正念干预保真度保证的必要环节：促成一项促进医疗保健专业人员福祉的组织战略。
The Necessary Thread of Mindfulness Intervention Fidelity Assurance: Enabling an Organizational Strategy to Promote Health Care Professional Well-Being.
作者信息
Klatt Maryanna D, Bawa Rani, Gabram Olivia, Westrick Alexis, Blake Amanda
机构信息
Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA.
Gabbe Health and Wellness, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
出版信息
Glob Adv Health Med. 2021 Oct 29;11:21649561211052902. doi: 10.1177/21649561211052902. eCollection 2021.
PURPOSE
A growing waitlist for Mindfulness in Motion (MIM), an evidence-based worksite mindfulness-based intervention, necessitated a training system with built in fidelity assurance to meet program demand. MIM was delivered as part of an organizational strategy in a large academic health center to enhance Health Care Professional (HCP) well-being. In order to ensure that the intervention was being delivered the same way to each cohort, a process to ensure intervention fidelity was developed for MIM.
METHOD
The core components of MIM informed the development of a detailed fidelity monitoring system to ensure consistent intervention delivery. Each MIM cohort was conducted with both trained facilitators and trained intervention fidelity monitors.
RESULTS
Across 11 cohort offerings of MIM, each 8 weeks in length, there was a mean adherence rate of 0.9886, SD = 0.0012.
CONCLUSION
The fidelity monitoring system allowed for a reliable expansion of MIM offerings to HCPs and for a seamless pivot to fully virtual MIM delivery, necessitated by COVID-19.
目的
“动态正念”（MIM）是一种基于证据的工作场所正念干预措施，其等候名单不断增加，因此需要一个具有保真度保证的培训系统来满足项目需求。MIM作为大型学术健康中心一项组织战略的一部分，用于提升医疗保健专业人员（HCP）的幸福感。为确保对每个群组都以相同方式实施干预，针对MIM开发了一个确保干预保真度的流程。
方法
MIM的核心组成部分为详细的保真度监测系统的开发提供了依据，以确保干预的一致实施。每个MIM群组都由经过培训的主持人和经过培训的干预保真度监测员共同开展。
结果
在MIM为期8周的11个群组课程中，平均依从率为0.9886，标准差=0.0012。
结论
保真度监测系统使MIM能够可靠地扩展至HCP群体，并在COVID-19疫情的影响下顺利过渡到完全虚拟的MIM授课模式。
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