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A Pilot Study of Mindfulness-Based Cognitive Therapy to Improve Well-Being for Health Professionals Providing Chronic Disease Care.

The Journal of pediatrics
September 1, 2020
Elizabeth Hente et al. (7 authors)
Journal ArticleObservational StudyResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

To assess the efficacy of mindfulness-based cognitive therapy delivered onsite during work hours in reducing stress and improving well-being in an interdisciplinary chronic care healthcare team.

Results Summary

The study found statistically significant improvements in empathy, perceived stress, depersonalization, anxiety, perspective taking, resilience, and negative affect at 1-month post-training, with sustained effects for empathy, perspective taking, and depressive symptoms at 15 months. Participants reported using mindfulness skills for personal and work-related stress, with 35% practicing at least 5 times between sessions by 15 months.

Population

Interdisciplinary cystic fibrosis care team members (24 professionals) at Cincinnati Children's Hospital and the University of Cincinnati.

Effective Dosage

6 mindfulness-based cognitive therapy training sessions (frequency not specified).

Duration

Training sessions duration not specified; follow-up at 1 and 15 months.

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based cognitive therapy training
increase
empathy
interdisciplinary chronic care health care team
-
statistically significant improvements
#1
mindfulness-based cognitive therapy training
decrease
perceived stress
interdisciplinary chronic care health care team
-
statistically significant improvements
#2
mindfulness-based cognitive therapy training
decrease
depersonalization
interdisciplinary chronic care health care team
-
statistically significant improvements
#3
mindfulness-based cognitive therapy training
decrease
anxiety
interdisciplinary chronic care health care team
-
statistically significant improvements
#4
mindfulness-based cognitive therapy training
increase
perspective taking
interdisciplinary chronic care health care team
-
statistically significant improvements
#5
mindfulness-based cognitive therapy training
increase
resilience
interdisciplinary chronic care health care team
-
statistically significant improvements
#6
mindfulness-based cognitive therapy training
decrease
negative affect
interdisciplinary chronic care health care team
-
statistically significant improvements
#7
mindfulness-based cognitive therapy training
increase
empathy
interdisciplinary chronic care health care team
-
sustained effects
#8
mindfulness-based cognitive therapy training
increase
perspective taking
interdisciplinary chronic care health care team
-
sustained effects
#9
mindfulness-based cognitive therapy training
decrease
depressive symptoms
interdisciplinary chronic care health care team
-
sustained effects
#10
mindfulness-based cognitive therapy training
decrease
stress
interdisciplinary cystic fibrosis care team members
-
feasible and effective in decreasing stress
#11
Abstract

OBJECTIVE: To assess the efficacy of mindfulness-based cognitive therapy delivered onsite during work hours in reducing stress and improving well-being in an interdisciplinary chronic care health care team. STUDY DESIGN: A longitudinal, mixed methods, observational pilot study using a survey created from validated assessment tools to measure effectiveness of training. Surveys were completed before training, and 1 and 15 months after training. Twenty-four professionals in the cystic fibrosis Centers at Cincinnati Children's Hospital and the University of Cincinnati participated in 6 mindfulness-based cognitive therapy training sessions. Sessions incorporated mindfulness, cognitive therapy, and experiential exercises for processing feelings related to stress and burnout. RESULTS: The presurvey and 1-month postsurvey responses revealed statistically significant improvements for empathy, perceived stress, depersonalization, anxiety, perspective taking, resilience, and negative affect. Sustained effects were seen at 15 months for empathy, perspective taking, and depressive symptoms. The 1-month post-training surveys reported a quarter of respondents (25%) practiced skills at least 5 times in between sessions; at 15 months, 35% reported practicing at the same frequency. Participants reported using mindfulness skills for personal stressful events (74%), work-related general stress (65%), patient-related stress (30%), sleep or general relaxation (22%), and wellness (13%). CONCLUSIONS: Group mindfulness-based cognitive therapy training was feasible and effective in decreasing stress for interdisciplinary cystic fibrosis care team members who elected to participate. Further investigation is needed to determine optimal dose of training, durability of perceived benefits, and generalizability to health care professionals working with other chronic disorders.

Medical Subject Headings (MeSH)
Burnout, ProfessionalChronic DiseaseHealth PersonnelHumansLongitudinal StudiesMindfulnessPilot ProjectsProgram EvaluationQualitative ResearchSurveys and QuestionnairesCognitive Behavioral Therapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations8
Citations/Year1.6
Relative Citation Ratio0.84
NIH Percentile43.7%
Research Impact Scores
APT Score0.50
Weight Score2.18
Normalized Score0.69
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