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.
Comparable studies
Other qualitative studies on meditation, most cited first.
Citations in the library
Cited by 49
- Mind the Hype: A Critical Evaluation and Prescriptive Agenda for Research on Mindfulness and Meditation Perspectives on Psychological Science October 10, 2017
- The effect of mindfulness meditation on sleep quality: a systematic review and meta‐analysis of randomized controlled trials Annals of the New York Academy of Sciences December 21, 2018
- Mindfulness Meditation and Psychopathology Annual Review of Clinical Psychology December 11, 2018
- Prospects for a clinical science of mindfulness-based intervention. American Psychologist October 1, 2015
- Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: a meta-analysis Cognitive Behaviour Therapy February 8, 2019
and 44 more in the library
Cites 6
- Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials Acta Psychiatrica Scandinavica April 28, 2011
- Training Teachers to Deliver Mindfulness-Based Interventions: Learning from the UK Experience Mindfulness April 26, 2010
- The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review May 15, 2011
- How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy August 13, 2010
- Population-based service planning for implementation of MBCT: linking epidemiologic data to practice. Psychiatric Services November 2009
and 1 more in the library