Feasibility and Effectiveness of a Mindfulness-Based Program Vs. Relaxation in the Treatment of Burnout in Brazilian Primary Care Providers: a Mixed-Methods Pragmatic Controlled Study

Sopezki, Daniela; Andreoni, Solange; Montero-Marín, Jesús; Filho, Eno Dias de Castro; Fortes, Sandra; Lima, Gioconda Grandi de; Pizutti, Leandro Timm; Girão, Áthila Campos; Silva, Tânia Fernandes; Garcı́a-Campayo, Javier; Demarzo, Marcelo

doi:10.1007/s12671-020-01472-w

Cited by 4 publications

(12 citation statements)

References 70 publications

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“…Therefore, ten studies met the inclusion criteria for the qualitative analysis. For the metaanalysis, we removed two studies due to the impossibility of extracting the data [18,19] and another two studies that did not use the 22-item Maslach Burnout Inventory [20,22]. Therefore, we included six studies for the meta-analysis.…”

Section: Study Search Resultsmentioning

confidence: 99%

“…The type of MBI course varied between studies. One study used the Continuing Medical Evaluation (CME) course [15], three studies used the Mindfulness-Based Stress Reduction (MBSR) course [8,17,20], two used a modified MBSR course [18,19], two used the Mindful Medicine Curriculum (MMC) course [9,16], and two used the modified Mindfulness-Based Cognitive Therapy (MBCT) course [21,22]. A full description of each course can be found in the Supplementary Materials (Table S1).…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The participants were also requested to practice mindfulness activities daily (range 10-45 min) during the courses. Regarding the outcome measures, eight studies used the 22-item Maslach Burnout Inventory [8,9,[15][16][17][18][19]21], one study used the 20-item Maslach Burnout Inventory Dutch version [20], and one study used the 16-item Maslach Burnout Inventory Brazilian version [22]. After MBIs, the emotional exhaustion domain of burnout significantly decreased in seven studies (∆ = −22.1%, 95% CI, −28.2 to −16.0%) [8,9,[15][16][17][18]21], while the depersonalization domain decreased in six studies (∆ = −21.1%, 95% CI, −25.3 to −16.9%) [8,9,16,17,20,21].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The primary purpose of MBIs is to increase self-awareness in PHCP and help them cope with negative and stressful emotions during professional work [8,9,[15][16][17][18][19][20][21][22]. Regular mindfulness practice among PHCP cultivates clear thinking and compassion for themselves and others, and generates a great sense of emotional balance and well-being, which is paramount for increasing the quality of care provided [8,9,[15][16][17][18][19][20][21][22].…”

Section: Practical Implicationsmentioning

confidence: 99%

“…Primary care nurses are also considered a burnout risk group [11]. In this sense, over the last ten years, the medical literature has proposed practical approaches to reduce burnout in PHCP, including yoga [3] and mindfulness-based interventions (MBIs) [8,9,[15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

et al. 2021

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Mindfulness-based interventions (MBIs) are reported by experimental studies as practical approaches to reduce burnout in primary healthcare professionals (PHCP). However, to date, no research has synthesized the evidence to determine the overall effects of MBIs for reducing burnout in PHCP. We conducted a systematic review and meta-analysis to analyze the effects of MBIs to reduce burnout in PHCP. We searched articles in the PubMed/MEDLINE, Web of Science, Cochrane, and Scopus databases from inception to September 2021 using MeSH terms: “mindfulness”, “burnout”, and “primary healthcare”. Two reviewers extracted the data and assessed the risk of bias. We used a random-effects meta-analysis to calculate the standardized mean differences (SMD) and mean differences (MD) with 95% confidence intervals (CI) of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) domains of burnout. Of 61 records, ten were included (n = 417). Overall, the studies were rated as having a high risk of bias and limited quality evidence. MBIs significantly reduced EE (SMD = −0.54, 95%CI: −0.72 to −0.36; MD = −5.89, 95%CI: −7.72 to −4.05), DP (SMD = −0.34, 95%CI: −0.52 to −0.17; MD = −1.96, 95%CI: −2.96 to −0.95), and significantly increased PA (SMD = 0.34, 95%CI: 0.17 to 0.52; MD = 2.05, 95%CI: 1.04 to 3.06). Although further high-quality research is needed, our findings support the implementation of MBIs for reducing burnout in PHCP.

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Section: Study Search Resultsmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Practical Implicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

et al. 2021

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Effectiveness of mindfulness-based interventions on well-being and work-related stress in the financial sector: a systematic review and meta-analysis protocol

et al. 2022

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Background Work-related stress is a common phenomenon, often noticed in the employees of the finance sector. It mirrors counter effects on the wellness of employees, their mental well-being, and physical health. Mindfulness-based interventions (MBIs) raise awareness and attention to the present moment experiences by adopting coping skills. It is necessary to promote employee well-being and reduce work-related stress; hence, the need arises to associate between the level of mindfulness, employee well-being, and work-related stress. A systematic review on the effectiveness of MBIs in the finance sector is necessary to facilitate evidence for the future utility to reduce work-related stress and promote employee well-being. Methods In this review, randomized controlled trials, non-randomized control trials, cohort, and cross-sectional and case-control studies that assess the effectiveness of MBIs on the employees in the finance sector will be considered. We propose to perform a literature search which will be conducted from the years 2000 to 2021 on CINAHL, Cochrane Library, ProQuest, PubMed, Scopus, and Web of Science. The search terms will include controlled and accessible terms such as mindfulness-based interventions, mindfulness training, workplace, employees, workers, well-being, employee wellness, occupational health, and finance sector. The outcomes will include the effect on employee well-being and reduction in work-related stress. Two researchers will independently conduct the screening and data extraction and assess the risk of bias. Based on the availability of data, a meta-analysis will also be performed. This protocol follows the Preferred Reporting Items for Systematic reviews and Meta-Analysis-Protocol (PRISMA-P) guidelines. “Assessing the Methodological Quality of Systematic Reviews” will be used to assess the quality of this review. Discussion The review attempts to methodically analyse the effectiveness of MBIs among finance sector employees. It will foster to facilitate a detailed description and evidence-based overview of the effectiveness of MBIs on improving work-related stress, mindful awareness, and employee wellness and well-being in employees in the finance sector. The current study will provide an evidence base to researchers, academicians, and practitioners in the selection of mindfulness-based therapies for employees in the finance sector. Systematic review registration PROSPERO 2021 CRD42021249782

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The Relationship between Flow Experience and Burnout Symptoms: A Systematic Review

Aust

Beneke

Peifer

et al. 2022

IJERPH

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Background: In today’s performance-oriented society, burnout symptoms, defined as consequences of chronic work stress, are an increasing problem. To counteract this development, the important aims are (1) to find protective and modifiable factors that reduce the risk of developing and harboring burnout symptoms and (2) to understand the underlying mechanisms. A phenomenon potentially furthering both aims is flow experience. Based on the earlier literature, we developed a psycho-physiological “Flow-Burnout-Model”, which postulates positive or negative associations between flow and burnout symptoms, depending on the prevailing situational and personal conditions. Methods: To test our Flow-Burnout-Model, we conducted a systematic literature search encompassing flow and burnout symptoms. Eighteen empirical studies met the inclusion criteria and were analyzed. Results: The findings of the systematic review as a whole suggest a negative association between flow and burnout symptoms, both cross-sectional and longitudinal. According to the findings from longitudinal studies, flow can be interpreted as a protective factor against burnout symptoms, and burnout symptoms can be interpreted as a factor inhibiting flow. In our conclusion, we maintain the assumption of a bidirectional association between flow and burnout symptoms in the Flow-Burnout-Model but modify the initially suggested positive and negative associations between flow and burnout symptoms towards a predominantly negative relationship. Discussion: Mindful of the heterogeneous findings of earlier studies, the resulting comprehensive Flow-Burnout-Model will lay the foundations for future hypothesis-based research. This includes physiological mechanisms explaining the relationship between flow and burnout symptoms, and likewise, the conditions of their longitudinal association.

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Feasibility and Effectiveness of a Mindfulness-Based Program Vs. Relaxation in the Treatment of Burnout in Brazilian Primary Care Providers: a Mixed-Methods Pragmatic Controlled Study

Cited by 4 publications

References 70 publications

Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

Effectiveness of mindfulness-based interventions on well-being and work-related stress in the financial sector: a systematic review and meta-analysis protocol

The Relationship between Flow Experience and Burnout Symptoms: A Systematic Review

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