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Development of a Virtual Reality Assessment of Everyday Living Skills

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The mindfulness-based relapse prevention adherence and competence scale: development, interrater reliability, and

Neharika Chawla¹, Susan Collin, Sarah Bowen

¹Department of Psychology, University of Washington, Seattle, WA, USA. nchawla@u.washington.edu

Psychotherapy Research : Journal of the Society for Psychotherapy Research

|March 6, 2010

Summary

A new scale, the Mindfulness-Based Relapse Prevention Adherence and Competence Scale (MBRP-AC), was developed to measure treatment integrity for mindfulness-based relapse prevention (MBRP). Therapists adhered to the MBRP protocol, with adherence linked to improved mindfulness outcomes.

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Published on: July 1, 2015

Area of Science:

Psychology
Clinical Psychology
Behavioral Science

Background:

Mindfulness-Based Relapse Prevention (MBRP) integrates relapse prevention strategies with mindfulness practices.
Assessing treatment integrity is crucial for evaluating the efficacy of new therapeutic interventions like MBRP.
A validated measure was needed to assess adherence and competence in MBRP delivery.

Purpose of the Study:

To develop and validate the Mindfulness-Based Relapse Prevention Adherence and Competence Scale (MBRP-AC).
To assess therapist adherence and competence in delivering MBRP within a randomized controlled trial (RCT).

Main Methods:

The MBRP-AC was developed and utilized within an RCT evaluating MBRP efficacy.
Independent raters assessed audio recordings of 44 MBRP group sessions (50%) for adherence and competence.
The scale includes sections on adherence to protocol and therapist competence (style/approach and performance).

Main Results:

High interrater reliability was found for all adherence and competence ratings.
The MBRP-AC demonstrated adequate internal consistency for its summary scales.
Therapists showed high adherence to the MBRP protocol, including discussing key concepts and demonstrating intended style/competence.
Higher adherence ratings correlated positively with increased mindfulness during treatment.

Conclusions:

The MBRP-AC is a reliable and valid measure for assessing treatment integrity in MBRP.
Therapist adherence and competence in MBRP were confirmed in the RCT.
Adherence to the MBRP protocol appears to be associated with positive patient outcomes, specifically increased mindfulness.