Abstract
Background: As Taiwan is about to enter a super-aged society, the research team has found in previous studies that improving the psychological aspects of older people will contribute to promoting healthy aging. There is existing evidence indicating that interventional mindfulness courses are effective in enhancing self-awareness and well-being among older adults. However, there are still no relevant theory-based mindfulness courses for older people in Taiwan. Therefore, this study aims to use the modified Delphi method to develop mindfulness courses for older adults in the community.
Methods: We developed the mindfulness curriculum through literature review, combine a course outline by integrating Dr. Jon Kabat-Zinn’s Mindfulness-Based Stress Reduction (MBSR) curriculum, Dr. McBee’s Mindfulness-Based Elder Care (MBEC), and Mindful Sustainable Aging (MSA) proposed by Nilsson et al. A total of 16 professional mindfulness instructors, experts in geriatric psychology, psychologist and clinical care specialists were invited to assess the applicability of the course content in three stages and offer recommendations for modifications in writing. In the first stage of discussion, the focus was on reviewing the course outline and providing feedback for the development of course content, while the second and third stages concentrated on assessing the applicability of the content and its alignment with the main structure of the course. The experts were invited to evaluate the suitability of each concept using a 4-point Likert scale. In addition, the panel of experts established a consensus threshold of >0.78, with selected items rated as quite suitable or highly suitable. The content validity index (CVI) was evaluated.
Results: The research showed that the CVI in the second stage was 0.985, while that in the third stage was 0.988 for suitability and clarity. Eight curriculums were conducted, with consensus reached on 103 items covering pre-course preparation, course content, after-class exercises, etc.
Conclusion: This study provides relevant course guidelines for mindfulness programs targeting older adults in Taiwan’s communities. It will also serve as a reference for promoting community-based psychological care to achieve healthy aging for older adults.
Notes
References:
Kabat-Zinn, J. (2013). Full catastrophe living, revised edition: how to cope with stress, pain and illness using mindfulness meditation. . Hachette UK.
McBee, L. (2014). Chapter 11 - I Am Sure to Grow Old: Mindfulness-Based Elder Care. In R. A. Baer (Ed.), Mindfulness-Based Treatment Approaches (Second Edition) (pp. 239-265). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-416031-6.00011-6
Nilsson, H. (2023). The four-dimensional model of mindful sustainable aging: A holistic alternative. Journal of Religion, Spirituality & Aging, 35(4), 430-454.
Sigma Membership
Lambda Beta at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Curriculum Development, Interprofessional, Interdisciplinary, Elderly, Aged, Older Adults, Health Aging, Mindfulness, Taiwan
Recommended Citation
Wang, Yu-Rung and Chang, Chia-Hsiu, "Developing a Diverse Mindfulness Course for the Elderly in the Community- A Modified Delphi Study" (2025). International Nursing Research Congress (INRC). 144.
https://www.sigmarepository.org/inrc/2025/posters_2025/144
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Developing a Diverse Mindfulness Course for the Elderly in the Community- A Modified Delphi Study
Seattle, Washington, USA
Background: As Taiwan is about to enter a super-aged society, the research team has found in previous studies that improving the psychological aspects of older people will contribute to promoting healthy aging. There is existing evidence indicating that interventional mindfulness courses are effective in enhancing self-awareness and well-being among older adults. However, there are still no relevant theory-based mindfulness courses for older people in Taiwan. Therefore, this study aims to use the modified Delphi method to develop mindfulness courses for older adults in the community.
Methods: We developed the mindfulness curriculum through literature review, combine a course outline by integrating Dr. Jon Kabat-Zinn’s Mindfulness-Based Stress Reduction (MBSR) curriculum, Dr. McBee’s Mindfulness-Based Elder Care (MBEC), and Mindful Sustainable Aging (MSA) proposed by Nilsson et al. A total of 16 professional mindfulness instructors, experts in geriatric psychology, psychologist and clinical care specialists were invited to assess the applicability of the course content in three stages and offer recommendations for modifications in writing. In the first stage of discussion, the focus was on reviewing the course outline and providing feedback for the development of course content, while the second and third stages concentrated on assessing the applicability of the content and its alignment with the main structure of the course. The experts were invited to evaluate the suitability of each concept using a 4-point Likert scale. In addition, the panel of experts established a consensus threshold of >0.78, with selected items rated as quite suitable or highly suitable. The content validity index (CVI) was evaluated.
Results: The research showed that the CVI in the second stage was 0.985, while that in the third stage was 0.988 for suitability and clarity. Eight curriculums were conducted, with consensus reached on 103 items covering pre-course preparation, course content, after-class exercises, etc.
Conclusion: This study provides relevant course guidelines for mindfulness programs targeting older adults in Taiwan’s communities. It will also serve as a reference for promoting community-based psychological care to achieve healthy aging for older adults.
Description
This study aims to use the modified Delphi method to develop mindfulness courses for older adults in the community. After experts evaluated it, the research showed a high CVI for suitability and clarity. This study provides relevant course guidelines for mindfulness programs targeting older adults in Taiwan’s communities. It is a reference for promoting community-based psychological care to support healthy aging among older adults.