An Open Trial of Rolling Admission Mindfulness-Based Relapse Prevention (Rolling MBRP): Feasibility, Acceptability, Dose-Response Relations, and Mechanisms
Open accessAbstract
Mindfulness-based relapse prevention (MBRP) is an effective treatment for substance use disorders (SUD). However, evidence is primarily based on studies of closed groups, and few studies support flexible formats of MBRP, such as rolling groups. This nonrandomized, open trial evaluated feasibility, acceptability, dose-response relations, and mechanisms of rolling admission MBRP ("Rolling MBRP") offered as part of short-term residential treatment for SUD. Rolling MBRP was developed prior to the trial through an iterative process over several years. Participants included 109 adults (46% female, 74.3% racial/ethnic minorities, mean age=36.40). Rolling MBRP was offered to all patients in the program 2x/week and attendance was tracked. Outcomes were craving, self-efficacy, mental health, mindfulness, and self-compassion at discharge. Self-reported out-of-session mindfulness practice was examined as a mediator of attendance-outcome relations. Analyses involved multiple regression and mediation models. Feasibility was demonstrated by good attendance rates. Acceptability was demonstrated by high engagement in mindfulness practice and high satisfaction ratings. Total sessions attended did not predict outcomes at discharge. However, attending 2+ sessions (versus 1 or none) significantly predicted better mental health and higher mindfulness at discharge, and these effects were mediated by informal and formal mindfulness practice. Total sessions attended had significant indirect effects on craving, self-compassion, mindfulness, and mental health, via mindfulness practice. Results support the feasibility and acceptability of Rolling MBRP and suggest mindfulness practice may be a key mechanism driving effects of MBRP on other key mechanisms during the recovery process, such as decreased craving and improved mental health.
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In group intervention settings, mixed gender, pacing, different levels of commitment, and rolling admissions are group dynamics that can negatively impact retention.
“In group intervention settings, mixed gender, pacing, different levels of commitment, and rolling admissions are all group dynamics that have the potential to negatively impact retention (Johnson et al., 2011; Roos et al., 2019; Yang et al., 2018).”
From Feasibility and acceptability of mindful recovery opioid use care continuum (M-ROCC): A concurrent mixed methods study (2021) · cites this paper as Roos et al., 2019
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- Authors
- Roos, C. R., Kirouac, M., Stein, E., Wilson, A. D., Bowen, S., & Witkiewitz, K.
- Affiliations
- University of New Mexico (US)
- Pacific University Oregon (US)
- Corresponding author
- Roos, Corey R.
- Venue
- Mindfulness
- Published
- 2018-11-12
- Volume
- 10
- Issue
- 6
- Pages
- 1062-1073
- ISSN
- 1868-8527 (ISSN-L)
- 1868-8535
- PMC
- PMC6660179
- OpenAlex
- W2900733781
- Cited by
- 45
- References
- 39
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 8 · 2022: 8 · 2021: 8 · 2020: 4 · 2019: 6 · 2018: 1
- FWCI
- 5.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Mindfulness (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (T32 AA018108)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- mindfulness-based relapse prevention, substance use disorders, residential treatment, feasibility, acceptability, dose-response relationship, session attendance, craving, self-compassion, self-efficacy, mental health, mindfulness practice, therapeutic mechanisms
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