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Feasibility and effectiveness of the mindfulness-based stress reduction programs on relieving burnout of healthcare providers during the COVID-19 pandemic: a pilot randomized controlled trial in China

Ruochen Gan, Shulin Chen, Jiang Xue

Human Resources for Health November 24, 2024 DOI: 10.1186/s12960-024-00959-0 (opens in new tab) via DOAJ

Summary

AI-generated from the abstract

A mindfulness-based stress reduction (MBSR) program reduced burnout among healthcare providers in China during the COVID-19 pandemic. In a randomized trial with 112 participants, those in the MBSR group showed significant increases in personal accomplishment and decreases in emotional exhaustion compared to the control group. No significant difference was found for depersonalization. The effects on personal accomplishment were partially mediated by increased cognitive reappraisal and positive affect. The program was feasible and may help reduce healthcare provider burnout, even during a pandemic.

Study at a glance

Characteristics Randomized controlled trial Peer reviewed
Sample size 112
Population Healthcare providers in China
Intervention Mindfulness-based stress reduction (MBSR)
Duration Pre-intervention, mid-intervention, and post-intervention measures
Topics Meditation
Keywords Randomized controlled trial Burnout Healthcare providers Emotion regulation
Key finding MBSR significantly increased personal accomplishment and decreased emotional exhaustion in healthcare providers compared to controls, with no significant effect on depersonalization.

Abstract

Abstract Background The 2019 coronavirus disease (COVID-19) pandemic brings critical health problems to workers in many occupations, particularly healthcare providers. The aim of the study was to examine the feasibility and effectiveness of the mindfulness-based stress reduction (MBSR) program on relieving burnout of healthcare providers during the pandemic. The roles of positive and negative emotion as well as emotion regulation strategy in the intervention effects were also investigated. Methods A sample of 112 healthcare providers in China were recruited and randomly assigned to the MBSR (n = 56) or the control condition (n = 56). Measures were collected at pre-intervention, mid-intervention, and post-intervention, assessing mindfulness level, emotion regulation strategy, positive and negative emotion, and burnout. Results The MBSR program showed acceptable feasibility. Compared to the control group, healthcare providers in the MBSR group showed significant increase in personal accomplishment and decrease in emotional exhaustion after the intervention. No significant difference was detected on the dimension of depersonalization. Results of mediation analyses implied that cognitive reappraisal and positive affect partially mediated the intervention effects on personal accomplishment. Conclusions The study provided preliminary evidence that the MBSR programs might be effective in reducing healthcare providers’ burnout, even during the pandemic. Cognitive reappraisal and positive emotion might be important mechanisms of how the training took effect.

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