Implementation and Dissemination of Mindfulness-Based Interventions

Only a minority of studies investigated efficacy in community clinics (< 1%; stage III), implementation or dissemination of MBIs (< 1%; stage IV) or examined the effectiveness of MBIs implemented by community providers under routine conditions “in the real world” (1%; stage V) (for a recent study on the implementation of MBCT see Rycroft-Malone et al. 2019). Since evidence on the dissemination and implementation of MBIs is crucial for the responsible use of MBIs in the health care system, in this Special Section, we present research on the effectiveness of MBIs under routine conditions and innovative studies on the implementation and dissemination of MBIs. For participants entering treatment with Patient Health Questionnaire (PHQ-9) scores in the non-depressed range (the group for whom MBCT was originally intended), 96% sustained their recovery across the treatment period. [...]there was a significant reduction in residual symptoms in this subgroup. MBCT was delivered as part of an innovative primary care support program in Barcelona developed to increase access to mental health care services. Additionally, evaluations of the program were positive. [...]significant improvements at post-intervention and follow-up assessments occurred for personal goals, psychological well-being (stress, depression, anxiety, happiness, positive, and negative affect), work-related measures (dropout from work, physical and mental workability), work engagement, functioning within the company, and communication styles.