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An open trial of rolling admission mindfulness-based relapse prevention (Rolling MBRP): feasibility, acceptability,

Corey Roos1,2, Megan Kirouac1,2, Elena Stein1,2

  • 1Department of Psychology, University of New Mexico, MSC 03-2220, Albuquerque NM, 87131.

Mindfulness
|July 30, 2019
PubMed

Insights

Mindfulness-Based Relapse Prevention (MBRP) in a flexible, rolling format is feasible and acceptable for substance use disorder treatment. Engaging in mindfulness practice mediates improved mental health and reduced craving during recovery.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Mindfulness-Based Relapse Prevention (MBRP) is effective for substance use disorders (SUD), but evidence often comes from closed groups.
  • Flexible MBRP formats, like rolling groups, require further investigation for feasibility and efficacy.

Purpose of the Study:

  • To evaluate the feasibility, acceptability, dose-response, and mechanisms of a rolling admission MBRP program within short-term residential SUD treatment.
  • To explore the role of mindfulness practice as a mediator between MBRP attendance and treatment outcomes.

Main Methods:

  • A nonrandomized, open trial involving 109 adults with SUD undergoing short-term residential treatment.
  • Rolling MBRP was offered twice weekly; attendance, craving, self-efficacy, mental health, mindfulness, and self-compassion were assessed.
  • Mediation analyses examined the relationship between session attendance, mindfulness practice, and outcomes.

Main Results:

  • Rolling MBRP demonstrated good feasibility (attendance) and acceptability (engagement, satisfaction).
  • Attending two or more sessions significantly predicted better mental health and higher mindfulness, mediated by mindfulness practice.
  • Session attendance indirectly influenced craving, self-compassion, mindfulness, and mental health through mindfulness practice.

Conclusions:

  • Rolling MBRP is a feasible and acceptable treatment option for SUD in a residential setting.
  • Mindfulness practice appears to be a key mechanism through which MBRP influences recovery outcomes like reduced craving and improved mental health.
Keywords:
mindfulness practicemindfulness-based relapse preventionopen trialrolling group adaptationsubstance use disorder

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