Loewenthal Julia, Dyer Natalie L, Lipsyc-Sharf Marla, Borden Sara, Mehta Darshan H, Dusek Jeffery A, Khalsa Sat Bir S
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts.
Glob Adv Health Med. 2021 Mar 10;10:21649561211001038. doi: 10.1177/21649561211001038. eCollection 2021.
Mind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for residents among multiple specialties and academic medical centers.
We conducted a waitlist controlled randomized clinical trial of the RISE program with residents from multiple specialty departments at three academic medical centers. The RISE program consisted of six weekly sessions with suggested home practice. Feasibility was assessed across six domains: demand, implementation, practicality, acceptability, adaptation, and integration. Self-reported measures of psychological health were collected at baseline, post-program, and two-month follow-up.
Among 2,000 residents contacted, 75 were assessed for eligibility and 56 were enrolled. Forty-four participants completed the study and were included in analysis. On average, participants attended two of six sessions. Feasibility of in-person attendance was rated as 28.9 (SD 25.6) on a 100-point visual analogue scale. Participants rated feasibility as 69.2 (SD 26.0) if the program was offered virtually. Those who received RISE reported improvements in mindfulness, stress, burnout, and physician well-being from baseline to post-program, which were sustained at two-month follow-up.
This is the first controlled study of a yoga-based MBI in residents. While the program was not feasible as delivered in this pilot study, initial analyses showed improvement in multiple measures of psychological health. Residents reported that virtual delivery would increase feasibility.
身心干预已被证明是缓解医生职业倦怠的有效的个体层面干预措施，但针对住院医师基于瑜伽的身心干预尚无对照研究。我们评估了一种名为RISE（恢复力、整合、自我意识、参与度）的基于瑜伽的身心干预对多个专科和学术医疗中心的住院医师的可行性。
我们在三个学术医疗中心对来自多个专科部门的住院医师进行了一项关于RISE项目的等待名单对照随机临床试验。RISE项目包括每周一次的六次课程，并建议进行家庭练习。从六个方面评估可行性：需求、实施、实用性、可接受性、适应性和整合性。在基线、项目结束后和两个月随访时收集心理健康的自我报告测量数据。
在联系的2000名住院医师中，75人接受了资格评估，56人入选。44名参与者完成了研究并纳入分析。参与者平均参加了六次课程中的两次。在100分的视觉模拟量表上，亲自参加的可行性评分为28.9（标准差25.6）。如果以虚拟方式提供该项目，参与者对可行性的评分为69.2（标准差26.0）。接受RISE干预的参与者从基线到项目结束后在正念、压力、职业倦怠和医生幸福感方面均有改善，且在两个月随访时得以维持。
这是第一项针对住院医师基于瑜伽的身心干预的对照研究。虽然在这项试点研究中所实施的项目不可行，但初步分析显示多项心理健康指标有所改善。住院医师报告称，虚拟授课将提高可行性。
