Literature DB >> 30202383

A Brief Mindfulness-Based Intervention for Primary Care Physicians: A Pilot Randomized Controlled Trial.

David A Schroeder1,2,3,4,5, Elizabeth Stephens1,2,3,4,5, Dharmakaya Colgan1,2,3,4,5, Matthew Hunsinger1,2,3,4,5, Dan Rubin1,2,3,4,5, Michael S Christopher1,2,3,4,5.   

Abstract

Primary care physicians experience high rates of burnout, which results in diminished quality of life, poorer quality of care, and workforce attrition. In this randomized controlled trial, our primary aim was to examine the impact of a brief mindfulness-based intervention (MBI) on burnout, stress, mindfulness, compassion, and resilience among physicians. A total of 33 physicians completed the baseline assessment and were randomized to the Mindful Medicine Curriculum (MMC; n = 17) or waitlist control group (n = 16). Participants completed self-report measures at baseline, post-MBI, and 3-month follow-up. We also analyzed satisfaction with doctor communication (DCC) and overall doctor rating (ODR) data from patients of the physicians in our sample. Participants in the MMC group reported significant improvements in stress (P < .001), mindfulness (P = .05), emotional exhaustion (P = .004), and depersonalization (P = .01) whereas in the control group, there were no improvements on these outcomes. Although the MMC had no impact on patient-reported DCC or ODR, among the entire sample at baseline, DCC and ODR were significantly correlated with several physician outcomes, including resilience and personal achievement. Overall, these findings suggest that a brief MBI can have a positive impact on physician well-being and potentially enhance patient care.

Entities:  

Keywords:  burnout; mindfulness; perceived stress; resilience

Year:  2016        PMID: 30202383      PMCID: PMC6125016          DOI: 10.1177/1559827616629121

Source DB:  PubMed          Journal:  Am J Lifestyle Med        ISSN: 1559-8276


  23 in total

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Journal:  Arch Intern Med       Date:  2012-10-08

Review 5.  Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review.

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Journal:  J Evid Based Complementary Altern Med       Date:  2014-07-22

6.  A global measure of perceived stress.

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Journal:  J Health Soc Behav       Date:  1983-12

Review 7.  Meditation programs for psychological stress and well-being: a systematic review and meta-analysis.

Authors:  Madhav Goyal; Sonal Singh; Erica M S Sibinga; Neda F Gould; Anastasia Rowland-Seymour; Ritu Sharma; Zackary Berger; Dana Sleicher; David D Maron; Hasan M Shihab; Padmini D Ranasinghe; Shauna Linn; Shonali Saha; Eric B Bass; Jennifer A Haythornthwaite
Journal:  JAMA Intern Med       Date:  2014-03       Impact factor: 21.873

8.  Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians.

Authors:  Michael S Krasner; Ronald M Epstein; Howard Beckman; Anthony L Suchman; Benjamin Chapman; Christopher J Mooney; Timothy E Quill
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Authors:  Neda Ratanawongsa; Debra Roter; Mary Catherine Beach; Shivonne L Laird; Susan M Larson; Kathryn A Carson; Lisa A Cooper
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  21 in total

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2.  Mindfulness for Healthcare Providers: The Role of Non-Reactivity in Reducing Stress.

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Journal:  Explore (NY)       Date:  2018-08-18       Impact factor: 1.775

3.  Interventions to Improve Mental Health, Well-Being, Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review.

Authors:  Bernadette Mazurek Melnyk; Stephanie A Kelly; Janna Stephens; Kerry Dhakal; Colleen McGovern; Sharon Tucker; Jacqueline Hoying; Kenya McRae; Samantha Ault; Elizabeth Spurlock; Steven B Bird
Journal:  Am J Health Promot       Date:  2020-04-27

4.  Mindful Nonreactivity Moderates the Relationship between Chronic Stress and Pain Interference in Law Enforcement Officers.

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Journal:  J Police Crim Psychol       Date:  2019-06-27

5.  What Is the State of Compassion Education? A Systematic Review of Compassion Training in Health Care.

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Journal:  Acad Med       Date:  2021-07-01       Impact factor: 7.840

6.  American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases.

Authors:  Chelsea E Modlin; Andrea C Vilorio; Benjamin Stoff; Dawn L Comeau; Tewodros H Gebremariam; Miliard Derbew; Henry M Blumberg; Carlos Del Rio; Russell R Kempker
Journal:  Am J Trop Med Hyg       Date:  2021-11-01       Impact factor: 2.345

7.  Psychological interventions to foster resilience in healthcare professionals.

Authors:  Angela M Kunzler; Isabella Helmreich; Andrea Chmitorz; Jochem König; Harald Binder; Michèle Wessa; Klaus Lieb
Journal:  Cochrane Database Syst Rev       Date:  2020-07-05

8.  Efficacy of 8- and 4-Session Mindfulness-Based Interventions in a Non-clinical Population: A Controlled Study.

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Journal:  Front Psychol       Date:  2017-08-08

9.  Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol.

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Journal:  BMC Fam Pract       Date:  2019-02-06       Impact factor: 2.497

10.  Brief Yoga Intervention for Dental and Dental Hygiene Students: A Feasibility and Acceptability Study.

Authors:  Sarah Ellen Braun; George Deeb; Caroline Carrico; Patricia A Kinser
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