PMID- 33164711
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20220422
IS  - 2640-8074 (Electronic)
IS  - 2640-8066 (Linking)
VI  - 18
IP  - 3
DP  - 2021 May-Jun
TI  - The Mindfulness-Oriented Recovery Enhancement Fidelity Measure (MORE-FM): 
      Development and Validation of a New Tool to Assess Therapist Adherence and 
      Competence.
PG  - 308-322
LID - 10.1080/26408066.2020.1833803 [doi]
AB  - OBJECTIVE: Mindfulness-Oriented Recovery Enhancement (MORE) is a mind-body 
      therapy that unites complementary aspects of mindfulness training, third-wave 
      cognitive behavioral therapy (CBT), and principles from positive psychology into 
      an integrative treatment for addiction and its comorbidities. As interest in MORE 
      has grown among researchers and clinicians, there is an increasing need to 
      provide quality assurance measures to ensure treatment integrity during 
      implementation of MORE. Here, we describe the development and validation of the 
      Mindfulness-Oriented Recovery Enhancement Fidelity Measure (MORE-FM). METHOD: We 
      developed a 17-item scale assessing therapist competence and adherence to the 
      MORE treatment manual, which was then used for fidelity monitoring of 40 MORE 
      treatment sessions across two Stage 2 and two Stage 1 RCT for addictive behaviors 
      (e.g., opioid misuse, obesity) involving a total N = 295. RESULTS: Internal 
      consistency for the Adherence (alpha =.89) and Competence subscales (alpha =.92) was 
      high, and interrater reliability was adequate (Adherence subscale ICC =.77; 
      Competence subscale ICC =.51), with therapists exhibiting good-to-excellent 
      levels of fidelity across all trials. Importantly, linear mixed modeling 
      indicated that higher levels of overall fidelity were associated with greater 
      reductions in opioid misuse across two Stage 2 RCTs (F(1,48.00) = 7.38, p=.009), 
      indicating that the MORE-FM is a valid measure of treatment fidelity that can 
      predict clinical outcomes. CONCLUSIONS: Findings from this study yielded insights 
      for future iterations of the MORE-FM. In sum, the MORE-FM is a valuable tool for 
      assessing and enhancing the integrity of MORE in future research trials and 
      clinical applications.
FAU - Hanley, Adam W
AU  - Hanley AW
AD  - Center on Mindfulness and Integrative Health Intervention Development, University 
      of Utah, Salt Lake City, Utah, USA.
AD  - College of Social Work, University of Utah, Salt Lake City, Utah, USA.
FAU - Garland, Eric L
AU  - Garland EL
AD  - Center on Mindfulness and Integrative Health Intervention Development, University 
      of Utah, Salt Lake City, Utah, USA.
AD  - College of Social Work, University of Utah, Salt Lake City, Utah, USA.
AD  - Salt Lake City Veterans Administration Health System, Utah, USA.
LA  - eng
PT  - Journal Article
DEP - 20201108
PL  - United States
TA  - J Evid Based Soc Work (2019)
JT  - Journal of evidence-based social work (2019)
JID - 101766756
SB  - IM
MH  - Allied Health Personnel
MH  - *Cognitive Behavioral Therapy
MH  - Humans
MH  - *Mindfulness
MH  - *Opioid-Related Disorders
MH  - Reproducibility of Results
OTO - NOTNLM
OT  - addiction
OT  - adherence
OT  - competence
OT  - mindfulness-based interventions
OT  - opioid
EDAT- 2020/11/10 06:00
MHDA- 2021/10/29 06:00
CRDT- 2020/11/09 13:49
PHST- 2020/11/10 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
PHST- 2020/11/09 13:49 [entrez]
AID - 10.1080/26408066.2020.1833803 [doi]
PST - ppublish
SO  - J Evid Based Soc Work (2019). 2021 May-Jun;18(3):308-322. doi: 
      10.1080/26408066.2020.1833803. Epub 2020 Nov 8.