Table 3 Components of the program theory for a mindfulness-based intervention (MBI) for adults in a low socio-economic setting
WHAT (Adapted MBI) | HOW | OUTCOME | |
|---|---|---|---|
Mechanisms | Length of program | Modified according to requirements of community | More acceptable, accessible and feasible = less attrition and more engagement = improved general outcomes, in particular wellbeing as determined by biological and psychological parameters, and measured using a consistent battery of tests |
Length of sessions | Shortened | ||
Length of practices | Shortened | ||
Trauma sensitive | Practices and other elements adjusted according to participants | ||
Cultural resonance | In terms of metaphors and practices used | ||
Language | Easily understood by participants | ||
Literacy | Accommodations made for those not literate | ||
Facilitator | Training | Relevant training to design and deliver MBIs | |
Embodiment | Presence models the attitudes of mindfulness | ||
Experience | Familiar with dynamics of group work specific to the participants | ||
Trauma-aware | Trained to determine indications of trauma and mediate appropriately | ||
Demographic | Culturally similar to participants | ||