Effective and viable mind-body stress reduction in the workplace: A randomized controlled trial.
Abstract
Highly stressed employees are subject to greater health risks, increased cost, and productivity losses than those with normal stress levels. To address this issue in an evidence-based manner, worksite stress management programs must be able to engage individuals as well as capture data on stress, health indices, work productivity, and health care costs. In this randomized controlled pilot, our primary objective was to evaluate the viability and proof of concept for two mind-body workplace stress reduction programs (one therapeutic yoga-based and the other mindfulness-based), in order to set the stage for larger cost-effectiveness trials. A second objective was to evaluate 2 delivery venues of the mindfulness-based intervention (online vs. in-person). Intention-to-treat principles and 2 (pre and post) × 3 (group) repeated-measures analysis of covariance procedures examined group differences over time on perceived stress and secondary measures to clarify which variables to include in future studies: sleep quality, mood, pain levels, work productivity, mindfulness, blood pressure, breathing rate, and heart rate variability (a measure of autonomic balance). Two hundred and thirty-nine employee volunteers were randomized into a therapeutic yoga worksite stress reduction program, 1 of 2 mindfulness-based programs, or a control group that participated only in assessment. Compared with the control group, the mind-body interventions showed significantly greater improvements on perceived stress, sleep quality, and the heart rhythm coherence ratio of heart rate variability. The two delivery venues for the mindfulness program produced basically equivalent results. Both the mindfulness-based and therapeutic yoga programs may provide viable and effective interventions to target high stress levels, sleep quality, and autonomic balance in employees.
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The negative effects of stress are pervasive and are implicated in virtually all major chronic conditions including heart disease, diabetes, and obesity, as well as mental health disorders such as substance abuse.
“On a societal level, the negative effects of stress are pervasive and are implicated in virtually all of our major chronic conditions including heart disease, diabetes, and obesity, as well as mental health disorders such as substance abuse (Wolever, et al., 2012).”
From The Effects of Labyrinth Walking in an Academic Library (2016) · cites this paper as Wolever, et al., 2012
In Wolever et al. (2012), a change in the expected direction (decrease in depression and increase in emotional regulation) occurred for both the control and the experimental groups.
“in the case of Wolever et al. (2012), a change in the expected direction (i.e.decrease in depression and increase in emotional regulation) occurred for both the control and the experimental groups.”
From Mindfulness-based interventions in the workplace: An inclusive systematic review and meta-analysis of their impact upon wellbeing (2019) · cites this paper as Wolever et al. (2012)
Some studies, such as Klatt et al. (2009) and Wolever et al. (2012), provided conflicting scores that could be considered outliers, namely mindfulness in the former and depression and emotional regulation in the latter.
“some studies, such as Klatt et al. (2009) and Wolever et al. (2012), provided conflicting scores that could be considered outliers, namely mindfulness in the former and depression and emotional regulation in the latter.”
From Mindfulness-based interventions in the workplace: An inclusive systematic review and meta-analysis of their impact upon wellbeing (2019) · cites this paper as Wolever et al. (2012)
Several studies on face-to-face or Web-based worker-directed interventions for non-sick-listed employees have shown positive effects of the interventions on symptom reduction.
“All these studies showed positive effects of the interventions on symptom reduction.”
From Long-Term Results of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Randomized Controlled Trial (2014) · cites this paper as [37]
Twelve of the individual-focused studies (14-26) were considered to be of moderate methodological quality, with the remainder classified as low or very low in quality.
“Twelve of these studies (14-26) were considered to be of moderate methodological quality, with the remainder classified as low or very low in quality”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
Just one of the four web-based mindfulness studies was considered to be of moderate methodological quality, with the remainder classified as low or very low in quality.
“Support for the efficacy of mindfulness techniques was provided by all four studies although just one19) was considered to be of moderate methodological quality, with the remainder classified as low53,54) or very low55) in quality.”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
Similar changes to the mindfulness groups were also found for the yoga group in the Mindfulness at Work trial.
“Similar changes were also found for the yoga group.”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
None of the interventions in the Mindfulness at Work trial had any impact on mood, worker productivity, pain, or blood pressure.
“None of the interventions, however, had any impact on mood, worker productivity, pain, or blood pressure.”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
The magnitude of improvement following web-based mindfulness intervention compared with controls ranged from small to medium in two studies and medium to large in one study.
“The magnitude of improvement following intervention compared with controls ranged from small to medium in two studies19,54) and medium to large in one study53).”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
The online and in-person mindfulness interventions appeared to be equally effective, with increased heart rate coherence the only postintervention difference between the two groups.
“The online and in-person mindfulness interventions appeared to be equally effective, with increased heart rate coherence the only postintervention difference between the two groups.”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
Wolever et al. found online and in-person mindfulness interventions to be equally as effective in reducing employee stress and sleep difficulty.
“Wolever et al.19) found online and in-person mindfulness interventions to be equally as effective in reducing employee stress and sleep difficulty although Eisen et al.28) reported limited impact of computer-based or in-person relaxation and time management program postinterventions.”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [19]
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- Authors
- Wolever, R. Q., Bobinet, K. J., McCabe, K., Mackenzie, E. R., Fekete, E., Kusnick, C. A., & Baime, M.
- Affiliations
- Duke University (US)
- Aetna (United States) (US)
- University of Pennsylvania (US)
- University of Indianapolis (US)
- Headlands Center for the Arts (US)
- Venue
- Journal of Occupational Health Psychology
- Published
- 2012-04
- Volume
- 17
- Issue
- 2
- Pages
- 246-258
- ISSN
- 1076-8998 (ISSN-L)
- 1939-1307
- OpenAlex
- W2109653476
- Semantic Scholar
- ec991e2d20cf5776366204729c8e7f76a7305d17
- Cited by
- 539
- References
- 73
- Citations by year
- 2026: 15 · 2025: 30 · 2024: 34 · 2023: 28 · 2022: 44 · 2021: 46 · 2020: 44 · 2019: 34 · 2018: 52 · 2017: 52 · 2016: 49 · 2015: 52 · 2014: 36 · 2013: 16 · 2012: 4
- FWCI
- 39.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Aetna, Inc.
- eMindful, Inc.
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- occupational stress, mind-body interventions, yoga therapy, mindfulness-based interventions, employee stress reduction, perceived stress, sleep quality, heart rate variability, sympathovagal balance, labor productivity, cost-effectiveness
- MeSH terms
- Adult, Affect, Blood Pressure, Female, Heart Rate, Humans, Male, Sleep, Stress, Psychological, Yoga, Workplace, Meditation, Mind-Body Therapies, Respiratory Rate
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