A Brief Measure of Fidelity for Mindfulness Programs: Development and Evaluation of the Concise Fidelity for Mindfulness-Based Interventions Tool.
A Brief Measure of Fidelity for Mindfulness Programs: Development and Evaluation of the Concise Fidelity for Mindfulness-Based Interventions Tool.
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DOI：
10.1177/27536130231174234
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发表时间：
2023-01
期刊：
影响因子：
--
通讯作者：
Morone, Natalia E.
中科院分区：
文献类型：
--
作者：
Greco, Carol M.;Dore, Graham A.;Weinberg, Janice M.;Roth, Isabel;Thomas, Holly N.;Lawrence, Suzanne;Rodriguez, Ruth;McGillis, Megan;Morone, Natalia E.
关键词：
正念研究和临床项目很普遍，重要的是，基于正念的干预措施要在不同环境中以保真度或按预期的方式提供。MBI：TAC是一个评估教师能力的综合系统，但实施起来可能很复杂。需要一个标准化的、简单的保真度/参与工具来解决治疗交付问题。我们描述了一个简短的，实用的工具，用于评估忠诚度和参与在线正念为基础的程序的开发，评估和结果。该工具包含有关会话元素的问题，如冥想指导和小组讨论，以及有关参与者参与和基于技术的参与障碍的问题。保真度评级工具在OPTIMUM中开发和测试，使用正念优化医疗环境中的疼痛治疗。OPTIMUM研究是一项3个地点的实用随机试验，对慢性腰痛的初级保健患者进行小组医疗访问和适应性正念减压，在线提供。两名经过培训的研究人员对26个记录的OPTIMUM会话进行独立评分，以确定基于正念干预的简明保真度（CoFi-MBI）工具的评分员间可靠性。经过培训的评分员还完成了105次会议的CoFi-MBI。评定者通过工具中的可选开放文本字段提供定性数据。对于关键会话组件的存在，评分员间一致性为77-100%，对于参与者参与度和技术相关挑战的Likert评分为69-88%，差异仅发生在两个类别中：“非常多”和“相当多”。在105次会议中，94-100%的会议按预期进行了关键的会议组成部分，95%的会议参与者参与度被评为“非常”或“相当多”。对评分员评论的定性分析揭示了与参与挑战和技术失败相关的主题。CoFi-MBI提供了一种实用的方法来评估对正念课程元素在线交付的基本遵守情况，参与者参与度和技术障碍的程度。可选文本可以指导提高参与度和减少技术障碍的战略。
Mindfulness research and clinical programs are widespread, and it is important that mindfulness-based interventions are delivered with fidelity, or as intended, across settings. The MBI:TAC is a comprehensive system for assessing teacher competence, yet it can be complex to implement. A standardized, simple fidelity/engagement tool to address treatment delivery is needed. We describe the development, evaluation, and outcomes of a brief, practical tool for assessing fidelity and engagement in online mindfulness-based programs. The tool contains questions about session elements such as meditation guidance and group discussion, and questions about participant engagement and technology-based barriers to engagement. The fidelity rating tool was developed and tested in OPTIMUM, Optimizing Pain Treatment in Medical settings Using Mindfulness. The OPTIMUM study is a 3-site pragmatic randomized trial of group medical visits and adapted mindfulness-based stress reduction for primary care patients with chronic low back pain, delivered online. Two trained study personnel independently rated 26 recorded OPTIMUM sessions to determine inter-rater reliability of the Concise Fidelity for Mindfulness-Based Interventions (CoFi-MBI) tool. Trained raters also completed the CoFi-MBI for 105 sessions. Raters provided qualitative data via optional open text fields within the tool. Inter-rater agreement was 77-100% for presence of key session components, and 69-88% for Likert ratings of participant engagement and challenges related to technology, with discrepancies only occurring within 2 categories: ‘very much’ and ‘quite a bit’. Key session components occurred as intended in 94-100% of the 105 sessions, and participant engagement was rated as ‘very much’ or ‘quite a bit’ in 95% of the sessions. Qualitative analysis of rater comments revealed themes related to engagement challenges and technology failures. The CoFi-MBI provides a practical way to assess basic adherence to online delivery of mindfulness session elements, participant engagement, and extent of technology obstacles. Optional text can guide strategies to improve engagement and reduce technology barriers.
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影响因子：
--
作者：
Griffith G;Crane R
通讯作者：
Crane R
DOI：
10.1007/s12160-016-9844-2
发表时间：
2017-04
期刊：
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子：
--
作者：
Hilton L;Hempel S;Ewing BA;Apaydin E;Xenakis L;Newberry S;Colaiaco B;Maher AR;Shanman RM;Sorbero ME;Maglione MA
通讯作者：
Maglione MA
影响因子：
39.2
作者：
Qaseem, Amir;Wilt, Timothy J.;Forciea, Mary Ann
通讯作者：
Forciea, Mary Ann
影响因子：
6.1
作者：
Gu, Qiang;Hou, Jin-Chao;Fang, Xiang-Ming
通讯作者：
Fang, Xiang-Ming
DOI：
10.1001/jama.2016.2323
发表时间：
2016-03-22
期刊：
JAMA
影响因子：
--
作者：
Cherkin DC;Sherman KJ;Balderson BH;Cook AJ;Anderson ML;Hawkes RJ;Hansen KE;Turner JA
通讯作者：
Turner JA