TY - JOUR

T1 - The Implementation of Mindfulness-Based Programs in the Swedish Healthcare System—A Qualitative Study

AU - Andermo, Susanne

AU - Crane, Rebecca

AU - Niemi, Maria

PY - 2021

Y1 - 2021

N2 - Background: As the provision of Mindfulness-Based Programs (MBPs) in health care settings progresses, more research is needed to develop guidelines and structures for implementation in various contexts. This study is part of a larger project were MBP provision in Sweden is explored.Objective: The objective is to provide knowledge for the next steps of MBP implementation both in Sweden and internationally. The specific aim of the study is to explore how MBP teachers and other relevant stakeholders experience theimplementation of MBP.Methods: Qualitative in-depth interviews were conducted with 15 MBP providers and 2 other stakeholders from a range of health care settings in Sweden.Results: The results, presented in 3 themes, provide insights into the factors that are crucial for facilitating or hindering MBP implementation; (1) MBP teachers and their training, including the importance of champion individuals and the benefit and shortcomings of various forms of MBP; (2) Patients and patient referrals, including patient characteristics and referral pathways;(3) Organizational prerequisites to successful implementation, highlighting the importance of financial factors and managers’ andcolleagues’ knowledge and acceptance of MBP; and (4) the need for structural changes, including future recommendations onquality assessment and guidelines.Conclusion: This study highlights the need for national guidelines for MBP provision and teacher training pathways, as well asimproved availability of teacher training. Also, the benefit of a stepped-care model of MBP provision is indicated by the findings.Finally, increasing awareness of MBPs among referrers, managers, and the public may enable successful implementation

AB - Background: As the provision of Mindfulness-Based Programs (MBPs) in health care settings progresses, more research is needed to develop guidelines and structures for implementation in various contexts. This study is part of a larger project were MBP provision in Sweden is explored.Objective: The objective is to provide knowledge for the next steps of MBP implementation both in Sweden and internationally. The specific aim of the study is to explore how MBP teachers and other relevant stakeholders experience theimplementation of MBP.Methods: Qualitative in-depth interviews were conducted with 15 MBP providers and 2 other stakeholders from a range of health care settings in Sweden.Results: The results, presented in 3 themes, provide insights into the factors that are crucial for facilitating or hindering MBP implementation; (1) MBP teachers and their training, including the importance of champion individuals and the benefit and shortcomings of various forms of MBP; (2) Patients and patient referrals, including patient characteristics and referral pathways;(3) Organizational prerequisites to successful implementation, highlighting the importance of financial factors and managers’ andcolleagues’ knowledge and acceptance of MBP; and (4) the need for structural changes, including future recommendations onquality assessment and guidelines.Conclusion: This study highlights the need for national guidelines for MBP provision and teacher training pathways, as well asimproved availability of teacher training. Also, the benefit of a stepped-care model of MBP provision is indicated by the findings.Finally, increasing awareness of MBPs among referrers, managers, and the public may enable successful implementation

KW - Mindfulness-based programs

KW - national guidelines

KW - Implementation

KW - Intervention integrity

KW - fidelity

U2 - https://doi.org/10.1177%2F21649561211058698

DO - https://doi.org/10.1177%2F21649561211058698

M3 - Article

VL - 10

JO - Global Advances in Health and Medicine

JF - Global Advances in Health and Medicine

SN - 2164-9561

ER -