Table 1.

Modified mindfulness-based cognitive therapy (MBCT) program

Session	Main theme	Content	Home practice
1	Awareness and automatic pilot	➢ Establish the orientation of the class ➢ The Raisin exercise (eating meditation) ➢ 13-min body scan ➢ Feedback and discussion of exercise	➢ 45-min body scan for 6 out of 7 days ➢ Mindfulness of a routine practice
2	Living in our head	➢ Practice review ➢ Thoughts and feelings exercises ➢ 45-min body scan ➢ Brief mindfulness of breathing	➢ 45-min body scan for 6 out of 7 days ➢ 10 min of mindfulness of breath for 6 out of 7 days ➢ Pleasant experience calendar (one example daily) ➢ Mindfulness of a routine practice
3	Gathering the scattered mind	➢ Practice review ➢ Focus on unpleasant experiences exercises ➢ Seeing and hearing practice ➢ Sitting meditation (awareness of breath and body and responding to painful sensations) ➢ 3-min breathing space ➢ Mindful stretching and breath meditation ➢ Mindful movement	➢ Stretching and breathing meditation on days 1, 3, and 5 ➢ 40-min mindful movement on days 2, 4, and 6 ➢ Unpleasant experience calendar (a different experience each day) ➢ 3-min breathing space, three times daily
4	Recognizing aversion and allowing	➢ Practice review ➢ Seeing and hearing practice ➢ Mindful communication ➢ 3-min breathing space ➢ Mindful walking ➢ Sitting meditation (awareness of breath, body, and sounds, then how we relate to our experience through the reaction)	➢ Sitting meditation, 6 out of 7 days ➢ 3-min breathing space (three times a day) ➢ 3-min breathing space—responsive (whenever notice unpleasant feelings)
5	Thoughts are not facts	➢ Practice review ➢ Sitting meditation ➢ Mood, thoughts and alternative viewpoints exercise ➢ 3-min breathing space (responsive) ➢ Psychoeducation in family caregiving stress	➢ Select a guided meditation to practice at least 40 min per day ➢ 3-min breathing space (three times a day) ➢ 3-min breathing space—added instructions (whenever notice unpleasant feelings)
6	Take care of myself	➢ Practice review ➢ Sitting meditation with breath, body, sounds ➢ Activity and mood exercise ➢ Identifying habitual emotional reactions to difficulties ➢ 3-min breathing space (responsive)	➢ 3-min breathing space (three times a day) ➢ 3-min breathing space—added instructions (whenever notice unpleasant feelings) ➢ Select from all different forms of practice and apply them on a regular basis ➢ Develop action to be used in the face of lowered moods
7	Maintaining and extending new learning	➢ Practice review ➢ 45-min body scan ➢ Looking forward exercise ➢ Preparing for the future exercise