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Acceptability and Effectiveness of a Long-Term Educational Intervention to Reduce Physicians' Stress-Related Conditions.

The Journal of continuing education in the health professions
January 1, 2015
Alberto Amutio et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to test the acceptability and effectiveness of a mindfulness-based stress reduction program in alleviating work stress-related symptoms (burnout, HR, BP) among physicians.

Results Summary

The study found significant improvements in mindfulness levels, reductions in emotional exhaustion, HR, and BP after the initial 8-week treatment, with further increases in effect sizes over the 10-month maintenance phase, particularly for mindfulness and systolic BP. Acceptance was high, with low attrition and high compliance.

Population

42 physicians

Effective Dosage

8-week initial treatment plus 10-month maintenance phase

Duration

18 months total (8 weeks + 10 months)

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
increase
mindfulness levels
physicians
-
significant improvements
#1
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
decrease
emotional exhaustion
physicians
-
reductions
#2
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
decrease
heart rate
physicians
-
reductions
#3
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
decrease
blood pressure
physicians
-
reductions
#4
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
increase
Effect sizes (Cohen d)
physicians
-
significantly increased
#5
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
increase
mindfulness
physicians
-
significantly increased
#6
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
increase
systolic BP
physicians
-
significantly increased
#7
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
decrease
developing burnout
physicians
-
reducing and controlling risks
#8
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
decrease
cardiovascular disease
physicians
-
reducing and controlling risks
#9
two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase)
increase
well-being in life
physicians
-
enhancing
#10
Abstract

INTRODUCTION: This study aimed to test the acceptability and effectiveness of a two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase) in alleviating work stress-related symptoms (i.e., burnout, heart rate [HR], and blood pressure [BP]) in a sample of 42 physicians. METHODS: A randomized controlled trial and a simple pre-post design were used, respectively, for each of the two phases of the study. Outcome measures included the Five Facets of Mindfulness Questionnaire and the Maslach Burnout Questionnaire. HR and BP measures were also obtained in the experimental group by means of a digital monitor. RESULTS: After the initial 8 weeks of treatment, significant improvements for the experimental group in mindfulness levels and reductions in emotional exhaustion, HR, and BP were obtained. Effect sizes (Cohen d) significantly increased over the 10-month maintenance period, especially for mindfulness and systolic BP. Acceptance was notably high (low attrition rate and high compliance with program activities). DISCUSSION: Outcomes are significant in terms of practical consequences for reducing and controlling risks of developing burnout and cardiovascular disease in this population and enhancing well-being in life.

Medical Subject Headings (MeSH)
Blood PressureBurnout, ProfessionalEducation, Medical, ContinuingFemaleHeart RateHumansMaleMiddle AgedMindfulnessPhysiciansSpainStress, PsychologicalSurveys and Questionnaires
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations44
Citations/Year4.4
Relative Citation Ratio2.64
NIH Percentile82.1%
Research Impact Scores
APT Score0.75
Weight Score1.84
Normalized Score0.70
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