Efficacy of a Mobile Health Mindfulness-based Intervention on Resident Well-being and Performance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 508
- 试验地点
- 2
- 主要终点
- Change in Stress Measured by the Perceived Stress Scale
研究概览
简要总结
This project aims to investigate the effectiveness of a meditation intervention utilizing a smart phone-based meditation app on resident burnout, well-being, and performance self-efficacy in a randomized clinical trial. 500 participants will be enrolled for a 4 week intervention.
详细描述
Burnout is an increasingly prevalent challenge in the medical field and especially prominent in residency. Burnout negatively affects learning and decision-making, physician performance, and patient outcomes. Studies have shown that mindfulness-based interventions are effective at reducing burnout and strengthening well-being in physicians. Furthermore, mobile health mindfulness-based interventions have similar benefits to in-person interventions while offering the advantages of increased scalability, lack of physical constraint, and lower costs. This project will use a novel mobile health MBI and measure resident burnout, well-being, and self-efficacy in performance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Resident in a high burnout rate specialty: family medicine, internal medicine, obstetrics and gynecology, emergency medicine, general surgery, or surgical sub-specialty (plastic surgery, urology, neurosurgery, orthopedic surgery, vascular surgery, cardiothoracic surgery, otolaryngology, ophthalmology)
排除标准
- •Participants who have previously used the HMP (a version of HMP has been freely available to the public since 2020)
- •Participants who have been practicing meditation daily or almost daily for the prior six months
研究组 & 干预措施
Waitlist Control
Participants will receive a list of well-being resources. They will be given access to HMP at the end of the study.
干预措施: Well-being Resources (Behavioral)
Healthy Minds Program (HMP) intervention
Participants will receive access to the 4-week HMP Foundations module. The HMP app is a meditation-based smartphone app designed to promote and protect psychological well-being through sustainable skills training. The program is grounded in constituents of psychological well-being identified in empirical literature. HMP provides core content, with instruction administered through a curriculum of guided practices. HMP is based on research on eudaimonic well-being (e.g., environmental mastery, purpose) and brain-based skills that underlie these qualities (e.g., regulation of attention, mental flexibility). The full HMP has guided audio practices that address 4 constituents of well-being: awareness, connection, insight, and purpose. At post-treatment, participants will be given access to additional HMP content to support their continued practice.
干预措施: Healthy Minds Program App (Behavioral)
结局指标
主要结局
Change in Stress Measured by the Perceived Stress Scale
时间窗: baseline, week 1, week 2, week 3, week 4, 3 months
The Perceived Stress Scale is a 10-item scale where participants report their level of perceived stress (e.g., "In the last week, how often have you felt nervous and 'stressed'?"). It is scored on a 5-point Likert scale where 0 = "never" to 4 = "very often." Total scores range from 0 to 40 where higher scores indicate greater perceived stress.
次要结局
- Change in Burnout Measured by the Abbreviated Maslach Burnout Inventory: Depersonalization and Emotional Exhaustion Dimensions(baseline, 4 weeks, 3 months)
- Change in Sleep Disturbance Measured by Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Score(baseline, 4 weeks, 3 months)
- Change in Flourishing Measured by the Flourishing Index Score(baseline, 4 weeks, 3 months)
- Change in Burnout Measured by the Abbreviated Maslach Burnout Inventory: Personal Accomplishment Dimension(baseline, 4 weeks, 3 months)
- Change in Healthy Minds Index (HM Index)(baseline, week 1, week 2, week 3, week 4, 3 months)
- Change in Self-efficacy of Performance Measured by self-report on Accreditation Council for Graduate Medical Education (ACGME) Residency Milestones(baseline, 4 weeks, 3 months)
- Change in Meaning in Life Measured by NIH Toolbox Meaning and Purpose Score(baseline, 4 weeks, 3 months)
- Change in Resilience Measured by the Brief Resilience SCale(baseline, 4 weeks, 3 months)
- Change in Connection Measured by NIH Toolbox Loneliness Score(baseline, 4 weeks, 3 months)
- Change in Awareness Measured by Five Facet Mindfulness Questionnaire Acting with Awareness Subscale Score(baseline, 4 weeks, 3 months)
- Change in General Self-Efficacy Measured by the General Self-Efficacy Scale(baseline, 4 weeks, 3 months)