Cited by 102Mindfulness and Compassion InterventionsHealth Policy Implementation ScienceMeta-analysis and systematic reviews

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Reporting of Treatment Fidelity in Mindfulness-Based Intervention Trials: A Review and New Tool Using NIH Behavior Change Consortium Guidelines

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Kechter, Afton, Amaro, Hortensia, Black, David S.·2019·Mindfulness

DOI 10.1007/s12671-018-0974-4PMC PMC6402837

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Abstract

Mindfulness-based interventions (MBIs) are in the fourth decade of adaptation and testing, yet little is known about their level of treatment fidelity. Treatment fidelity is a methodological strategy used to monitor and enhance the reliability and validity of behavioral interventions. The Treatment Fidelity Workgroup of the National Institutes of Health Behavior Change Consortium (BCC) put forth recommendations covering five components of treatment fidelity: design, training, delivery, receipt, and enactment. We conducted a literature review to describe how these five components of treatment fidelity are reported in published main outcomes articles of MBI efficacy trials among adult participants. Our search yielded 202 articles and we identified 25 (12%) described study treatment fidelity. All 25 studies reported on design, n=24 (96%) reported on training, n=23 (92%) reported on delivery, n=23 (92%) reported on receipt, and n=16 (64%) reported on enactment. Eleven (44%) articles analyzed measures of receipt and enactment with a participant outcome. Fourteen (56%) articles reported on all five fidelity components. There was high variation in the way each component was conducted and/or reported, making comparisons across articles difficult. To address the prevailing limitation that the majority of MBI efficacy studies did not detail treatment fidelity, we offer the Treatment Fidelity Tool for MBIs adapted from the BCC guidelines to help researchers monitor and report these methods and measures in a simple and standardized format. By using this tool, researchers have the opportunity to improve the transparency and interpretability of the MBI evidence base.

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CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371
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“Mindfulnessbased interventions (MBIs) represent a family of programs developed with the goal of helping people cultivate an ongoing daily practice of mindfulness operationalized as Bthe awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience…”
Background
Mindfulness-based interventions in context: Past, present, and future.
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy/bpg016 · Cited by 8,612
The effect of mindfulness based therapy on anxiety and depression: A meta analytic review
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“Mindfulness training is a relatively newer behavioral program that shows increasing promise for efficacy to improve stress-related ailments, psychiatric disorders, and disease symptoms (Black and Slavich 2016; Goyal et al. 2014; Hofmann et al. 2010; van der Velden et al. 2015; Black 2012, 2014; O’Reilly et al. 2014).”
Background
Clinical Psychology: Science and Practice
(2021) · Clinical Psychology Science and Practice · doi:10.1111/(issn)1468-2850 · Cited by 3,683
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Enhancing Treatment Fidelity in Health Behavior Change Studies: Best Practices and Recommendations From the NIH Behavior Change Consortium.
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“This list encompasses recommendations for MBI treatment fidelity adapted from NIH’s BCC Guidelines (Bellg et al. 2004; Resnick et al. 2005).”
BackgroundMethodInfluential
A conceptual framework for implementation fidelity
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“, universal, indicated); however, our understanding of the moderators of MBIs remains underdeveloped [8,16,17].”
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Ongoing and Future Research Directions
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Preface
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Impaired Physicians
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Index
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Additional file 1 of Treatment fidelity in the Tinnitus Retraining Therapy Trial
Scherer, R. W., Erdman, S. A., Gold, S. L., & Formby, C. (2020) · Figshare · doi:10.6084/m9.figshare.12703637

Authors: Kechter, A., Amaro, H., & Black, D. S.
Affiliations: University of Southern California (US)
Corresponding author: Kechter, Afton
ORCID: Kechter, Afton
Amaro, Hortensia
Black, David S.
Venue: Mindfulness
Publisher: Springer Science and Business Media LLC
Published: 2018-06-22
Volume: 10
Issue: 2
Pages: 215-233
ISSN: 1868-8527 (ISSN-L)
1868-8535
DOI: 10.1007/s12671-018-0974-4
PMC: PMC6402837
OpenAlex: W2809044941
Cited by: 102
References: 56
Citations by year: 2026: 3 · 2025: 11 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 10 · 2020: 51 · 2019: 1
FWCI: 18.18
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Mindfulness (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Cancer Institute (5T32CA009492-33)
National Institute on Drug Abuse (5R01DA038648)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords: intervention fidelity, mindfulness-based interventions, intervention delivery, therapist training, treatment receipt, reporting guidelines

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Reporting of Treatment Fidelity in Mindfulness-Based Intervention Trials: A Review and New Tool Using NIH Behavior Change Consortium Guidelines

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