Efficacy of mHealth aided 12-week meditation and breath intervention on change in burnout and professional quality of life among health care providers of a tertiary care hospital in north India: a randomized waitlist-controlled trial.
Praag Bhardwaj, Monika Pathania, Yogesh Bahurupi, Divya Kanchibhotla, Prateek Harsora, Vyas Kumar Rathaur
Frontiers in Public Health 2023 DOI: 10.3389/fpubh.2023.1258330 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized waitlist-controlled trial Peer reviewed |
|---|---|
| Sample size | 98 |
| Population | Healthcare providers at a north Indian tertiary care hospital |
| Intervention | yoga-based meditation and breath intervention |
| Duration | 12-week intervention |
| Topics | Breathwork Meditation |
| Keywords | Mental health Mind body medicine Occupational health Physician health Resilience Stress Tele-medicine |
| Citations | 31 |
| Key findings | A 12-week mHealth-aided yoga-based meditation and breath intervention significantly reduced burnout and improved professional quality of life in healthcare providers compared to a waitlist control. |
Abstract
Burnout is "Chronic workplace stress that has not been successfully managed." Professional quality of life (PQL) includes work related experiences of compassion satisfaction and compassion fatigue. Healthcare providers (HCPs) are highly susceptible to burnout and compassion fatigue due to their demanding work, which lowers PQL. Burnout leads to poor care, medical errors, and patient safety across healthcare disciplines. Yoga has been shown to improve resilience, reduce stress, and increase self-compassion and psycho-physiological coherence. This study compared HCPs in a mHealth-aided 12-week yoga-based meditation and breath intervention to waitlist controls for HCP burnout and PQL at a north Indian tertiary care hospital. This was randomized waitlist-controlled trial. Total 98 HCPs (62 males and 36 females) with an average age of 28.26 ± 3.547 years were enrolled consecutively from March 2021 to November 2022. Randomization was done with opaque sealed envelopes numbered in a computer-generated sequence. The experimental group (n = 49) received 12 online weekly yoga sessions and performed daily home practice (6 days a week). The waitlisted control group (n = 49) continued their daily routine. Maslach's burnout inventory (MBI), professional quality of life (PQL) and anthropometric measurements were assessed at baseline and after 12 weeks. After 12 weeks, the MBI outcomes of emotional exhaustion, depersonalization, and personal accomplishment showed a highly significant difference between the two groups (p < 0.001). PQL outcomes of compassion satisfaction, burnout, and secondary trauma also differed significantly (p < 0.001). Within group analysis showed that MBI and PQL outcomes improved significantly (p < 0.001) for the experimental group after 12 weeks. The current study contributes to the existing evidence on the effectiveness of Yoga in managing stress and developing resilience among doctors, nurses, and other medical professionals. Integrating yoga into healthcare settings is crucial for addressing the detrimental impact of burnout on decision-making and promoting positive patient outcomes. mHealth technologies have the potential to enhance the user-friendliness of yoga-based interventions by personalizing the practice space and time. Yoga-based interventions and mHealth technologies can effectively address physician burnout, in a simple and implementable manner.
In the evidence
This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.
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State of the evidence: Breathwork Supports
A 12-week mHealth-aided yoga-based meditation and breath intervention significantly reduced burnout and improved professional quality of life compared with waitlist control.
Synthesized
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 6
- Effects of an 8-week intervention of anulom vilom pranayama combined with heartfulness meditation on psychological stress, autonomic function, inflammatory biomarkers, and oxidative stress in healthcare workers during COVID-19 pandemic: a randomized controlled trial. Journal of basic and clinical physiology and pharmacology July 1, 2024
- Effect of Heartfulness Meditation on Stress Biomarkers, Burnout and Well-Being: A Randomized Controlled Study. Stress and Health April 1, 2025
- A comprehensive review of literature on the relationship between spirituality and working women's physical health and performance. Journal of Health Psychology May 2, 2026
- Yogic Breathing as a Modality to Reduce Stress in Anesthesia Professionals as Measured by Hair Cortisol: A Feasibility Study Journal of Integrative and Complementary Medicine August 25, 2025
- Effectiveness of pranayama for mental disorders: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Psychiatry 2025
and 1 more in the library
Cites 15
- A Systematic Review and Meta-Analysis of Yoga and Mindfulness Meditation in Prison International Journal of Offender Therapy and Comparative Criminology August 28, 2015
- Breathing‐Based Meditation Decreases Posttraumatic Stress Disorder Symptoms in U.S. Military Veterans: A Randomized Controlled Longitudinal Study Journal of Traumatic Stress August 1, 2014
- Embodied Cognition in Meditation, Yoga, and Ethics—An Experimental Single-Case Study on the Differential Effects of Four Mind–Body Treatments International Journal of Environmental Research and Public Health September 17, 2022
- Design and Evaluation of a Loving Kindness Virtual Reality Meditation Experience Journal of Japan Society for Fuzzy Theory and Intelligent Informatics November 14, 2022
- Effect of 4-day Online Breath Meditation Workshop on Ballistocardiography-based Sleep and Cardiac Health Assessments among Medical Professionals of a Tertiary Care Hospital in North India during COVID-19. Journal of the Association of Physicians of India September 1, 2022
and 10 more in the library