Accessibility and implementation in the UK NHS services of an effective depression relapse prevention programme: learning from mindfulness-based cognitive therapy through a mixed-methods study
Open accessAbstract
Background: Depression affects as many as one in five people in their lifetime and often runs a recurrent lifetime course. Mindfulness-based cognitive therapy (MBCT) is an effective psychosocial approach that aims to help people at risk of depressive relapse to learn skills to stay well. However, there is an ‘implementation cliff’: access to those who could benefit from MBCT is variable and little is known about why that is the case, and how to promote sustainable implementation. As such, this study fills a gap in the literature about the implementation of MBCT. Objectives: To describe the existing provision of MBCT in the UK NHS, develop an understanding of the perceived costs and benefits of MBCT implementation, and explore the barriers and critical success factors for enhanced accessibility. We aimed to synthesise the evidence from multiple data sources to create an explanatory framework of the how and why of implementation, and to co-develop an implementation resource with key stakeholders. Design: A two-phase qualitative, exploratory and explanatory study, which was conceptually underpinned by the Promoting Action on Research Implementation in Health Services framework. Setting: UK NHS services. Methods: Phase 1 involved interviews with participants from 40 areas across the UK about the current provision of MBCT. Phase 2 involved 10 case studies purposively sampled with differing degrees of MBCT provision, and from each UK country. Case study methods included interviews with key stakeholders, including commissioners, managers, MBCT practitioners and teachers, and service users. Observations were conducted and key documents were also collected. Data were analysed using a modified approach to framework analysis. Emerging findings were verified through stakeholder discussions and workshops. Results: Phase 1: access to and the format of MBCT provision across the NHS remains variable. NHS services have typically adapted MBCT to their context and its integration into care pathways was also highly variable even within the same trust or health board. Participants’ accounts revealed stories of implementation journeys that were driven by committed individuals that were sometimes met by management commitment. Phase 2: a number of explanations emerged that explained successful implementation. Critically, facilitation was the central role of the MBCT implementers, who were self-designated individuals who ‘championed’ implementation, created networks and over time mobilised top-down organisational support. Our explanatory framework mapped out a prototypical implementation journey, often over many years. This involved implementers working through grassroots initiatives and over time mobilising top-down organisational support, and a continual fitting of evidence, with the MBCT intervention, contextual factors and the training/supervision of MBCT teachers. Key pivot points in the journey provided windows of challenge or opportunity. Limitations: The findings are largely based on informants’ accounts and, therefore, are at risk of the bias of self-reporting. Conclusions: Although access to MBCT across the UK is improving, it remains very patchy. This study provides an explanatory framework that helps us understand what facilitates and supports sustainable MBCT implementation. Future work: The framework and stakeholder workshops are being used to develop online implementation guidance. Funding: The National Institute for Health Research Health Services and Delivery Research programme.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Despite some MBIs being recommended as first-line treatments, their availability remains limited.
“Despite some meditation-based interventions (MBIs) being recommended as first-line treatments (eg, MBCT for depression relapse prevention) [19-21], their availability remains limited [22].”
From Testing the efficacy of a multicomponent, self-guided, smartphone-based meditation app: Three-armed randomized controlled trial (2020) · cites this paper as [22]
The fact that less than half the sample had depressive symptoms below the clinical cutoff on the PHQ-9 at entry suggests that in routine clinical practice MBCT use has broadened from its original relapse prevention intention to include symptomatic patients.
“The fact that less than half the sample had depressive symptoms below the clinical cut-off on the PHQ-9 at entry to treatment suggests that in routine clinical practice the use of MBCT has broadened from its original intention as a relapse prevention intervention, to be used with patients who are symptomatic”
From The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services (2020) · cites this paper as Rycroft-Malone et al. 2017
In line with other recent work, services are offering MBCT to a broader population.
“In line with other recent work (Rycroft-Malone et al. 2017), services are offering MBCT to a broader population.”
From The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services (2020) · cites this paper as Rycroft-Malone et al. 2017
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Case Study Research: Design and Methods
Chaiklin, H. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199102000-00025 · Cited by 39,631 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00136 · Cited by 10,349 · see citing works
The brief resilience scale: Assessing the ability to bounce back
Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008) · International Journal of Behavioral Medicine · doi:10.1080/10705500802222972 · Cited by 6,439 · see citing works
(1993) · Medical Entomology and Zoology · Cited by 6,226 · see citing works
Durlak, J. A., & DuPre, E. P. (2008) · American Journal of Community Psychology · doi:10.1007/s10464-008-9165-0 · Cited by 5,304 · see citing works
Qualitative data analysis for applied policy research
Ritchie, J., & Spencer, L. (2010) · Analyzing qualitative data · doi:10.4324/9780203413081_chapter_9 · Cited by 4,800 · see citing works
From best evidence to best practice: effective implementation of change in patients' care
Grol, R., & Grimshaw, J. (2003) · The Lancet · doi:10.1016/s0140-6736(03)14546-1 · Cited by 4,531 · see citing works
Depression, chronic diseases, and decrements in health: results from the World Health Surveys
Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61415-9 · Cited by 4,070 · see citing works
No health without mental health
Prince, M. J., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61238-0 · Cited by 3,835 · see citing works
A taxonomy of behavior change techniques used in interventions
Abraham, C., & Michie, S. (2008) · Health Psychology · doi:10.1037/0278-6133.27.3.379 · Cited by 2,525 · see citing works
Knowledge translation of research findings
Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J., & Squires, J. E. (2012) · Implementation Science · doi:10.1186/1748-5908-7-50 · Cited by 2,407 · see citing works
Grand challenges in global mental health
Collins, P. Y., Patel, V., Joestl, S. S., March, D., Insel, T. R., Daar, A. S., Bordin, I. A., Costello, E. J., Durkin, M., Fairburn, C., et al. (2011) · Nature · doi:10.1038/475027a · Cited by 2,043 · see citing works
The Scottish Intercollegiate Guidelines Network (SIGN)
Miller, J. (2002) · The British Journal of Diabetes · doi:10.1177/14746514020020010401 · Cited by 1,546 · see citing works
National Institute for Health Research
Evans, R. G. (2014) · Nursing Standard · doi:10.7748/ns.28.49.32.s37 · Cited by 1,350 · see citing works
Kitson, A. L., Rycroft-Malone, J., Harvey, G., McCormack, B., Seers, K., & Titchen, A. (2008) · Implementation Science · doi:10.1186/1748-5908-3-1 · Cited by 1,314 · see citing works
Self-citationCuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013) · The Canadian Journal of Psychiatry · doi:10.1177/070674371305800702 · Cited by 1,066 · see citing works
Mindfulness-based cognitive therapy for depression
Kumari, D., & Satyapal, N. (2024) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_127_24 · Cited by 1,005 · see citing works
The PARIHS Framework—A Framework for Guiding the Implementation of Evidence-based Practice
Rycroft-Malone, J. (2004) · Journal of Nursing Care Quality · doi:10.1097/00001786-200410000-00002 · Cited by 923 · see citing works
Self-citationKuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., et al. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.0076 · Cited by 821 · see citing works
Self-citationUsing evidence: How research can inform public services
Nutley, S. M., Walter, I., & Davies, H. T. O. (2007) · doi:10.2307/j.ctt9qgwt1 · Cited by 808 · see citing works
Excess mortality in depression: a meta-analysis of community studies
Cuijpers, P. J., & Smit, F. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00413-x · Cited by 774 · see citing works
Mindfulness-based cognitive therapy to prevent relapse in recurrent depression.
Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., Barrett, B., Byng, R., Evans, A., Mullan, E., et al. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0013786 · Cited by 770 · see citing works
Self-citationPrevalence and clinical course of depression: a review
Richards, D. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.07.004 · Cited by 623 · see citing works
Kuyken, W., Hayes, R., Barrett, B., Byng, R., Dalgleish, T., Kessler, D., Lewis, G., Watkins, E., Brejcha, C., Cardy, J., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(14)62222-4 · Cited by 527 · see citing works
Self-citationSegal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., Bloch, R., & Levitan, R. D. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.168 · Cited by 429 · see citing works
The Five Year Forward View for Mental Health
Beech, L. (2016) · Cited by 347 · see citing works
The Mindful Way through Depression: Freeing Your Self from Chronic Unhappiness
Adler‐Collins, J. K. (2008) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2007.01138.x · Cited by 333 · see citing works
Prevention of major depression
Muñoz, R. F., Cuijpers, P., Smit, F., Barrera, A. Z., & Leykin, Y. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-033109-132040 · Cited by 326 · see citing works
The bidirectional relationship of depression and diabetes: A systematic review
Renn, B. N., Feliciano, L., & Segal, D. L. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.08.001 · Cited by 303 · see citing works
Prospects for a clinical science of mindfulness-based intervention
Dimidjian, S., & Segal, Z. V. (2015) · American Psychologist · doi:10.1037/a0039589 · Cited by 291 · see citing works
The case for psychological treatment centres
Layard, R. (2006) · BMJ · doi:10.1136/bmj.332.7548.1030 · Cited by 287 · see citing works
Why (we think) facilitation works: insights from organizational learning theory
Berta, W., Cranley, L., Dearing, J. W., Dogherty, E. J., Squires, J. E., & Estabrooks, C. A. (2015) · Implementation Science · doi:10.1186/s13012-015-0323-0 · Cited by 286 · see citing works
Implementing Evidence-Based Practice In Healthcare
Harvey, G., & Kitson, A. A. (2015) · Routledge eBooks · doi:10.4324/9780203557334 · Cited by 272 · see citing works
[Solitary median maxillary central incisor syndrome:a case of report].
Kang, L.-Y., & Liu, X. (2014) · PubMed · Cited by 208 · see citing works
Training Teachers to Deliver Mindfulness-Based Interventions: Learning from the UK Experience
Crane, R. S., Kuyken, W., Hastings, R. P., Rothwell, N., & Williams, J. M. G. (2010) · Mindfulness · doi:10.1007/s12671-010-0010-9 · Cited by 202 · see citing works
Self-citationDutton, M. A., Bermudez, D., Matás, A., Majid, H., & Myers, N. L. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.08.003 · Cited by 195 · see citing works
What makes an academic paper useful for health policy?
Whitty, C. W. M. (2015) · BMC Medicine · doi:10.1186/s12916-015-0544-8 · Cited by 187 · see citing works
A Cohort Study of Adherence to Antidepressants in Primary Care
Hunot, V., Horne, R., Leese, M. N., & Churchill, R. C. (2007) · The Primary Care Companion to The Journal of Clinical Psychiatry · doi:10.4088/pcc.v09n0202 · Cited by 182 · see citing works
Rycroft‐Malone, J., Burton, C. R., Wilkinson, J. E., Harvey, G., McCormack, B. G., Baker, R., Dopson, S., Graham, I. D., Staniszewska, S. H., Thompson, C. A., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0380-z · Cited by 171 · see citing works
Self-citationPsychotherapy in 2022: A Delphi poll on its future.
Norcross, J. C., Pfund, R. A., & Prochaska, J. O. (2013) · Professional Psychology: Research and Practice · doi:10.1037/a0034633 · Cited by 162 · see citing works
Dopson, S., & Fitzgerald, L. (2005) · doi:10.1093/acprof:oso/9780199259014.001.0001 · Cited by 161 · see citing works
Allen, M., Bromley, A., Kuyken, W., & Sonnenberg, S. J. (2009) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246580999004x · Cited by 160 · cited 1× · see citing works
“Beyond evidence from randomised trials, no implementation research to date has examined value for money;(25) however, there is evidence of its acceptability to patients and referrers.(26,27) However, patients need to invest significant time in MBCT, both to attend the classes and undertake the mindfulness exercises an…”
BackgroundSelf-citationStetler, C. B., Ritchie, J. A., Rycroft‐Malone, J., Schultz, A. A., & Charns, M. P. (2009) · Implementation Science · doi:10.1186/1748-5908-4-78 · Cited by 155 · see citing works
Self-citationFuchs, C., Lee, J. K., Roemer, L., & Orsillo, S. M. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.12.004 · Cited by 139 · see citing works
Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse
Williams, J. M. G., & Kuyken, W. (2012) · British Journal of Psychiatry · doi:10.1192/bjp.bp.111.104745 · Cited by 126 · see citing works
Self-citationWilson, T. D. (2005) · Encyclopedia of Social Measurement · doi:10.1016/b0-12-369398-5/00398-4 · Cited by 123 · see citing works
Evidence of cost-effective treatments for depression: a systematic review
Barrett, B. M., Byford, S., & Knapp, M. R. J. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.10.003 · Cited by 122 · see citing works
Crane, R. S., & Kuyken, W. (2013) · Mindfulness · doi:10.1007/s12671-012-0121-6 · Cited by 120 · see citing works
Self-citationThrive: the power of evidence-based psychological therapies
Rustin, M. (2015) · European Journal of Psychotherapy & Counselling · doi:10.1080/13642537.2014.1001163 · Cited by 119 · see citing works
Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., Bowden, M., & Wallond, J. (2012) · Mindfulness · doi:10.1007/s12671-011-0081-2 · Cited by 112 · see citing works
Dogherty, E. J., Harrison, M. B., Baker, C., & Graham, I. D. (2012) · Implementation Science · doi:10.1186/1748-5908-7-9 · Cited by 110 · see citing works
Systematic review of economic evaluations and cost analyses of guideline implementation strategies
Vale, L., Thomas, R., MacLennan, G., & Grimshaw, J. (2007) · The European Journal of Health Economics · doi:10.1007/s10198-007-0043-8 · Cited by 107 · see citing works
The implementation of mindfulness in healthcare systems: a theoretical analysis
Demarzo, M., Cebolla, A., & García‐Campayo, J. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.11.013 · Cited by 95 · see citing works
No Health Without Mental Health
Jonathan, J., & Gandari (2012) · 中国与非洲：英文版 · Cited by 90 · see citing works
Chandler, J., Rycroft‐Malone, J., Hawkes, C., & Noyes, J. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.12815 · Cited by 70 · see citing works
Self-citationSobczak, L. R., & West, L. M. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.08.005 · Cited by 70 · see citing works
Rycroft‐Malone, J., Burton, C. R., Wilkinson, J. E., Harvey, G., McCormack, B. G., Baker, R., Dopson, S., Graham, I. D., Staniszewska, S. H., Thompson, C. A., et al. (2015) · Health Services and Delivery Research · doi:10.3310/hsdr03440 · Cited by 64 · see citing works
Self-citationDavidson, R. J. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.0135 · Cited by 63 · see citing works
Mindfulness Groups for Psychosis; Key Issues for Implementation on an Inpatient Unit
Jacobsen, P., Morris, E., Johns, L., & Hodkinson, K. (2011) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465810000639 · Cited by 54 · see citing works
Lawlor, M. S. (2014) · New Directions for Youth Development · doi:10.1002/yd.20098 · Cited by 43 · see citing works
Does mindfulness based cognitive therapy prevent relapse of depression?
Kuyken, W., Crane, R., & Dalgleish, T. (2012) · BMJ · doi:10.1136/bmj.e7194 · Cited by 34 · see citing works
Self-citationA Framework for Supervision for Mindfulness-Based Teachers: a Space for Embodied Mutual Inquiry
Evans, A., Crane, R., Cooper, L., Mardula, J., Wilks, J., Surawy, C., Kenny, M., & Kuyken, W. (2015) · Mindfulness · doi:10.1007/s12671-014-0292-4 · Cited by 29 · see citing works
Self-citationImplementing cognitive therapies into routine psychosis care: organisational foundations
Dark, F. L., Whiteford, H., Ashkanasy, N. M., Harvey, C. A., Crompton, D., & Newman, E. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-0953-6 · Cited by 25 · see citing works
Creating a Culture of Mindfulness in Medicine.
Luchterhand, C., Rakel, D. P., Haq, C. L., Grant, L., Byars‐Winston, A. M., Tyska, S., & Engles, K. (2015) · PubMed · Cited by 25 · see citing works
Hoomans, T., Severens, J., Evers, S., & Ament, A. (2009) · Medical decision making · doi:10.1177/0272989x08327397 · Cited by 21 · see citing works
Mindfulness Apprenticeship: A new Model of NHS-Based MBCT Teacher Training
Marx, R., Strauss, C., & Williamson, C. (2013) · Mindfulness · doi:10.1007/s12671-013-0254-2 · Cited by 20 · see citing works
Developments in the quantity and quality of economic evaluations in mental health
Byford, S., McCrone, P., & Barrett, B. M. (2003) · Current Opinion in Psychiatry · doi:10.1097/00001504-200311000-00017 · Cited by 18 · see citing works
Rycroft‐Malone, J., Anderson, R., Crane, R. S., Gibson, A., Gradinger, F., Griffiths, H. O., Mercer, S. W., & Kuyken, W. (2014) · Implementation Science · doi:10.1186/1748-5908-9-62 · Cited by 18 · see citing works
Self-citationPopulation-Based Service Planning for Implementation of MBCT: Linking Epidemiologic Data to Practice
Patten, S. B., & Meadows, G. M. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.11.1540 · Cited by 18 · see citing works
Outcome of cognitive behaviour therapy for minor depression in routine practice
Cuijpers, P. J., Smit, F., Voordouw, I., & Kramer, J. (2005) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608304x22391 · Cited by 14 · see citing works
Larkin, H., Hardiman, E. R., Weldon, T., & Kim, H. C. (2012) · Journal of Religion & Spirituality in Social Work Social Thought · doi:10.1080/15426432.2012.716284 · Cited by 8 · see citing works
Bhanji, S. (2011) · Counselling Psychology Review · doi:10.53841/bpscpr.2011.26.2.57 · Cited by 6 · see citing works
Stavert, J. (2014) · Edinburgh Napier Research Repository (Edinburgh Napier University) · Cited by 2 · see citing works
Fielding, L. (2009) · Pepperdine Digital Commons (Pepperdine University) · Cited by 2 · see citing works
Niemi, M., Nguyen, M. T. T., & Falkenberg, T. (2010) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2010.09.032 · Cited by 1 · see citing works
Paul, H. A. (2014) · Child & Family Behavior Therapy · doi:10.1080/07317107.2014.934166 · Cited by 1 · see citing works
Chisholm, K., McCabe, M. P., Wootten, A. C., Abbott, J.-A., Austin, D., Klein, B., Costello, A., & Murphy, D. (2012) · Deakin Research Online (Deakin University) · doi:10.1111/ajco.12030 · Cited by 1 · see citing works
[Novel psychotherapeutic methods and the role of mental health centers in their implementation].
Knobler, H. Y., & Abramowitz, M. Z. (2011) · PubMed · Cited by 1 · see citing works
Flagged first, then by citations
4 of the 82 references couldn’t be matched to a known paper.
Research works printed but not linked: 10
- Professor Andy Gibson (Associate Professor in PPI) was a co-applicant for this grant. He designed the PPI component of the project, supported the securing of funding and was involved in monthly project management meetings. He also supported PPI involvement in the development of data collection tools, participated in data analysis workshops, commented on a draft of the final report and approved final report.
- Professor Stewart Mercer (Professor of Primary Care Research) was a co-applicant for this grant. He co-designed the study, supported the securing of funding and was involved in monthly project management meetings. He also supported access to sites for data collection purposes, participated in data analysis workshops, commented on drafts of the final report and approved the final report.
- Professor Rob Anderson (Associate Professor of Health Economics and Evaluation) was the collaborator. He supervised Dr Gradinger at the University of Exeter in the latter part of the project and supported access to sites for data collection purposes. He also participated in a dissemination workshop, commented on drafts of the final report and approved the final report.
- Professor Willem Kuyken (Professor of Clinical Psychology) was a co-principal investigator. He co-designed the study, co-led the securing of funding, oversaw day-to-day project management and co-designed data collection tools. He was also involved in data collection activity in phases 1 and 2, was actively engaged in data analysis for both phases of the project, co-led dissemination workshops, co-led writing of the final report and approved the final report. Publication
- Rycroft-Malone J, Anderson R, Crane RS, Gibson A, Gradinger F, Owen Griffiths H, et al. Accessibility and implementation in UK services of an effective depression relapse prevention programme -mindfulness- based cognitive therapy (MBCT): ASPIRE study protocol. Implement Sci 2014;9:62. References
- Edwards AR, Evans S, Aldao A, Haglin D, Ferrando SJ. Implementing a mindfulness-based stress reduction program in the community: lessons learned and suggestions for the future. Behav Ther 2014;37:13-17.
- Pons GB. Mindfulness-based stress reduction program: systemizing its implementation in a semirural public hospital in southern Chile. Psicoperspectivas 2011;10:221-42.
- Yin RK. Case Study Research: Design and Methods. 4th edn. New York, NY: Sage Publications, Inc.; 2008.
- Nutley SM, Walter I, Davies HTO. Using Evidence. London: The Policy Press; 2007.
- Gabbay J, Le May A. Practice-Based Evidence. Clinical Mindlines. Abingdon: Routledge; 2011.
Cited by
Sorted by citations
From many to (n)one: Meditation and the plasticity of the predictive mind
Laukkonen, R. E., & Slagter, H. A. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.06.021 · Cited by 187 · see citing works
Goldberg, S. B., Imhoff-Smith, T., Bolt, D. M., Wilson-Mendenhall, C. D., Dahl, C. J., Davidson, R. J., & Rosenkranz, M. A. (2020) · JMIR Mental Health · doi:10.2196/23825 · Cited by 97 · see citing works
“Despite some meditation-based interventions (MBIs) being recommended as first-line treatments (eg, MBCT for depression relapse prevention) [19-21], their availability remains limited [22].”
BackgroundThe Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services
Tickell, A., Ball, S., Bernard, P., Kuyken, W., Marx, R., Pack, S., Strauss, C., Sweeney, T., & Crane, C. (2020) · Mindfulness · doi:10.1007/s12671-018-1087-9 · Cited by 99 · see citing works
Self-citationWilde, S., Sonley, A., Crane, C., Ford, T. J., Raja, A., Robson, J., Taylor, L., & Kuyken, W. (2018) · Mindfulness · doi:10.1007/s12671-018-0982-4 · Cited by 74 · see citing works
Self-citationMindfulness in politics and public policy
Bristow, J. (2018) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.11.003 · Cited by 63 · see citing works
Rycroft‐Malone, J., Gradinger, F., Griffiths, H. O., Anderson, R., Crane, R. S., Gibson, A., Mercer, S. W., & Kuyken, W. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026244 · Cited by 42 · see citing works
Self-citationPrinciples for a Responsible Integration of Mindfulness in Individual Therapy
Michalak, J., Crane, C., Germer, C. K., Gold, E., Heidenreich, T., Mander, J., Meibert, P., & Segal, Z. V. (2019) · Mindfulness · doi:10.1007/s12671-019-01142-6 · Cited by 40 · see citing works
Crane, C., Ganguli, P., Ball, S., Taylor, L., Blakemore, S., Byford, S., Dalgleish, T., Ford, T. J., Greenberg, M. T., Kuyken, W., et al. (2020) · Global Advances in Health and Medicine · doi:10.1177/2164956120964738 · Cited by 36 · see citing works
Self-citationMichalak, J., Steinhaus, K., & Heidenreich, T. (2020) · Mindfulness · doi:10.1007/s12671-018-0929-9 · Cited by 34 · see citing works
A maturing mindfulness-based cognitive therapy reflects on two critical issues
Segal, Z., Dimidjian, S., Vanderkruik, R., & Levy, J. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2019.01.015 · Cited by 32 · see citing works
Simpson, R., Simpson, S., Wood, K., Mercer, S. W., & Mair, F. S. (2019) · Chronic Illness · doi:10.1177/1742395318769354 · Cited by 23 · see citing works
Self-citationSparks, K. V., & Ring, C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.871804 · Cited by 24 · see citing works
Jacobsen, P. C., Richardson, M., Harding, E., & Chadwick, P. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465818000723 · Cited by 12 · see citing works
Banbury, S., Chandler, C., & Lusher, J. (2023) · Psych · doi:10.3390/psych5010015 · Cited by 11 · see citing works
Lobban, F. A., Appleton, V., Appelbe, D. E., Barraclough, J., Bowland, J., Fisher, N. R., Foster, S., Johnson, S., Lewis, E., Mateus, C., et al. (2017) · Implementation Science · doi:10.1186/s13012-017-0687-4 · Cited by 10 · see citing works
Self-citationGárriz, M., Elices, M., Peretó, M., Martín-López, L. M., Justicia, A., & Pérez, V. (2020) · Mindfulness · doi:10.1007/s12671-019-01166-y · Cited by 9 · see citing works
Of mountains, lakes and essences: John Teasdale and the transmission of mindfulness
Drage, M. (2018) · History of the Human Sciences · doi:10.1177/0952695118790429 · Cited by 6 · see citing works
Center M Pilot Trial: Integrating Preventive Mental Health Care in Routine Prenatal Care
Tilden, E. L., Shank, T. M., Orzech, C. P., Holmes, L. R., Granados, R., Moosavisahebozamani, S., Starr, D., Caughey, A. B., Graham, A. M., & Seghete, K. L. M. (2024) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13709 · Cited by 4 · see citing works
Williams, K., Hartley, S., & Taylor, P. J. (2021) · Mindfulness · doi:10.1007/s12671-021-01706-5 · Cited by 3 · see citing works
Banbury, S. A., Chandler, C., Erridge, S., Olvera, F. J. D. R., Turner, J. J., & Lusher, J. M. (2024) · Psychoactives · doi:10.3390/psychoactives3030024 · Cited by 1 · see citing works
Implementing a new clinical service – what’s your elevator pitch?
Sureshkumar, A., Scandiffio, J., Luong, D., Munce, S., Lai, N., Feng, G., Bayley, M. T., Oh, J., Kastner, M., Furlan, A. D., et al. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12633-9 · Cited by 2 · see citing works
Stanić, J., Martin, D., Gaignard, M., Bodmer, A., Zaman, K., Sarivalasis, A., Bondolfi, G., & Eicher, M. (2025) · European Journal of Cancer Care · doi:10.1155/ecc/2920092
- Authors
- Rycroft-Malone, J., Gradinger, F., Griffiths, H. O., Crane, R., Gibson, A., Mercer, S., Anderson, R., & Kuyken, W.
- Affiliations
- Bangor Institute for Health & Medical Research, School of Healthcare Sciences, Bangor University, Bangor, UK
- University of Exeter (GB)
- Bangor University (GB)
- University of the West of England (GB)
- University of Glasgow (GB)
- University of Oxford (GB)
- Venue
- Health Services and Delivery Research
- Published
- 2017-03
- Volume
- 5
- Issue
- 14
- Pages
- 1-190
- ISSN
- 2050-4349 (ISSN-L)
- 2050-4357
- OpenAlex
- W2599696066
- Cited by
- 24
- References
- 82
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 5 · 2017: 1
- FWCI
- 6.14
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Health Services and Delivery Research (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- Open Research Exeter (University of Exeter) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Bangor University Research Portal (Bangor University) (submittedVersion, other-oa)
- Funders
- Health Services and Delivery Research (HS&DR) Programme (12/64/187)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- mindfulness-based cognitive therapy, depression relapse prevention, implementation barriers and facilitators, access to services, NHS mental health services, implementation champions, organizational support, implementation evaluation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
