Does a modified mindfulness-based cognitive therapy (MBCT) course have the potential to reduce stress and burnout in NHS GPs? Feasibility study

Hamilton-West, Kate E.; Pellatt-Higgins, Tracy; Pillai, Neil

doi:10.1017/s1463423618000129

Cited by 30 publications

(88 citation statements)

References 22 publications

(37 reference statements)

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“…Scores for the quality of the studies ranged between 6.5 and 14.5 on the MERSQI scale; the mean score was 9.9, reflecting average quality (Table S2) . The eligible studies included seven randomised controlled trials (RCTs), three non‐randomised controlled trials (CTs), 12 pre‐post studies, and two qualitative interview studies (Table ). Of the RCTs and CTs, four studies employed a waitlist control condition, four studies employed a passive control condition, and two studies exposed controls to protected free time during the intervention period .…”

Section: Resultsmentioning

confidence: 99%

“…Response rates for survey completion were between 75% and 100% in seven studies, between 50% and 74% in three studies, and below 50% (or were not reported) in 14 studies . Eight were multicentre studies . Indicators of instrument validity (eg internal consistency, content or criterion validity) were inconsistently reported (Table S2).…”

Section: Resultsmentioning

confidence: 99%

“…The eligible studies had been conducted in Europe, the USA and Australia, and included residents or licensed doctors from diverse specialties (emergency medicine, general practice, internal medicine, paediatrics, psychiatry, radiology, surgery and mixed specialty samples) (Table ). All studies measured the outcomes of an MBI immediately after the intervention, and four studies also measured outcomes after 2 months or 3 months …”

Section: Resultsmentioning

confidence: 99%

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The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

et al. 2019

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Objectives:The well-being of doctors is at risk, as evidenced by high burnout rates amongst doctors around the world. Alarmingly, burned-out doctors are more likely to exhibit low levels of professionalism and provide suboptimal patient care. Research suggests that burnout and the well-being of doctors can be improved by mindfulness-based interventions (MBIs). Furthermore, MBIs may improve doctors' performance (eg in empathy). However, there are no published systematic reviews that clarify the effects of MBIs on doctor well-being or performance to inform future research and professional development programmes. We therefore systematically reviewed and narratively synthesised findings on the impacts of MBIs on doctors' well-being and performance. Methods:We searched PubMed and PsycINFO from inception to 9 May 2018 and independently reviewed studies investigating the effects of MBIs on doctor wellbeing or performance. We systematically extracted data and assessed study quality according to the Medical Education Research Study Quality Instrument (MERSQI), and narratively reported study findings. Results:We retrieved a total of 934 articles, of which 24 studies met our criteria; these included randomised, (un)controlled or qualitative studies of average quality. Effects varied across MBIs with different training contents or formats: MBIs including essential mindfulness training elements, or employing group-based training, mostly showed positive effects on the well-being or performance of doctors across different educational and hospital settings. Doctors perceived both benefits (enhanced self-and otherunderstanding) and challenges (time limitations and feasibility) associated with MBIs.Findings were subject to the methodological limitations of studies (eg the use of selfselected participants, lack of placebo interventions, use of self-reported outcomes). Conclusions: This review indicates that doctors can perceive positive impacts ofMBIs on their well-being and performance. However, the evidence was subject to methodological limitations and does not yet support the standardisation of MBIs in professional development programmes. Rather, health care organisations could consider including group-based MBIs as voluntary modules for doctors with specific well-being needs or ambitions regarding professional development. | 139 SCHEEPERS Et al.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

et al. 2019

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“…Mindfulness programmes have achieved tangible effects in reducing burnout in healthcare personnel (Eby et al, 2019;Eriksson, Germundsjö, Åström, & Rönnlund, 2018;Hamilton-West, Pellatt-Higgins, & Pillai, 2018;Lu et al, 2019) and even in nursing students (Song & Lindquist, 2015). Their positive effect has also been demonstrated in studies with nurses, although the types of intervention vary and different effect sizes have been reported (Dos Santos et al, 2016;Slatyer, Craigie, Heritage, Davis, & Rees, 2018).…”

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confidence: 99%

The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis

Suleiman‐Martos

Gómez‐Urquiza

Aguayo‐Estremera

et al. 2020

Journal of Advanced Nursing

140

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Aim To analyse the effect of mindfulness training on levels of burnout among nurses. Background Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout. Design Systematic review and meta‐analysis. Data sources The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation ‘Nurs * AND burnout AND mindfulness’. There was no restriction on the year of publication. Review methods Papers were selected for analysis in accordance with the PRISMA guidelines. The meta‐analysis was carried out using Review Manager 5.3 software. Results The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups. Conclusion Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.

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“…30 31 Accordingly, several studies show similar results for MBIs in physicians. [32][33][34][35][36][37][38] In addition to improving physicians' mental health and well-being these studies also show that MBIs improve the quality of treatment. [39][40][41][42] Consistent with these findings, preliminary studies reported beneficial effects of MBIs in residents.…”

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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Does a modified mindfulness-based cognitive therapy (MBCT) course have the potential to reduce stress and burnout in NHS GPs? Feasibility study

Abstract: Background: There is a crisis of low morale among NHS GPs, with most describing their

Cited by 30 publications

References 22 publications

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis

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

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