Mindfulness-based cognitive therapy (MBCT) is an effective depression prevention programme for people with a history of recurrent depression. In the UK, the National Institute for Clinical Excellence (NICE) has suggested that MBCT is a priority for implementation. This paper explores the exchange, synthesis and application of evidence and guidance on MBCT between the academic settings generating the evidence and delivering practitioner training and the practice settings where implementation takes place. Fifty-seven participants in a workshop on MBCT implementation in the NHS were asked for their experience of facilitators and obstacles to implementation, and a UK-wide online survey of 103 MBCT teachers and stakeholders was conducted. While MBCT is starting to become available in the NHS, this is rarely part of a strategic, coherent or appropriately resourced approach. A series of structural, political cultural, educational, emotional and physical/technological obstacles and facilitators to implementation were identified. Nearly a decade since NICE first recommended MBCT, only a small number of mental health services in the UK have systematically implemented the guidance. Guiding principles for implementation are set out. We offer an implementation resource to facilitate the transfer of MBCT knowledge into action.