Participants' Perspective on the Competence of Mindfulness-Based Interventions Teaching: Development and Validation of the Mindfulness-Based Interventions-Participants' Assessment of Teaching (MBI:PAT) Questionnaire.

Objectives: No participant-rated tool exists for assessing MBI teaching competence. This study aimed to develop and validate the MBI:PAT to address this limitation. The primary objective was to develop a new measure, the Mindfulness-based Interventions: Participants' Assessment of Teaching" (MBI:PAT), and to evaluate its psychometric properties across several studies using independent samples. Method: The MBI:PAT was based on a theoretically and empirically supported operational definition of teaching competence and comprised 24 key features across the domains of coverage, pacing, and organization; relational skills; embodying mindfulness; guiding mindfulness practices; conveying course themes through interactive inquiry and didactic teaching; and holding the group's learning environment. Across five studies, items were generated, refined, and validated using independent samples to assess factor structure, reliability, and validity. Results: Findings support a 24-item questionnaire, with excellent internal consistency ( Conclusions: The MBI:PAT provides a psychometrically robust measure of MBI teaching competence from participants' perspective that can be used in teaching, training and research. Future research is needed to explore its performance across a wider range of teaching competence, and its relationship to key process and outcome variables. Pre-registration: Sub-study (5) was pre-registered (ClinicalTrials.gov: NCT05154266). Supplementary Information: The online version contains supplementary material available at 10.1007/s12671-025-02668-8.