AUTHOR=Bautista Tara G. , Ware Orrin D. , Macias Burgos Miracle A. , Rivas Veronica D. , Cruz-Carrillo Yesenia , Davidson Alec , Mezhenska Mariia , Sanchez Mariana , Amaro Hortensia 

TITLE=Mixed-methods analysis of satisfaction during a 12-session mindfulness-based intervention for women with a substance use disorder and trauma symptomatology

JOURNAL=Frontiers in Psychology

VOLUME=Volume 15 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1359174

DOI=10.3389/fpsyg.2024.1359174

ISSN=1664-1078

ABSTRACT=Satisfaction with an intervention influences the uptake of behavior changes and long-term efficacy of the intervention. Therefore, it is crucial to assess satisfaction by participant profile when creating and adapting behavior interventions for minoritized populations. Qualitative and quantitative data regarding participant trauma symptom severity and intervention satisfaction were collected through self-report surveys from 54 women, 59.3% Hispanic, average age=33.21 (SD=10.42), in residential treatment for substance use disorders (SUDs) who participated in a 12-session mindfulness-based intervention. Qualitative responses were coded using thematic analysis and an integrative mixedmethods approach was used to compare qualitative theme frequency between, high trauma (N=28) and low trauma (N=26) groups at Session 2 and 11. High and low trauma groups were determined by interquartile ranges (bottom 25% =low, top 75% =high). At session 2, the low trauma group reported significantly higher satisfaction (M=4.20, SD=0.55) compared to the high trauma group (M=3.77, SD=0.89); t(43)=1.90, p=.03). f For session 11, there was no significant difference between groups.The mixed-methods analysis revealed that "trouble focusing" appeared more frequently in the high trauma group than the low trauma group during session 2, but the theme was not present in either group at session 11. Suggesting this may be an initial barrier for individuals with high trauma, but the barrier subsides throughout the intervention, which speaks to the importance of retention strategies tailored for participants with SUDs and high trauma while they adjust to the intervention. Assessing initial challenges with satisfaction may help facilitators intervene to increase participant satisfaction.