Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial
| Autor: | Sat Bir S. Khalsa, Natalie L Dyer, Darshan H. Mehta, Jeffery A. Dusek, Sara Borden, Marla Lipsyc-Sharf, Julia Loewenthal |
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| Rok vydání: | 2021 |
| Předmět: |
Physician burnout
medicine.medical_specialty Mindfulness mindfulness Mind–body problem Graduate medical education Psychological intervention Burnout law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) internship and residency Medicine 030212 general & internal medicine lcsh:R5-920 physician burnout business.industry lcsh:Public aspects of medicine Yoga lcsh:RA1-1270 General Medicine graduate medical education Physical therapy Original Article lcsh:Medicine (General) business 030217 neurology & neurosurgery |
| Zdroj: | Global Advances in Health and Medicine Global Advances in Health and Medicine, Vol 10 (2021) |
| ISSN: | 2164-957X |
| Popis: | Background and Objective Mind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for residents among multiple specialties and academic medical centers. Methods We conducted a waitlist controlled randomized clinical trial of the RISE program with residents from multiple specialty departments at three academic medical centers. The RISE program consisted of six weekly sessions with suggested home practice. Feasibility was assessed across six domains: demand, implementation, practicality, acceptability, adaptation, and integration. Self-reported measures of psychological health were collected at baseline, post-program, and two-month follow-up. Results Among 2,000 residents contacted, 75 were assessed for eligibility and 56 were enrolled. Forty-four participants completed the study and were included in analysis. On average, participants attended two of six sessions. Feasibility of in-person attendance was rated as 28.9 (SD 25.6) on a 100-point visual analogue scale. Participants rated feasibility as 69.2 (SD 26.0) if the program was offered virtually. Those who received RISE reported improvements in mindfulness, stress, burnout, and physician well-being from baseline to post-program, which were sustained at two-month follow-up. Conclusion This is the first controlled study of a yoga-based MBI in residents. While the program was not feasible as delivered in this pilot study, initial analyses showed improvement in multiple measures of psychological health. Residents reported that virtual delivery would increase feasibility. |
| Databáze: | OpenAIRE |
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