Virginia Commonwealth University, Department of Psychology, United States; Charleston Consortium Psychology Internship Program, United States.
Virginia Commonwealth University, Department of Internal Medicine, United States.
Complement Ther Med. 2020 Jun;51:102405. doi: 10.1016/j.ctim.2020.102405. Epub 2020 Apr 14.
To fill gaps in the literature on the effects of mindfulness for healthcare professionals (HCPs), the current pragmatic trial investigated feasibility, acceptability, and effectiveness of Mindfulness for Interdisciplinary Healthcare Professional (MIHP) students on stress and work-relevant outcomes in the absence of offering school-based incentives.
A partially randomized waitlist-controlled design (intention-to-treat sample: 22 in the mindfulness group, 26 in the control group) was employed.
MIHP is an eight-week intervention that incorporates meditation training, yoga, and discussion on the application of mindfulness principles to stressors commonly faced by HCPs and students.
Domains of feasibility and acceptability; Maslach Burnout Inventory and other validated measures of psychological functioning; cognitive task performance on the Trail Making Test A & B; and the Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire.
Results supported the feasibility and acceptability of MIHP but found randomization to be unacceptable. Small to large effects were found for MIHP, relative to the control group, on outcomes of burnout, perceived stress, mindfulness, and activity impairment. No effect of MIHP was found on cognitive performance or work productivity outcomes.
Preferential group allocation improved retention relative to randomization in the absence of school-based incentives. Results suggest that MIHP is feasible and acceptable and may have benefit for improving mindfulness and reducing burnout, stress, and activity impairment. Cognitive performance, work absenteeism, and work impairment did not change following MIHP. Results support future investigations into the effects of participant compensation on MIHP's dissemination and effectiveness.
填补医学专业人员（HCP）正念影响文献中的空白，当前的实用试验研究了在不提供基于学校的激励措施的情况下，Mindfulness for Interdisciplinary Healthcare Professional（MIHP）学生对压力和与工作相关结果的可行性、可接受性和效果。
采用部分随机候补对照设计（意向治疗样本：正念组 22 人，对照组 26 人）。
MIHP 是一项为期八周的干预措施，包括冥想训练、瑜伽以及讨论将正念原则应用于 HCP 和学生经常面临的压力源。
可行性和可接受性领域；马斯拉赫倦怠量表和其他经过验证的心理功能测量指标；Trail Making Test A 和 B 的认知任务表现；以及工作效率和活动障碍加课堂障碍问卷。
结果支持 MIHP 的可行性和可接受性，但发现随机分组不可接受。与对照组相比，MIHP 对倦怠、感知压力、正念和活动障碍的结果具有较小到较大的影响。MIHP 对认知表现或工作效率结果没有影响。
在没有基于学校的激励措施的情况下，偏好分组分配相对于随机分组提高了保留率。结果表明，MIHP 是可行和可接受的，可能有助于提高正念、减少倦怠、压力和活动障碍。认知表现、工作缺勤和工作障碍在接受 MIHP 后没有改变。结果支持未来对参与者补偿对 MIHP 传播和有效性的影响进行调查。
