Mindfulness in Motion Targeted to Sustaining the Mental and Physical Resilience of First Responders
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ohio State University
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Perceived Stress Scale (PSS-10)
Overview
Brief Summary
High levels of chronic and recurrent workplace stress can profoundly impact the physical, mental, and emotional health of first responders. A multi-modal evidence-based mindfulness intervention was delivered to cohorts of first responders to evaluate effects on perceived stress, resilience, work engagement, and musculoskeletal pain.
Detailed Description
The occupational stress experienced by first responders can result in decreased quality and safety of patient care, increased risk of first responder injury, and decreased organizational performance. Worksite mindfulness interventions have been shown to support decreases in occupational stress, as well as improved resilience and work engagement for other high stress professions. Mindfulness in Motion (MIM), an evidence-based mindfulness intervention, was adapted to target the specific occupational needs of first responders in a format that could be easily integrated into their workdays. Three cohorts of first responders received eight weekly synchronous mindfulness sessions with full access to the companion smartphone MIM app for six months after the core eight-week sessions were completed. Adaptations to the MIM content and experiential practices were informed by first responder feedback prior to the study. Self-report surveys to assess perceived stress, resilience, work engagement, and musculoskeletal pain were completed by first responder participants before participation in the intervention, at the end of the eight week intervention, and again six months after the intervention was completed.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Actively working as a community First Responder
- •18 years or older
- •Ability to understand and read English
- •Commitment to participation in the eight weekly virtual sessions, download the MIM smartphone app
- •Adequate Wi-Fi to access the MIM app content
Exclusion Criteria
- •First responder working in a hospital or healthcare setting
Arms & Interventions
Intervention Group
First responders participate in an eight-week, synchronous virtual mindfulness intervention, during work hours, with access to companion smartphone app to reinforce virtually presented content and support individual mindfulness practices.
Intervention: Mindfulness in Motion for First Responders (Behavioral)
Outcomes
Primary Outcomes
Perceived Stress Scale (PSS-10)
Time Frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
The Perceived Stress Scale-10 is a self-report measure of perceived stress that measures the degree to which situations in one's life over the past month are appraised as stressful. The 4-point Likert scale responses are 0=Never, 1=Almost Never, 2=Sometimes, 3=Fairly Often, and 4=Very Often. Individual scores are summed and range from 0 to 40 with higher scores indicating higher perceived stress.
Connor-Davidson Resilience Scale-10 (CD-RISC-10)
Time Frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
The Connor Davidson-Resilience Scale-10 is a 10-item self-report assessment of a person's ability to bounce back after adversity. A 5-point Likert scale for each statement ranges from 0=Not true at all to 4=True nearly all of the time. A respondents's total sum score can range from 0-40 with higher scores indicating higher resilience.
Utrecht Work Engagement Scale-0 (UWES-9)
Time Frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
A 9-item assessment of attitudes towards one's job. The Utrecht Work Engagement Scale-9 measures three dimensions: dedication, vigor, and absorption. All items are rated on a 7-point Likert scale ranging from 0=Never, 1=Almost Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Very Often, and 6=Always. Each sub scale time is summed and ranges from 0-18. Higher scores for each sub scale indicate higher dedication, vigor, and absorption with work.
Secondary Outcomes
- Modified Nordic Musculoskeletal Questionnaire (mNMQ)(Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention)
- Mindfulness in Motion smartphone app usage(Immediately after completion of the 8-week intervention)
- Mindfulness in Motion videos watched(immediately after completion of the 8-week intervention)
Investigators
Maryanna Klatt
Director of Integrative Health; Professor, Family Medicine
Ohio State University