- A study version is represented by a row in the table.
- Select two study versions to compare. One each from columns A and B.
- Choose either the "Merged" or "Side-by-Side" comparison format to specify how the two study versions are to be displayed. The Side-by-Side format only applies to the Protocol section of the study.
- Click "Compare" to do the comparison and show the differences.
- Select a version's Submitted Date link to see a rendering of the study for that version.
- The yellow A/B choices in the table indicate the study versions currently compared below. A yellow table row indicates the study version currently being viewed.
- Hover over the "Recruitment Status" to see how the study's recruitment status changed.
- Study edits or deletions are displayed in red.
- Study additions are displayed in green.
RT @DevenPatelMD: @ariananaaseh @GenSurg_CS we are provided with protected time for mindfulness meditation by going through a weekly course…
RT @DevenPatelMD: @ariananaaseh @GenSurg_CS we are provided with protected time for mindfulness meditation by going through a weekly course…
17 Apr 2022
@ariananaaseh @GenSurg_CS we are provided with protected time for mindfulness meditation by going through a weekly course developed at @UCSFSurgery -Enhanced Stress Resilience Training (ESRT)! Check out this pilot RCT: //t.co/N0XjqhXtpd @Lauren_Evans
17 Apr 2022
Mindfulness meditation can help increase stress resiliency among healthcare workers, therefore also combating burnout. Why aren’t hospitals offering more care incentives to their workers? Am I the only one thinking this? //t.co/Ufovsukqge
17 Aug 2021This page shows the most recent tweets that mention this research output.
Click here to find out how to access more activity, including 53 additional tweets.
This website uses cookies. By continuing to use this website you are giving consent to cookies being used. For information on cookies and how you can disable them visit our Privacy and Cookie Policy.
Got it, thanks!Effectiveness of mindfulness-based interventions on psychological well-being, burnout and post-traumatic stress disorder among nurses: A systematic review and meta-analysis.
Investigation of the effectiveness of mindfulness-based interventions on psychological well-being, burnout and post-traumatic stress disorder symptoms among working registered nurses revealed that MBI was more effective than passive comparators in reducing psychological distress, stress, depression and burnout-personal accomplishment.
SHOWING 1-10 OF 67 REFERENCES
SORT BYRelevanceMost Influenced PapersRecency
Resilience Training for Work-Related Stress Among Health Care Workers: Results of a Randomized Clinical Trial Comparing In-Person and Smartphone-Delivered Interventions
Findings suggest that brief, targeted interventions improve psychological outcomes and point to the need for larger scale studies comparing the individual and combined treatments that can inform development of tailored, effective, and low-cost programs for health care workers.
- View 1 excerpt, references background
1. Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? resilience strategies of experienced physicians. Acad Med. 2013;88(3):-. doi: 10.1097/ACM.0b013e318281696b [PubMed] [CrossRef] [Google Scholar]
2. Shanafelt TD, Hasan O, Dyrbye LN, et al.. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600-1613. doi: 10.1016/j.mayocp.2015.08.023 [PubMed] [CrossRef] [Google Scholar]
3. Balch CM, Copeland E. Stress and burnout among surgical oncologists: a call for personal wellness and a supportive workplace environment. Ann Surg Oncol. 2007;14(11):3029-3032. doi: 10.1245/s10434-007-9588-0 [PubMed] [CrossRef] [Google Scholar]
4. Shanafelt TD, Balch CM, Bechamps G, et al.. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi: 10.1097/SLA.0b013e3181bfdab3 [PubMed] [CrossRef] [Google Scholar]
5. Scheepers RA, Boerebach BC, Arah OA, Heineman MJ, Lombarts KM. A systematic review of the impact of physicians’ occupational well-being on the quality of patient care. Int J Behav Med. 2015;22(6):683-698. doi: 10.1007/s12529-015-9473-3 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
6. Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med. 2000;15(2):122-128. doi: 10.1046/j.1525-1497.2000.02219.x [PMC free article] [PubMed] [CrossRef] [Google Scholar]
7. DiMatteo MR, Sherbourne CD, Hays RD, et al.. Physicians’ characteristics influence patients’ adherence to medical treatment: results from the Medical Outcomes Study. Health Psychol. 1993;12(2):93-102. doi: 10.1037/0278-6133.12.2.93 [PubMed] [CrossRef] [Google Scholar]
8. Del Canale S, Louis DZ, Maio V, et al.. The relationship between physician empathy and disease complications: an empirical study of primary care physicians and their diabetic patients in Parma, Italy. Acad Med. 2012;87(9):1243-1249. doi: 10.1097/ACM.0b013e3182628fbf [PubMed] [CrossRef] [Google Scholar]
9. Sinsky CA, Dyrbye LN, West CP, Satele D, Tutty M, Shanafelt TD. Professional satisfaction and the career plans of US physicians. Mayo Clin Proc. 2017;92(11):1625-1635. doi: 10.1016/j.mayocp.2017.08.017 [PubMed] [CrossRef] [Google Scholar]
10. Dyrbye LN, Trockel M, Frank E, et al.. Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Ann Intern Med. 2017;166(10):743-744. doi: 10.7326/M16-2956 [PubMed] [CrossRef] [Google Scholar]
11. Shirley ED, Sanders JO. Patient satisfaction: Implications and predictors of success. J Bone Joint Surg Am. 2013;95(10):e69. doi: 10.2106/JBJS.L.01048 [PubMed] [CrossRef] [Google Scholar]
12. Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12(6):573-576. doi: 10.1370/afm.1713 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
13. Campbell J, Prochazka AV, Yamashita T, Gopal R. Predictors of persistent burnout in internal medicine residents: a prospective cohort study. Acad Med. 2010;85(10):1630-1634. doi: 10.1097/ACM.0b013e3181f0c4e7 [PubMed] [CrossRef] [Google Scholar]
14. Elmore LC, Jeffe DB, Jin L, Awad MM, Turnbull IR. National survey of burnout among US general surgery residents. J Am Coll Surg. 2016;223(3):440-451. doi: 10.1016/j.jamcollsurg.2016.05.014 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
15. Lebares CC, Guvva EV, Ascher NL, O’Sullivan PS, Harris HW, Epel ES. Burnout and stress among US surgery residents: psychological distress and resilience. J Am Coll Surg. 2018;226(1):80-90. doi: 10.1016/j.jamcollsurg.2017.10.010 [PubMed] [CrossRef] [Google Scholar]
16. Liston C, McEwen BS, Casey BJ. Psychosocial stress reversibly disrupts prefrontal processing and attentional control. Proc Natl Acad Sci U S A. 2009;106(3):912-917. doi: 10.1073/pnas.0807041106 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
17. Karlamangla AS, Singer BH, McEwen BS, Rowe JW, Seeman TE. Allostatic load as a predictor of functional decline. MacArthur studies of successful aging. J Clin Epidemiol. 2002;55(7):696-710. doi: 10.1016/S0895-4356(02)00399-2 [PubMed] [CrossRef] [Google Scholar]
18. McEwen BS. In pursuit of resilience: stress, epigenetics, and brain plasticity. Ann N Y Acad Sci. 2016;1373(1):56-64. doi: 10.1111/nyas.13020 [PubMed] [CrossRef] [Google Scholar]
19. Eskildsen A, Andersen LP, Pedersen AD, Vandborg SK, Andersen JH. Work-related stress is associated with impaired neuropsychological test performance: a clinical cross-sectional study. Stress. 2015;18(2):198-207. [PubMed] [Google Scholar]
20. Arora S, Sevdalis N, Aggarwal R, Sirimanna P, Darzi A, Kneebone R. Stress impairs psychomotor performance in novice laparoscopic surgeons. Surg Endosc. 2010;24(10):2588-2593. doi: 10.1007/s00464-010-1013-2 [PubMed] [CrossRef] [Google Scholar]
21. Wetzel CM, Kneebone RL, Woloshynowych M, et al.. The effects of stress on surgical performance. Am J Surg. 2006;191(1):5-10. doi: 10.1016/j.amjsurg.2005.08.034 [PubMed] [CrossRef] [Google Scholar]
22. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X [PubMed] [CrossRef] [Google Scholar]
23. van Dijk N, Hooft L, Wieringa-de Waard M. What are the barriers to residents’ practicing evidence-based medicine? a systematic review. Acad Med. 2010;85(7):1163-1170. doi: 10.1097/ACM.0b013e3181d4152f [PubMed] [CrossRef] [Google Scholar]
24. Krasner MS, Epstein RM, Beckman H, et al.. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302(12):1284-1293. doi: 10.1001/jama.2009.1384 [PubMed] [CrossRef] [Google Scholar]
25. West CP, Dyrbye LN, Rabatin JT, et al.. Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med. 2014;174(4):527-533. doi: 10.1001/jamainternmed.2013.14387 [PubMed] [CrossRef] [Google Scholar]
26. Amutio A, Martínez-Taboada C, Delgado LC, Hermosilla D, Mozaz MJ. Acceptability and effectiveness of a long-term educational intervention to reduce physicians’ stress-related conditions. J Contin Educ Health Prof. 2015;35(4):255-260. doi: 10.1097/CEH.0000000000000002 [PubMed] [CrossRef] [Google Scholar]
27. Lo K, Waterland J, Todd P, et al.. Group interventions to promote mental health in health professional education: a systematic review and meta-analysis of randomised controlled trials. Adv Health Sci Educ Theory Pract. 2018;23(2):413-447. doi: 10.1007/s10459-017-9770-5 [PubMed] [CrossRef] [Google Scholar]
28. Flook L, Goldberg SB, Pinger L, Bonus K, Davidson RJ. Mindfulness for teachers: a pilot study to assess effects on stress, burnout and teaching efficacy. Mind Brain Educ. 2013;7(3):182-195. doi: 10.1111/mbe.12026 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Jacobs TL, Epel ES, Lin J, et al.. Intensive meditation training, immune cell telomerase activity, and psychological mediators. Psychoneuroendocrinology. 2011;36(5):664-681. doi: 10.1016/j.psyneuen.2010.09.010 [PubMed] [CrossRef] [Google Scholar]
30. Kok BE, Singer T. Phenomenological fingerprints of four meditations: differential state changes in affect, mind-wandering, meta-cognition, and interoception before and after daily practice across 9 months of training. Mindfulness (N Y). 2017;8(1):218-231. doi: 10.1007/s12671-016-0594-9 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
31. Johnson DC, Thom NJ, Stanley EA, et al.. Modifying resilience mechanisms in at-risk individuals: a controlled study of mindfulness training in Marines preparing for deployment. Am J Psychiatry. 2014;171(8):844-853. doi: 10.1176/appi.ajp.2014.13040502 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
32. Hölzel BK, Lazar SW, Gard T, Schuman-Olivier Z, Vago DR, Ott U. How does mindfulness meditation work? proposing mechanisms of action from a conceptual and neural perspective. Perspect Psychol Sci. 2011;6(6):537-559. doi: 10.1177/1745691611419671 [PubMed] [CrossRef] [Google Scholar]
33. Ricard M, Lutz A, Davidson RJ. Mind of the meditator. Sci Am. 2014;311(5):38-45. doi: 10.1038/scientificamerican1114-38 [PubMed] [CrossRef] [Google Scholar]
34. Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness New York: Bantam Books; 2013. [Google Scholar]
35. Jha AP, Stanley EA, Kiyonaga A, Wong L, Gelfand L. Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion. 2010;10(1):54-64. doi: 10.1037/a0018438 [PubMed] [CrossRef] [Google Scholar]
36. Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits: a meta-analysis. J Psychosom Res. 2004;57(1):35-43. doi: 10.1016/S0022-3999(03)00573-7 [PubMed] [CrossRef] [Google Scholar]
37. Seppälä EM, Nitschke JB, Tudorascu DL, et al.. Breathing-based meditation decreases posttraumatic stress disorder symptoms in US military veterans: a randomized controlled longitudinal study. J Trauma Stress. 2014;27(4):397-405. doi: 10.1002/jts.21936 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
38. Fernando A, Consedine N, Hill AG. Mindfulness for surgeons. ANZ J Surg. 2014;84(10):722-724. doi: 10.1111/ans.12695 [PubMed] [CrossRef] [Google Scholar]
39. Goldhagen BE, Kingsolver K, Stinnett SS, Rosdahl JA. Stress and burnout in residents: impact of mindfulness-based resilience training. Adv Med Educ Pract. 2015;6:525-532. [PMC free article] [PubMed] [Google Scholar]
40. Ames SE, Cowan JB, Kenter K, Emery S, Halsey D. Burnout in orthopaedic surgeons: a challenge for leaders, learners and colleagues: AOA critical issues. J Bone Joint Surg Am. 2017;99(14):e78. [PubMed] [Google Scholar]
41. Parker MJ, Manan A, Duffett M. Rapid, easy, and cheap randomization: prospective evaluation in a study cohort. Trials. 2012;13:90. doi: 10.1186/1745-6215-13-90 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
42. Finucane A, Mercer SW. An exploratory mixed methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry. 2006;6:14. doi: 10.1186/1471-244X-6-14 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
43. MacCoon DG, Imel ZE, Rosenkranz MA, et al.. The validation of an active control intervention for Mindfulness Based Stress Reduction (MBSR). Behav Res Ther. 2012;50(1):3-12. doi: 10.1016/j.brat.2011.10.011 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
44. Davidson RJ, Kaszniak AW. Conceptual and methodological issues in research on mindfulness and meditation. Am Psychol. 2015;70(7):581-592. doi: 10.1037/a0039512 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
45. Allen M, Dietz M, Blair KS, et al.. Cognitive-affective neural plasticity following active-controlled mindfulness intervention. J Neurosci. 2012;32(44):15601-15610. doi: 10.1523/JNEUROSCI.2957-12.2012 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
46. Bowen DJ, Kreuter M, Spring B, et al.. How we design feasibility studies. Am J Prev Med. 2009;36(5):452-457. doi: 10.1016/j.amepre.2009.02.002 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
47. Devilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000;31(2):73-86. doi: 10.1016/S0005-7916(00)00012-4 [PubMed] [CrossRef] [Google Scholar]
48. Hölzel BK, Carmody J, Evans KC, et al.. Stress reduction correlates with structural changes in the amygdala. Soc Cogn Affect Neurosci. 2010;5(1):11-17. doi: 10.1093/scan/nsp034 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
49. Cornum R, Matthews MD, Seligman ME. Comprehensive soldier fitness: building resilience in a challenging institutional context. Am Psychol. 2011;66(1):4-9. doi: 10.1037/a0021420 [PubMed] [CrossRef] [Google Scholar]
50. Kok BE, Singer T. Effects of contemplative dyads on engagement and perceived social connectedness over 9 months of mental training: a randomized clinical trial. JAMA Psychiatry. 2017;74(2):126-134. doi: 10.1001/jamapsychiatry.2016.3360 [PubMed] [CrossRef] [Google Scholar]
51. Mistretta EG, Davis MC, Temkit M, Lorenz C, Darby B, Stonnington CM. Resilience training for work-related stress among health care workers: results of a randomized clinical trial comparing in-person and smartphone-delivered interventions. J Occup Environ Med. 2018;60(6):559-568. [PubMed] [Google Scholar]
52. Tang YY, Hölzel BK, Posner MI. The neuroscience of mindfulness meditation. Nat Rev Neurosci. 2015;16(4):213-225. doi: 10.1038/nrn3916 [PubMed] [CrossRef] [Google Scholar]
53. Rahl HA, Lindsay EK, Pacilio LE, Brown KW, Creswell JD. Brief mindfulness meditation training reduces mind wandering: the critical role of acceptance. Emotion. 2017;17(2):224-230. doi: 10.1037/emo0000250 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
54. Lindsay EK, Young S, Smyth JM, Brown KW, Creswell JD. Acceptance lowers stress reactivity: dismantling mindfulness training in a randomized controlled trial. Psychoneuroendocrinology. 2018;87:63-73. doi: 10.1016/j.psyneuen.2017.09.015 [PubMed] [CrossRef] [Google Scholar]
55. Deuster PA, OʼConnor FG. Human performance optimization: culture change and paradigm shift. J Strength Cond Res. 2015;29(11)(suppl 11):S52-S56. doi: 10.1519/JSC.0000000000001118 [PubMed] [CrossRef] [Google Scholar]
56. Deuster PA, Schoomaker E. Mindfulness: a fundamental skill for performance sustainment and enhancement. J Spec Oper Med. 2015;15(1):93-99. [PubMed] [Google Scholar]
57. Wagstaff CR. Emotion regulation and sport performance. J Sport Exerc Psychol. 2014;36(4):401-412. doi: 10.1123/jsep.2013-0257 [PubMed] [CrossRef] [Google Scholar]
58. Stefanidis D, Anton NE, Howley LD, et al.. Effectiveness of a comprehensive mental skills curriculum in enhancing surgical performance: results of a randomized controlled trial. Am J Surg. 2017;213(2):318-324. doi: 10.1016/j.amjsurg.2016.10.016 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
59. Panagioti M, Panagopoulou E, Bower P, et al.. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674 [PubMed] [CrossRef] [Google Scholar]
Page 2
Practical and Conceptual Modifications to Mindfulness-Based Stress Reduction
| Practical | |||
| Class No. | 8 Classes total; orientation and week 1 combined | 9 Classes total; orientation plus weeks 1-8 | To use grand rounds summer hiatus, allow for mandatory boot-camp, but minimize missed grand rounds |
| Class duration | 2.0 h;Preserved in-class experiential time, shortened discussions and didactics, no break | 2.5 h;Emphasis on in-class experiential time,longer discussions and didactics, 10-min break | To use natural time period of morning rounds, without violating work hours, nor infringing on education and operating room time |
| Retreat length | 2- to 3-h meditative hike in local nature preserve, offered weeks 6 and 7 | 7 h silent retreat at local meditation center, offered week 6 | To acknowledge lack of fresh air and exercise in residents’ lives and to accommodate complex days-off schedule |
| Daily formal practice time | 20 min daily | 45 min daily | To recognize minimal discretionary time in residents’ day, to respect time for other necessary personal activities but not compromise training effectiveness |
| Closure | Debrief dinner at 12-mo follow-up | Exit assessment | To preserve partial blinding of longitudinal study but still allow for feedback and reflection |
| Class size, No. | 9-12 | 15-40 | Incidental (result of enrollment) |
| Conceptual | |||
| Class content | Shorter group discussion and didactics | Meditation and relaxation 1.0-1.5 h, 10-min break, 10- to 20-min group discussion, 10- to 20-min didactics | To preserve in-class experiential component and yet respect need for shortened class duration |
| Emphasis | Building a skill set for stress resilience in medicine | Creating a tool for life-long learning about one’s self and the world, which enhances health broadly | To emphasize the necessity for explicit training to promote individual well-being in residency and future practice |
| Contextualization | Specific application of concepts and skills to professional situations (ie, mindful communication with nurses and consults, breathing techniques for operating room stress and mindful walking on rounds) | Broader application of concepts and skills to interpersonal interactions of every kind | To explicitly address the most common and recurrent sources of perceived stress in surgery and provide specific for management, and frame routines as opportunities to habitualize informal practices |
| Expectation | Daily practice is a matter of ritual and discipline; it may be partly or largely informal due to reality of daily obligations | Daily practice is hard work but gentle persistent reorientation toward a committed formal practice is the goal | To recognize the tremendous daily burden of resident obligations and to reinforce that “a little mindfulness is better than none at all” |