Interventions
EVENTS
Before implementing the MBEC intervention, an 8-week pilot was conducted for six senior residents who met the equivalent criteria in a chosen LTC institution in northern Taiwan. Modifications were made according to practical advice from nine LTC and mindfulness practice experts regarding the sequence of weekly activities, the order of the modules, and the group format of end-session discussion.The MBEC intervention consisted of eight weekly group sessions, containing 50-min MBEC lectures and activities each week (Table Weekly topics and session activities of the MBEC intervention• Understand the goals and schedule of the intervention• Understand the meaning of living in the present moment and its impact on daily life• Introduction to the MBEC program (10 min)• Mindful seeing and mindful eating (raisin exercise) (30 min)• Discussion (10 min)• No thoughts about the past or the future• Be completely present in each moment• Reflection of last week (10 min)• Diaphragmatic breathing (15 min)• Mediation (15 min)• Discussion (10 min)• Reflection of last week (10 min)• Gentle yoga (30 min)• Discussion (10 min)• Reflection of last week (10 min)• Body scan (30 min)• Discussion (10 min)• Reflection of last week (10 min)• Walking and sitting meditation (30 min)• Discussion (10 min)• Reflection of last week (10 min)• Sharing of (un)pleasant events and non-avoidance exercise (30 min)• Review of previous exercises/Discussion (10 min)• Reflection of last week (10 min)• Guided imagination (30 min)• Review of previous exercises/discussions (10 min)• Be benevolent to self, no harshness• Allow things to be as they are• Do not attempt to change• Reflection of seven weeks (10 min)• Loving-kindness mediation (15 min)• Review of previous exercises/discussions (15 min)• General feedback and sharing of the program