Danilewitz Marlon, Koszycki Diana, Maclean Heather, Sanchez-Campos Millaray, Gonsalves Carol, Archibald Douglas, Bradwejn Jacques
University of British Columbia, British Columbia, Canada.
Univeristy of Ottawa, Ontario, Canada.
Can Med Educ J. 2018 Nov 12;9(4):e15-e25. eCollection 2018 Nov.
The need to incorporate tools to promote medical student wellness in medical education is underscored by the concerning rates of psychological distress among them. The objective of this prospective cohort study was to obtain preliminary data on the feasibility and effectiveness of an online mindfulness intervention for medical student wellness.
A convenience sample of 52 medical students consented to participate in this study. Feasibility was assessed by ease of recruitment, number of modules completed, satisfaction with the program, and adherence to a regular meditation practice. Participants completed the Maslach Burnout Inventory, the Jefferson Scale of Empathy-medical student version, the Five Face of Mindfulness Questionnaire-short form, and the Self Compassion Scale-short form pre and post intervention.
The convenience sample was recruited within a two-month period. Forty-five participants completed at least one of seven modules. Descriptive statistics (mean±standard deviation) revealed that the mean number of modules completed was 4.85±2.7. Mean satisfaction with the modules was 7.07±1.1 out of 10. Adherence to a regular formal meditation practice was poor; the average amount of formal meditation practice per module was 34.14±27.44 minutes. Self-compassion and the "observe and describe" facets of mindfulness practice significantly statistically increased from baseline, but no such change was observed for levels of burnout and empathy.
The present study indicates that an online mindfulness meditation program may be of interest to medical students. The results did not provide any evidence that the program was effective but we believe further research and development is warranted.
医学生心理困扰发生率令人担忧，这凸显了在医学教育中纳入促进医学生身心健康工具的必要性。这项前瞻性队列研究的目的是获取关于在线正念干预对医学生身心健康的可行性和有效性的初步数据。
52名医学生的便利样本同意参与本研究。通过招募的难易程度、完成的模块数量、对该项目的满意度以及坚持定期冥想练习来评估可行性。参与者在干预前后完成了马氏职业倦怠量表、杰斐逊共情量表（医学生版）、正念五因素问卷简版和自我同情量表简版。
在两个月内招募了便利样本。45名参与者完成了七个模块中的至少一个。描述性统计（均值±标准差）显示，完成的模块平均数量为4.85±2.7个。对模块的平均满意度为7.07±1.1（满分10分）。坚持定期正式冥想练习的情况较差；每个模块的正式冥想练习平均时长为34.14±27.44分钟。自我同情和正念练习的“观察与描述”方面从基线水平有显著统计学增加，但倦怠和共情水平未观察到此类变化。
本研究表明，在线正念冥想项目可能受到医学生的关注。结果未提供该项目有效的任何证据，但我们认为有必要进一步研究和开发。
