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dc.contributor.authorCrane, PhD, Catherine
dc.contributor.authorGanguli, PhD, Poushali
dc.contributor.authorBall, MSc, Susan
dc.contributor.authorTaylor, PhD, Laura
dc.contributor.authorBlakemore, PhD, Sarah-Jayne
dc.contributor.authorByford, PhD, Sarah
dc.contributor.authorDalgleish, PhD, Tim
dc.contributor.authorFord, PhD, Tamsin
dc.contributor.authorGreenberg, PhD, Mark
dc.contributor.authorKuyken, PhD, Willem
dc.contributor.authorLord, MA, Liz
dc.contributor.authorMontero-Marin, PhD, Jesus
dc.contributor.authorSonley, MEd, Anna
dc.contributor.authorUkoumunne, PhD, Obioha C
dc.contributor.authorWilliams, PhD, J Mark G
dc.date.accessioned2020-12-22T18:56:40Z
dc.date.available2020-12-22T18:56:40Z
dc.date.issued2020-12-15
dc.date.submitted2019-09-11
dc.identifier.other10.1177_2164956120964738
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/315430
dc.description.abstractBackground: There is growing research support for the use of mindfulness training (MT) in schools, but almost no high-quality evidence about different training models for people wishing to teach mindfulness in this setting. Effective dissemination of MT relies on the development of scalable training routes. Objective: To compare 4 training routes for school teachers wishing to deliver MT differing in intensity and potential scalability, considering teaching competency, training acceptability, and cost-effectiveness. Methods: Schools were randomized to an existing route comprising an 8-session instructor-led personal mindfulness course, combined with 4-day MT program training, or 1 of 3 more scalable, lower intensity, alternatives: an instructor-led personal mindfulness course combined with 1-day MT program training, a self-taught personal mindfulness course (delivered through a course book) combined with 4-day MT program training, and a self-taught personal mindfulness course combined with 1-day MT program training. Results: Attrition from training was substantial across all routes. The instructor-led course was more effective than the self-taught course in increasing teachers’ personal mindfulness skills. Even the most intensive (existing) training route brought only 29% of the teachers commencing training, and 56% of those completing the study protocol, to the required minimum competency threshold (an advanced beginner rating on an adapted version of the Mindfulness-based Interventions Teaching Assessment Criteria). The differences in levels of competency achieved by existing training compared with the more scalable alternatives were modest, with economic evaluation suggesting that the existing route was both more expensive and more effective than lower intensity alternatives, but with no statistically significant differences between routes. Conclusions: This research questions the move toward abbreviating teacher training to increase scalability and suggests instead that many teachers require additional support to ensure competency from first delivery of MT in the classroom.
dc.languageen
dc.publisherSAGE Publications
dc.rightsEmbargo: ends 2020-12-15
dc.subjectIntervention Fidelity in Mindfulness-Based Research and Practice
dc.subjectmindfulness-based programs
dc.subjectteaching competency
dc.subjecteffectiveness
dc.subjectacceptability
dc.subjectimplementation and dissemination
dc.subjecttraining
dc.titleTraining School Teachers to Deliver a Mindfulness Program: Exploring Scalability, Acceptability, Effectiveness, and Cost-effectiveness
dc.typeArticle
dc.date.updated2020-12-22T18:56:39Z
prism.publicationNameGlobal Advances in Health and Medicine
prism.volume9
dc.identifier.doi10.17863/CAM.62537
dcterms.dateAccepted2020-08-13
rioxxterms.versionofrecord10.1177/2164956120964738
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
rioxxterms.licenseref.startdate2020-12-15
dc.contributor.orcidKuyken, PhD, Willem [0000-0002-8596-5252]
dc.contributor.orcidLord, MA, Liz [0000-0002-1160-4948]
dc.contributor.orcidMontero-Marin, PhD, Jesus [0000-0001-5677-1662]
dc.identifier.eissn2164-9561
pubs.funder-project-idWellcome Trust (104908/Z/14/Z)
rioxxterms.freetoread.startdate2020-12-15


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