Department of Psychology, University of Washington, Seattle, WA, USA.
Psychother Res. 2010 Jul;20(4):388-97. doi: 10.1080/10503300903544257.
The present study describes the development of the Mindfulness-Based Relapse Prevention Adherence and Competence Scale (MBRP-AC), a measure of treatment integrity for mindfulness-based relapse prevention (MBRP). MBRP is a newly developed treatment integrating core aspects of relapse prevention with mindfulness practices. The MBRP-AC was developed in the context of a randomized controlled trial (RCT) of MBRP efficacy and consists of two sections: Adherence (adherence to individual components of MBRP and discussion of key concepts) and Competence (ratings of therapist style/approach and performance). Audio recordings from 44 randomly selected group treatment sessions (50%) were rated by independent raters for therapist adherence and competence in the RCT. Findings evinced high interrater reliability for all treatment adherence and competence ratings, and adequate internal consistency for Therapist Style/Approach and Therapist Performance summary scales. Ratings on the MBRP-AC suggested that therapists in the recent RCT adhered to protocol, discussed key concepts in each session, and demonstrated the intended style and competence in treatment delivery. Finally, overall ratings on the Adherence section were positively related to changes in mindfulness over the course of the treatment.
本研究描述了正念复发预防依从性和能力量表（MBRP-AC）的开发，这是一种正念复发预防（MBRP）治疗完整性的测量工具。MBRP 是一种新开发的治疗方法，将复发预防的核心方面与正念练习相结合。MBRP-AC 是在 MBRP 功效的随机对照试验（RCT）背景下开发的，它由两部分组成：依从性（MBRP 各个组成部分的依从性和关键概念的讨论）和能力（治疗师风格/方法和表现的评分）。在 RCT 中，对 44 次随机选择的小组治疗会议（50%）的音频记录进行了独立评估，以评估治疗师的依从性和能力。研究结果表明，所有治疗依从性和能力评分的评分者间信度均较高，治疗师风格/方法和治疗师表现综合评分的内部一致性也足够。MBRP-AC 的评分表明，最近 RCT 中的治疗师遵守了方案，在每次会议中讨论了关键概念，并在治疗中表现出了预期的风格和能力。最后，依从性部分的总体评分与治疗过程中正念的变化呈正相关。
