Acceptability of mindfulness-based interventions for substance use disorder: A systematic review.
Tara Bautista, Dara James, Hortensia Amaro
PMID 31003659WHAT IT FOUND
Most mindfulness studies for addiction did not measure if patients found them acceptable.
The few that did reported high satisfaction, but used inconsistent definitions and unvalidated tools. Clinicians should not assume these interventions are welcomed without direct feedback.
Key findings
01Only four of the seventeen reviewed studies actually measured acceptability.
02The studies that measured acceptability all concluded the intervention was acceptable, but used different definitions such as satisfaction, attendance, or follow-up rates.
03None of the studies reported the reliability or validity of the tools used to assess acceptability.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review is limited to English-language articles and adult populations. The definition of 'acceptability' varied across the included studies, making it difficult to compare findings. The lack of validated measurement tools in the reviewed studies means the reported 'acceptability' may not reflect the complex experience of the patients.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not interpret the reported high satisfaction rates as proof that mindfulness is broadly acceptable to patients with substance use disorders. The tools used were not validated, and many studies conflated simple attendance or adherence with the complex concept of acceptability.