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Randomized Controlled Trial
. 2023 Jun;30(2):425-434.
doi: 10.1007/s10880-022-09896-3. Epub 2022 Jul 1.

Hybrid Delivery of Mindfulness Meditation and Perceived Stress in Pediatric Resident Physicians: A Randomized Clinical Trial of In-Person and Digital Mindfulness Meditation

Denise R Purdie  1   2 , Myke Federman  1 , Alan Chin  1 , Diana Winston  3 , Brenda Bursch  4   5 , Richard Olmstead  3 , Yonca Bulut  1 , Michael R Irwin  3
Affiliations
Randomized Controlled Trial

Hybrid Delivery of Mindfulness Meditation and Perceived Stress in Pediatric Resident Physicians: A Randomized Clinical Trial of In-Person and Digital Mindfulness Meditation

Denise R Purdie et al. J Clin Psychol Med Settings. 2023 Jun.

Abstract

Physicians are experiencing epidemic levels of work-related stress and burnout. Determine efficacy of mindfulness meditation delivered as a hybrid (in-person and digital) format to reduce perceived stress in pediatric residents. Pediatric residents (n = 66) were block randomized to a hybrid Mindful Awareness Practices (MAPs) intervention, comprised of one in-person 60-min session and 6-week access to a digitally delivered MAPs curriculum (n = 27) or wait-list control (n = 39). Perceived Stress Scale (PSS) was administered at baseline and post-intervention as the primary outcome measure. A priori secondary outcomes were measured using the Abbreviated Maslach Burnout Inventory-9, Beck Depression Inventory, Beck Anxiety Inventory, UCLA Loneliness Scale, and Pittsburgh Sleep Quality Index. After the first session, 58% participated at least one digital session (M = 2.0; SD = 1.3). MAPs participants showed significant decrease in PSS compared to controls, with between-group mean difference of 2.20 (95% CI 0.47-3.93) at post-intervention (effect size 0.91; 0.19-1.62). No secondary outcome group differences were detected. Exposure to a hybrid mindfulness intervention was associated with improvement in perceived stress among pediatric residents.Trial Registration: NCT03613441.

Keywords: Burnout; Digital; Mindfulness; Resident education; Stress; Well-being.

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Conflict of interest statement

Denise R. Purdie, Myke Federman, Alan Chin, Diana Winston, Brenda Bursch, Richard Olmstead, Yonca Bulut, Michael R. Irwin report no conflicts of interest in this work.

Figures

Fig. 1
Fig. 1
Consolidated Standards of Reporting Trials (CONSORT) flow diagram of single-site, parallel-group randomized clinical trial of MAPs compared with wait-list control for perceived stress in pediatric resident physicians. ITT intent-to-treat, MAPs Mindful Awareness Practices, control wait-list control. Reasons for declining to participate were time limitations
Fig. 2
Fig. 2
Estimated Perceive Stress Scale score at baseline and post-intervention. Data are given as means (SEs). MAPs Mindful Awareness Practices, control wait-list control. p = .002 for difference between groups, covarying for baseline Perceived Stress Scale score
See this image and copyright information in PMC

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