Assessment of acceptability, appropriateness, and feasibility of the mindfulness and well-being toolkit for depression in Malaysian primary care clinics: A cross-sectional study.

INTRODUCTION: Depression is a major contributor to disability worldwide, and mild to moderate depressive symptoms are frequently managed in primary care, where time and specialist access are constrained. The Mindfulness and Well-being Toolkit (Mind-WELL Kit) was developed to support primary care providers in delivering brief, structured mindfulness-based support for depression, but its implementation potential requires evaluation. MATERIALS AND METHODS: A cross-sectional online survey was conducted among providers from a systematic sample of primary health care clinics in Selangor. Participants received the Mind-WELL Kit in portable document format (PDF) and were given approximately two weeks to review it before completing the acceptability of intervention measure (AIM), intervention appropriateness measure (IAM), and feasibility of intervention measure (FIM), along with a singleitem overall satisfaction rating (1-5). Pearson correlation, independent-samples t-test, and one-way ANOVA were used to examine differences by participant characteristics. RESULTS: A total of 151 healthcare providers participated in the study, with a mean (standard deviation, SD) age of 37.83 (5.67) years, and 80.8% were female. Participants reported favourable perceptions of the Mind-WELL Kit, with mean (SD) scores of 4.13 (0.55) for AIM, 4.07 (0.59) for IAM, and 3.96 (0.61) for FIM. Scores did not differ significantly according to age, gender, ethnicity, job category, duration of service, or clinic type (p>0.05). Overall satisfaction was high, with a mean (SD) score of 4.21 (0.78), and 84.8% of participants rated the toolkit 4 or 5 out of 5. CONCLUSIONS: The Mind-WELL Kit showed promising perceived implementation potential, with high acceptability and appropriateness, favourable feasibility, and strong overall satisfaction among primary care providers.