Research Article
Maintaining Treatment Fidelity of Mindfulness-Based Relapse Prevention Intervention for Alcohol Dependence: A Randomized Controlled Trial Experience
Table 3
Therapist adherence and competence across the intervention sessions and cohorts, as measured by the modified MBRP-AC scale.
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C – Cohort; MBRP-AC - Mindfulness-Based Relapse Prevention Adherence and Competence scale; Score range for the presence of Key Treatment Components: 1 = the checklist item was addressed; 0 = the checklist item was not addressed; Score range for Discussion of Key Concepts for each of the four assessed domains (awareness of the current experience; acceptance of the current experience; acceptance versus aversion; acceptance and action): 3 = concept was discussed in detail and completely explained, 2 = discussed with some explanation but not as thoroughly or opportunities to discuss it further may have been missed, 1 = only briefly mentioned, 0 = not discussed; Score range for Therapist Style/Approach in general and for the mindfulness-related competence in four areas (inquiry or ability to elicit feedback and respond to verbal and nonverbal feedback; attitude or ability to model and embody the spirit of mindfulness; use of key questions or extent to which they were used to elicit discussion about practices/experiences; use of clarifying questions or extent to which the therapist addressed and clarified ideas or misconceptions about MM): 5 = the therapist consistently demonstrated desired style/approach; 4 = during most but not the whole session; 3 = for approximately half of the session; 2 = infrequently; 1 = absence of such style/approach; Score range for Overall Performance for each of the four assessed domains (the overall quality of the therapy; therapist/researcher ability to work as a team; therapist ability to keep the session focused on the topic; the overall quality of MM delivery): 5 = the overall performance was “excellent,” consistent with the manual; 4 = was “good,” with only minor deficiencies in a small portion of the session; 3 = was “satisfactory,” consistently less than excellent; 2 = was “mediocre,” consistently less than satisfactory; 1 = was “not satisfactory,” with poor performance throughout the session. |