Rosalind Franklin University, North Chicago, IL.
Advocate Children's Hospital, Park Ridge, IL.
Perm J. 2021 May;25. doi: 10.7812/TPP/20.250.
An expressive writing intervention, the Three-minute Mental Makeover (3MMM), was previously associated with reduced stress for practitioners, patients, and families. The goal of this follow-up study was to evaluate long-term use of writing and perspectives after participation in the 3MMM.
The original study involved patients and families in the neonatal and pediatric Intensive Care Units, inpatient units, and outpatient clinics of a children's hospital. Health-care practitioners led the intervention, writing concurrently with patients and families using the 3MMM intervention. Follow-up contact by phone was attempted for all original patient/family participants 12 to 18 months after completing the exercise. Practitioners were contacted via email 24 months after the original study. Participants were surveyed about the 3MMM and continued use of writing to cope with stressful situations. Original and follow-up survey responses were compared using the Mann-Whitney test.
Of the 96 original patient/family members, 61 individuals were reached, remembered the 3MMM, and agreed to participate in the follow-up study. Among the 61 participants, 52 (85%) agreed that the 3MMM had been helpful. Thirty-six (59%) reported using writing to help cope with stress at follow-up, compared to only 23 (38%) at baseline (P = 0.005). The majority of clinicians (87%) also continued to use the 3MMM in clinical practice following the original 3MMM study period and ranked it as both feasible (75%) and worth the time investment (75%).
The 3MMM demonstrated long-term perceived benefits and behavior changes. Findings provide preliminary support for using the 3MMM in routine clinical practice.
表达性写作干预，三分钟心理改造（3MMM），先前与从业者、患者和家属的压力减轻有关。本后续研究的目的是评估参与 3MMM 后长期的写作和观点。
原始研究涉及儿童医院新生儿和儿科重症监护病房、住院病房和门诊的患者和家属。医疗保健从业者主导了干预措施，与患者和家属同时使用 3MMM 干预进行写作。对所有原始患者/家庭参与者在完成练习后 12 至 18 个月进行了电话随访。在原始研究 24 个月后通过电子邮件联系了从业者。参与者就 3MMM 和继续使用写作来应对压力情况进行了调查。使用 Mann-Whitney 检验比较原始和随访调查结果。
在 96 名原始患者/家庭成员中，有 61 人联系上了，记得 3MMM，并同意参加随访研究。在 61 名参与者中，有 52 人（85%）认为 3MMM 有帮助。36 人（59%）报告在随访中使用写作来帮助应对压力，而基线时只有 23 人（38%）（P=0.005）。大多数临床医生（87%）在原始 3MMM 研究期间之后也继续在临床实践中使用 3MMM，并将其评为可行（75%）和值得时间投入（75%）。
3MMM 表现出长期的感知益处和行为变化。研究结果初步支持在常规临床实践中使用 3MMM。
