Maintaining Treatment Fidelity of Mindfulness-Based Relapse Prevention Intervention for Alcohol Dependence: A Randomized Controlled Trial Experience
Joint Authors
Shapiro, Joshua
Burzinski, Cindy A.
Lerner, Faith
Goodman-Strenski, Victoria
Zgierska, Aleksandra
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-05
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
Treatment fidelity is essential to methodological rigor of clinical trials evaluating behavioral interventions such as Mindfulness Meditation (MM).
However, procedures for monitoring and maintenance of treatment fidelity are inconsistently applied, limiting the strength of such research.
Objective.
To describe the implementation and findings related to fidelity monitoring of the Mindfulness-Based Relapse Prevention for Alcohol Dependence (MBRP-A) intervention in a 26-week randomized controlled trial.
Methods.
123 alcohol dependent adults were randomly assigned to MM (MBRP-A and home practice, adjunctive to usual care; N=64) or control (usual care alone; N=59).
Treatment fidelity assessment strategies recommended by the National Institutes of Health Behavior Change Consortium for study/intervention design, therapist training, intervention delivery, and treatment receipt and enactment were applied.
Results.
Ten 8-session interventions were delivered.
Therapist adherence and competence, assessed using the modified MBRP Adherence and Competence Scale, were high.
Among the MM group participants, 46 attended ≥4 sessions; over 90% reported at-home MM practice at 8 weeks and 72% at 26 weeks.
They also reported satisfaction with and usefulness of MM for maintaining sobriety.
No adverse events were reported.
Conclusions.
A systematic approach to assessment of treatment fidelity in behavioral clinical trials allows determination of the degree of consistency between intended and actual delivery and receipt of intervention.
American Psychological Association (APA)
Zgierska, Aleksandra& Shapiro, Joshua& Burzinski, Cindy A.& Lerner, Faith& Goodman-Strenski, Victoria. 2017. Maintaining Treatment Fidelity of Mindfulness-Based Relapse Prevention Intervention for Alcohol Dependence: A Randomized Controlled Trial Experience. Evidence-Based Complementary and Alternative Medicine،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1155059
Modern Language Association (MLA)
Zgierska, Aleksandra…[et al.]. Maintaining Treatment Fidelity of Mindfulness-Based Relapse Prevention Intervention for Alcohol Dependence: A Randomized Controlled Trial Experience. Evidence-Based Complementary and Alternative Medicine No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1155059
American Medical Association (AMA)
Zgierska, Aleksandra& Shapiro, Joshua& Burzinski, Cindy A.& Lerner, Faith& Goodman-Strenski, Victoria. Maintaining Treatment Fidelity of Mindfulness-Based Relapse Prevention Intervention for Alcohol Dependence: A Randomized Controlled Trial Experience. Evidence-Based Complementary and Alternative Medicine. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1155059
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155059