title: The Role of Practitioner Resilience and Mindfulness in Effective Practice: A Practice-Based Feasibility Study.
abstract: A growing body of literature attests to the existence of therapist effects with little explanation of this phenomenon. This study therefore investigated the role of resilience and mindfulness as factors related to practitioner wellbeing and associated effective practice. Data comprised practitioners (n = 37) and their patient outcome data (n = 4980) conducted within a stepped care model of service delivery. Analyses employed benchmarking and multilevel modeling to identify more and less effective practitioners via yoking of therapist factors and nested patient outcomes. A therapist effect of 6.7 % was identified based on patient depression (PHQ-9) outcome scores. More effective practitioners compared to less effective practitioners displayed significantly higher levels of mindfulness as well as resilience and mindfulness combined. Implications for policy, research and practice are discussed.
authors.affiliation: Department of Psychology, University of Sheffield, Sheffield, UK. jopereira150@gmail.com.
authors.forename: Jo-Ann
authors.identifier: http://orcid.org/0000-0003-2378-1922
authors.initials: JA
authors.lastname: Pereira
authors.affiliation: Centre for Psychological Services Research, Department of Psychology, University of Sheffield, Sheffield, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Barkham
authors.affiliation: Centre for Psychological Services Research, Department of Psychology, University of Sheffield; Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.
authors.forename: Stephen
authors.initials: S
authors.lastname: Kellett
authors.affiliation: Centre for Psychological Services Research, School of Health and Related Research, University of Sheffield, Sheffield, UK.
authors.forename: David
authors.initials: D
authors.lastname: Saxon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019985:Benchmarking; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D011613:Psychotherapy / Q000592:standards*; D011787:Quality of Health Care; D055500:Resilience, Psychological; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Effective practice; Mindfulness; Resilience; Stepped care; Therapist effects