PURPOSE/OBJECTIVE Standardized mindfulness-based interventions (MBIs), used for the management of physical and psychological symptoms associated with neurological impairment/injury (NI), have been problematized as lacking accessibility due to their focus on sensory presence and mindful walking. Research is needed to generate formalized recommendations regarding how MBIs may be best adapted to enhance their suitability for people with NI. RESEARCH METHOD/DESIGN A two-phase qualitative study was completed. First, semistructured interviews were undertaken with eight accredited mindfulness teachers with NI. Interviews reviewed the adaptations participants made in their personal and teaching practice, using thematic analysis, and generated recommendations for adaptations to MBIs specific to people with NI. Second, using the DELPHI method, the adapted practice recommendations were reviewed and revised via three rounds, following cognitive interviews with an expert panel (N = 5 trained mindfulness teachers with NI). RESULTS Ten core areas for adaptation are proposed and validated, acting as SMALL PROMPTS which can be used to adapt mindfulness-based teaching techniques to the specific requirements of people with NI: (a) Skin/bladder/bowel management; (b) mindful Movement; (c) Accessible training; (d) Language Leadership; (e) Permissive pRactice; (f) Optimizing timelines; (g) Management of posture; (h) inclusion of Pacing; (i) Teaching from experience; and (j) body Scanning. CONCLUSION/IMPLICATIONS Mindfulness is a highly applicable approach for people with sensory loss, however significant, specific adaptations are required to improve inclusivity and accessibility. The SMALL PROMPTS adaptations increase the accessibility, applicability, and utility of MBIs for populations living with NI, enhancing effective management of physical and psychological wellbeing, and optimizing MBI delivery. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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适应基于正念的神经损伤干预措施：小提示方法。

目的/目标标准化的基于正念的干预（MBIs），用于管理与神经损伤/损伤（NI）相关的身体和心理症状，由于其专注于感官存在和正念行走而被认为缺乏可及性。需要进行研究以生成有关如何最好地调整 MBI 以增强其对 NI 患者的适用性的正式建议。研究方法/设计完成了一个两阶段的定性研究。首先，对 NI 的八位认证正念教师进行了半结构化访谈。访谈回顾了参与者在他们的个人和教学实践中所做的调整，使用主题分析，并针对针对 NI 患者的 MBI 的调整提出了建议。二、使用DELPHI方法，在与专家小组（N = 5 名训练有素的 NI 正念教师）进行认知访谈后，经过三轮审查和修改了调整后的实践建议。结果 提出并验证了十个核心适应领域，作为小提示，可用于使基于正念的教学技术适应 NI 患者的具体要求： (a) 皮肤/膀胱/肠道管理；(b) 正念运动；(c) 无障碍培训；(d) 语言领导；(e) 许可做法；(f) 优化时间表；(g) 姿势管理；(h) 包括起搏；(i) 经验教学；(j) 身体扫描。结论/启示 正念对于感觉丧失的人来说是一种高度适用的方法，但无论多么重要，都需要具体的适应来提高包容性和可及性。小提示适应增加了 MBI 对 NI 患者的可及性、适用性和实用性，增强了对身心健康的有效管理，并优化了 MBI 的交付。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。