5th UK Implementation Science Research Conference
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PRESENter
Adele Pacini
presenter biography
Adele Pacini is a registered mindfulness teacher and chartered clinical psychologist specialising in older adult mental healthcare. She holds academic affiliations with UCL and the Open University.
background
Mindfulness based cognitive therapy (MBCT) is a NICE recommended treatment for recurrent depression. Daily home practice is an essential part of MBCT to promote clinical change, but is inconsistently completed our course participants. Using self-report data from an online MBCT course for older adults we describe a formative evaluation to develop an adaptive intervention protocol with the aim of improving home practice compliance.
MEthod
Participants (n = 55) attended an online MBCT course and were issued with audio files from which to practice daily between sessions. Weekly questionnaires were completed where participants recorded frequency of practice (x ̅ = 3.68, SD = 1.69 days) and what impacted on their ability to complete daily practice. Focus groups were held after each course (four in total) and thematic analysis identified successful strategies alongside challenges faced with home practice.
results
The behaviour change wheel (BCW) was used to map out participant’s experiences of home practice. Figure 1 shows the resultant framework, with quotes from participants illustrating key themes from the focus groups. The strategies to be used in the second arm of our adaptive intervention are shown in the ‘intervention functions’ column.
Conclusion
The BCW provided a good fit for mapping participant’s experiences of home practice. Quantitative and qualitative data on home practice from the second arm of the adaptive intervention will be used to evaluate the feasibility and acceptability of proposed strategies.