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Cited by 94Mindfulness and Compassion InterventionsHealthcare professionals’ stress and burnoutStress and Burnout Research

Effect of a Brief Mindfulness-Based Program on Stress in Health Care Professionals at a US Biomedical Research Hospital: A Randomized Clinical Trial

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Ameli, Rezvan, Sinaii, Ninet, West, Colin P., Luna, María José, Panahi, Samin, Zoosman, Michael, Rusch, Heather L., Berger, Ann·2020·JAMA Network Open
DOI 10.1001/jamanetworkopen.2020.13424PMC PMC7448827
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Abstract

Importance: Stress among health care professionals is well documented. The use of mindfulness-based interventions to reduce stress has shown promising results; however, the time commitment of typical programs can be a barrier to successful implementation in health care settings. Objective: To determine the efficacy and feasibility of a brief mindfulness-based program to reduce stress during work hours among health care professionals. Design, Setting, and Participants: This intent-to-treat randomized clinical trial was conducted among full-time health care professionals at the Clinical Center at the National Institutes of Health in Bethesda, Maryland, between September 2017 and May 2018. Participants were randomized to receive mindfulness-based self-care (MBSC) training or life-as-usual control. Data were analyzed from June 2018 to January 2020. Interventions: The MBSC intervention included 5 weekly, 1.5-hour in-class mindfulness practice sessions. Main Outcomes and Measures: Stress level was the primary outcome, assessed with the Perceived Stress Scale 10-Item version. Secondary outcomes included anxiety, burnout, positive and negative affect, mindfulness (trait and state), and self-care. Assessments were taken at baseline and at the end of the intervention (week 5) in the intervention and control groups, and at follow-up (week 13) in the intervention group to test for a maintenance effect. A postprogram evaluation was also obtained. Results: Of 82 randomized participants, 78 who completed the study at week 5 were included in the modified intent-to-treat analysis (median [interquartile range] age, 32 [23-48] years; 65 [83%] women), including 43 participants in the MBSC group and 35 participants in the control group. At the end of the intervention, compared with the control group, the MBSC group had reduced levels of stress (mean [SD] score, 17.29 [5.84] vs 18.54 [6.30]; P = .02) and anxiety (mean [SD] score, 2.58 [1.52] vs 4.23 [1.73]; P < .001), and improved positive affect (mean [SD] score, 35.69 [7.12] vs 31.42 [7.27]; P < .001), state mindfulness (mean [SD] score, 3.74 [1.18] vs 2.78 [1.16]; P < .001), and mindful self-care (mean [SD] score, 7.29 [2.44] vs 5.54 [2.77]; P < .001). Burnout, negative affect, and trait mindfulness levels did not differ between groups. Changes within the MBSC group through follow-up included sustained reductions in stress (change, -6.14; 95% CI, -7.84 to -4.44; P < .001), anxiety (change, -1.46; 95% CI, -1.97 to -0.94; P < .001), trait mindfulness (change, 0.63; 95% CI, 0.36 to 0.90; P < .001), and state mindfulness (change, 1.89; 95% CI, 1.39 to 2.39; P < .001). Conclusions and Relevance: This randomized clinical trial found that this brief mindfulness-based intervention was an effective and feasible means to reduce stress in health care professionals. Larger studies are needed to assess the effects on clinical care and patient outcomes. Trial Registration: ClinicalTrials.gov Identifier: NCT03781336.

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  • Brief mindfulness interventions lasting fewer than 8 weeks and with shorter daily practice recommendations are becoming more common to increase accessibility and scalability.

    “Brief mindfulness interventions lasting fewer than 8 weeks and with shorter daily practice recommendations are becoming more common to increase accessibility and scalability of mindfulness interventions. 11”

    From Are Formal and Informal Home Mindfulness Practice Quantities Associated With Outcomes? Results From a Pilot Study of a Four-Week Mindfulness Intervention for Chronic Pain Management. (2024) · cites this paper as [11]

    The Introduction (page unavailable) says abbreviated mindfulness interventions have been introduced because the time and cost of standard 8-week programs limit their use. The Methods describe this paper’s shorter, five-session program. Our copy does not establish that such programs are becoming more common or that they recommend shorter daily practice: it says daily practice was encouraged but gives no duration. (LLM, conf=0.86)

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Authors
Ameli, R., Sinaii, N., West, C. P., Luna, M. J., Panahi, S., Zoosman, M., Rusch, H. L., & Berger, A.
Affiliations
  • National Institutes of Health (US)
  • Mayo Clinic (US)
  • Northwestern University (US)
Corresponding author
Ameli, Rezvan
ORCID
Venue
JAMA Network Open
Publisher
American Medical Association (AMA)
Published
2020-08-25
Volume
3
Issue
8
Pages
e2013424
ISSN
2574-3805 (ISSN-L)
DOI
10.1001/jamanetworkopen.2020.13424
PMC
PMC7448827
OpenAlex
W3080562843
Cited by
94
References
61
Citations by year
2026: 20 · 2025: 27 · 2024: 13 · 2023: 18 · 2022: 6 · 2021: 10
FWCI
3.40
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JAMA Network Open (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Keywords
occupational stress, healthcare workers, burnout, anxiety, positive affect, negative affect, trait mindfulness, state mindfulness, brief mindfulness intervention, intervention feasibility, maintenance effects, self-care, Perceived Stress Scale, work stress reduction, cost-effectiveness
MeSH terms
Academies and Institutes, Occupational Stress, Adult, Anxiety, Feasibility Studies, Female, Health Personnel, Hospitals, Humans, Male, Maryland, Middle Aged, Research Personnel, Young Adult, Mindfulness

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