A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners

Ireland, Michael; Clough, Bonnie A.; Gill, Kim; Langan, Fleur; O’Connor, Angela; Spencer, Lyndall

doi:10.1080/0142159x.2017.1294749

Cited by 109 publications

(106 citation statements)

References 19 publications

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“…Furthermore, since participation in the program is time-intense, resident physicians may be dissuaded from choosing to participate. Nevertheless, as mindfulness once learned is not tied to times and places, it can easily and flexibly be implemented into daily life (Ireland et al 2017). In addition to effects of program participation on the level of individual program participants, future studies should evaluate transfer effects onto the participant's environment, for example, by including reports by patients and colleagues.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

“…First results are promising, but somewhat heterogeneous. Some studies reported decreases in stress or burnout (Ireland et al 2017;Lases et al 2016), whereas other studies failed to find such associations (Goldhagen et al 2015;Verweij et al 2018). The participants of an MBP for surgical resident physicians suggested that the program should have had a stronger focus on their daily medical practice, and the authors conclude that MBPs for resident physicians are probably most effective when tailored to meet this group's particular needs (Lases et al 2016).…”

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confidence: 99%

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A Mindfulness Program to Improve Resident Physicians’ Personal and Work-Related Well-being: a Feasibility Study

et al. 2020

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Objectives Many resident physicians suffer from mental distress. This endangers the individual physician as well as the quality of patient care. This study tested the feasibility of a novel 8-week mindfulness program tailored to improve resident physicians' personal and work-related well-being. Methods Participants were nine resident physicians from a major hospital in southern Germany. Feasibility was assessed in seven domains (demand, acceptability, implementation, practicality, adaptation, integration, and preliminary effectiveness), using selfreports, attrition, attendance, and daily home practice. Using a pre-post within-subjects design, changes were assessed in hair cortisol as a biomarker of stress as well as in self-reported personal and work-related well-being. Results The program is feasible in all domains. Participants positively rated the program regarding satisfaction, helpfulness, usage, and personal and professional benefit. All participants indicated to recommend the program. There was no study attrition, high attendance, and an average daily home practice of 13.5 min. A medium reduction was observed with hair cortisol secretion (d = 0.64). In terms of personal well-being, medium-to-large improvements were observed with perceived stress (d = 0.58), mental health (d = 0.77), self-attributed mindfulness (d = 0.92), and self-compassion (d = 1.21). In terms of work-related wellbeing, small-to-medium improvements were observed with self-reported job strain (d = 0.58), effort-reward imbalance (d = 0.36), work-related burnout (d = 0.32), thriving at work (d = 0.24), and physician empathy (d = 0.21).Conclusions This study provides evidence that a tailored mindfulness program is feasible and may be effective in reducing hair cortisol secretion and improving resident physicians' personal and work-related well-being. These promising findings warrant further investigation within a randomized controlled trial.

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Section: Limitations and Future Researchmentioning

confidence: 99%

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confidence: 99%

A Mindfulness Program to Improve Resident Physicians’ Personal and Work-Related Well-being: a Feasibility Study

et al. 2020

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“…Ireland et al reported a significant reduction in stress and burnout with a 10-week mindfulness course, though there was no follow up after the training ended. 17 A 5-year follow-up study of medical students trained in mindfulness also demonstrated that participants continued to use mindfulness or relaxation exercises into the future. 18 Mental health problems remain stigmatised in the medical workplace.…”

Section: Mindfulness and Meditation Skills (2)mentioning

confidence: 98%

Resilience on the Run: an evaluation of a well‐being programme for medical interns

Forbes

Byrom

Steenstraten

et al. 2020

Internal Medicine Journal

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Background Junior doctors experience high rates of psychological distress and burnout. System‐level interventions are one strategy to reduce psychological distress in junior doctors. Unfortunately, few of these interventions have been evaluated. Aim To evaluate the acceptability and effectiveness of a resilience and well‐being programme designed for junior doctors. Methods A prospective cohort study of 24 medical interns at a teaching hospital in regional Queensland with a control group of 29 medical interns at a second teaching hospital in regional Queensland. Survey instruments to assess psychological distress, the ProQOL and K10, were completed at baseline, at the completion of the well‐being programme, and 3 months after the completion of the well‐being programme at both sites. Results The intervention site had an older cohort and fewer participants had a regular general practitioner compared to the control site. Both groups had moderate levels of psychological distress. Insufficient numbers of participants completing the instruments at the two sites meant that it was not possible to demonstrate differences between the groups; however, the trends were promising. Qualitative evaluation data supported these trends, indicating that the Resilience on the Run programme was positively received and provided useful skills to junior doctors. Conclusion Well‐being programmes benefit medical interns; introducing new knowledge and skills for effectively identifying and managing personal and workplace stressors that can contribute to psychological distress.

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“…[39][40][41][42] Consistent with these findings, preliminary studies reported beneficial effects of MBIs in residents. [43][44][45] For instance, Rosdahl and others 43 found that a single mindfulness session decreased perceived stress and burnout. Similarly, Lases and others 44 and Ireland and others 45 reported significant decreases in perceived stress and burnout after 5 or 10 sessions of mindfulness.…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-based programme for residents: study protocol of a randomised controlled trial

et al. 2020

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IntroductionResidency is a stressful phase associated with high prevalence of mental distress. Besides impaired personal health, mental distress in residents has an impact on the quality of patient care and produces economic costs. Therefore, there is demand for interventions that improve resident physicians’ mental health. The aim of the present study is to examine the effects of a mindfulness-based intervention that has been tailored to residents’ needs. Specifically, mindfulness has been supplemented by a focus on the concept of Muße.Methods and analysisThis study applies a randomised controlled multimethod design. Residents assigned to the intervention group will participate in an 8-week mindfulness course followed by a 4-month maintenance phase, whereas residents assigned to the control group will read text-based information about mindfulness on a weekly basis for the duration of 8 weeks. The intervention is focussed on a transfer of learnt techniques into the daily routine and is targeted to promote residents’ self-care as well as on building empathic relationships. Participants will be assessed before, directly after the intervention, after the maintenance phase as well as at follow-up 6 months after the intervention group completes the intervention. Assessments will consist of self-report measures, physiological data, qualitative interviews, third-party reports as well as implicit and projective measures and will focus on both psychopathology and salutogenesis. The primary outcome will be burnout. Data will be analysed using linear mixed modelling.Ethics and disseminationThe study was approved by the ethics committee of the Medical Center - University of Freiburg and is funded by the German Research Foundation as part of the interdisciplinary Collaborative Research Center ‘SFB Muße 1015’. The results of this study will be published in scientific journals and disseminated through the study’s website, and conferences.Trial registration numberDRKS00014015.

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A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners

Cited by 109 publications

References 19 publications

A Mindfulness Program to Improve Resident Physicians’ Personal and Work-Related Well-being: a Feasibility Study

A Mindfulness Program to Improve Resident Physicians’ Personal and Work-Related Well-being: a Feasibility Study

Resilience on the Run: an evaluation of a well‐being programme for medical interns

Mindfulness-based programme for residents: study protocol of a randomised controlled trial

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