MBSR Adherence and Engagement Scale

The MBSR Adherence Scale assesses participant engagement and attendance in Mindfulness-Based Stress Reduction (MBSR) programs, measuring both quantitative adherence (class attendance, home practice frequency) and qualitative engagement (perceived benefit, difficulty, motivation). Developed iteratively by MBSR researchers and program developers, the Adherence Scale has become a critical process measure in MBSR efficacy trials, enabling researchers to investigate whether treatment outcomes depend on the dose of practice delivered. The scale reflects recognition that MBSR is an active intervention requiring consistent engagement, and that adherence heterogeneity explains substantial variance in clinical outcomes.