Zimmaro Lauren A, Moss Aleeze, Reibel Diane K, Handorf Elizabeth A, Reese Jennifer B, Fang Carolyn Y
Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
Myrna Brind Center for Mindfulness, Marcus Institute of Integrative Health-Jefferson Health, Department of Integrative Medicine and Nutritional Sciences, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Behav Sci (Basel). 2021 Oct 18;11(10):139. doi: 10.3390/bs11100139.
Healthcare employees often experience high stress and may benefit from accessible psychosocial interventions. In this pilot study, we explored preliminary feasibility, acceptability, and psychological effects of a telephone-based adaption of mindfulness-based stress reduction (MBSR) for healthcare employees. Eleven participants (M age = 49.9; 27.3% ethnic/racial minority) were enrolled in an eight-session group-based MBSR program adapted for telephone delivery. Feasibility was assessed using rates of program attrition and session completion; acceptability was explored qualitatively via participants' responses to an open-ended item about their program experience. Participants also completed pre-and post-program assessments on psychosocial outcomes (distress (overall distress, depression, anxiety, somatization), mindfulness, and self-compassion). We characterized mean change scores, 95% confidence intervals, and effect sizes to explore preliminary program effects. With regard to preliminary feasibility, one participant dropped out prior to the intervention; of the remaining 10 participants, 90% completed at least half (≥4) of the sessions; 70% completed at least three-quarters (≥6 sessions). Feedback reflected positive experiences and included suggestions for program delivery. Participants reported reductions in distress post-program (M difference range = -5.0 to -9.4), showing medium to large effect sizes ( range = 0.68 to 1.11). Mindfulness scores increased from pre- to post-intervention (M difference range = 1.0 to 10.4), with small-to-medium effects ( range = 0.18 to 0.55). Almost all aspects of self-compassion remained stable over time, with the exception of common humanity, which increased post-program (M difference = 2.9, CI 95% 0.5 to 5.4, = 0.91). Preliminary findings from our small pilot trial suggest that telephone-based adaptations of MBSR may be a useful mode of delivery for healthcare employees; however, larger studies are needed to provide further evidence of feasibility, acceptability, and program effects.
医护人员经常承受高压力，可能会受益于易获得的心理社会干预措施。在这项试点研究中，我们探讨了基于电话的正念减压疗法（MBSR）对医护人员的初步可行性、可接受性和心理影响。11名参与者（平均年龄 = 49.9岁；27.3%为少数族裔/种族）参加了一个为期八节的基于小组的MBSR项目，该项目适用于电话授课。通过项目损耗率和课程完成率评估可行性；通过参与者对关于他们项目体验的开放式问题的回答，定性地探索可接受性。参与者还在项目前后完成了关于心理社会结果（痛苦（总体痛苦、抑郁、焦虑、躯体化）、正念和自我同情）的评估。我们对平均变化分数、95%置信区间和效应大小进行了描述，以探索项目的初步效果。关于初步可行性，一名参与者在干预前退出；其余10名参与者中，90%完成了至少一半（≥4节）的课程；70%完成了至少四分之三（≥6节）的课程。反馈反映了积极的体验，并包括了对项目授课的建议。参与者报告称项目后痛苦有所减轻（平均差异范围 = -5.0至 -9.4），显示出中等到较大的效应大小（范围 = 0.68至1.11）。正念分数从干预前到干预后有所增加（平均差异范围 = 1.0至10.4），效应为小到中等（范围 = 0.18至0.55）。除了共同人性在项目后有所增加（平均差异 = 2.9，95%置信区间0.5至5.4，效应大小 = 0.91）外，自我同情的几乎所有方面随时间保持稳定。我们小型试点试验的初步结果表明，基于电话的MBSR改编版可能是医护人员有用的授课方式；然而，需要更大规模的研究来提供关于可行性、可接受性和项目效果的进一步证据。
