A Brief Mindfulness-Based Intervention for Primary Care Physicians: A Pilot Randomized Controlled Trial

被引:57
作者
Schroeder, David A. [1 ]
Stephens, Elizabeth [2 ,3 ]
Colgan, Dharmakaya [4 ]
Hunsinger, Matthew [4 ]
Rubin, Dan [5 ]
Christopher, Michael S. [4 ]
机构
[1] Providence Heart Clin, Portland, OR USA
[2] Providence Med Ctr, Endocrinol Med Educ, Portland, OR USA
[3] Oregon Hlth & Sci Univ, Dept Internal Med, Portland, OR 97201 USA
[4] Univ Pacific, Sch Profess Psychol, 190 SE 8th Ave,Suite 260, Hillsboro, OR 97123 USA
[5] Maitripa Coll, Portland, OR USA
关键词
mindfulness; burnout; perceived stress; resilience;
D O I
10.1177/1559827616629121
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Primary care physicians experience high rates of burnout, which results in diminished quality of life, poorer quality of care, and workforce attrition. In this randomized controlled trial, our primary aim was to examine the impact of a brief mindfulness-based intervention (MBI) on burnout, stress, mindfulness, compassion, and resilience among physicians. A total of 33 physicians completed the baseline assessment and were randomized to the Mindful Medicine Curriculum (MMC; n = 17) or waitlist control group (n = 16). Participants completed self-report measures at baseline, post-MBI, and 3-month follow-up. We also analyzed satisfaction with doctor communication (DCC) and overall doctor rating (ODR) data from patients of the physicians in our sample. Participants in the MMC group reported significant improvements in stress (P < .001), mindfulness (P = .05), emotional exhaustion (P = .004), and depersonalization (P = .01) whereas in the control group, there were no improvements on these outcomes. Although the MMC had no impact on patient-reported DCC or ODR, among the entire sample at baseline, DCC and ODR were significantly correlated with several physician outcomes, including resilience and personal achievement. Overall, these findings suggest that a brief MBI can have a positive impact on physician well-being and potentially enhance patient care.
引用
收藏
页码:83 / 91
页数:9
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