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Effectiveness of a mindfulness program in changing attitudes to reduce work stress: a randomized controlled trial

Raúl Guzmán, Yuri Félix Chávez-Luque, Guillermo Sebastián Medina, Celin Daniel Valdiviezo

Frontiers in Public Health September 22, 2026 DOI: 10.3389/fpubh.2026.1912184 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized block design Peer reviewed
Sample size 34
Population Workers from high-risk industrial areas
Interventions Mindfulness-based program enhanced by virtual reality Behavior-Based Safety (BBS)
Duration Nine 30-min sessions
Measures attitude scale regarding occupational risk prevention (accidents), work-related stress scale
Topics Meditation
Key points Adding a mindfulness-based program with virtual reality to Behavior-Based Safety significantly improved workers' attitudes toward occupational risk prevention (p < 0.005). Work-related stress decreased, but the reduction was not statistically significant after MANOVA and Bonferroni correction. The authors conclude that mindfulness complements and improves safety attitudes.

Abstract

Worker safety is fundamental in any organization, so we propose a mindfulness-based program enhanced by virtual reality (VR) to improve attitudes toward preventing occupational risks and accidents and reduce work-related stress in an industrial company. The program was implemented as a complement to Behavior-Based Safety (BBS) of nine 30-min sessions delivered in person and continuously by two researchers; VR was used in three of the nine sessions. Each session was divided into motivation, knowledge development, transfer, evaluation, and closure sections. The control group worked only with BBS, a standard methodology designed to reduce workplace accidents and injuries through systematic observation and intervention in worker behavior. A randomized block design (RBD) was used with a sample of 34 workers from high-risk industrial areas, who were matched by their sociodemographic characteristics and randomly assigned to one of the two groups. An attitude scale regarding occupational risk prevention (accidents) and a work-related stress scale were used for the assessment. The results showed a significant improvement in attitudes toward occupational risk prevention ( p < 0.005) and a reduction in work-related stress, although this finding was not statistically significant according to MANOVA and Bonferroni correction. In conclusion, this study shows that mindfulness complements and significantly improves attitudes toward occupational risk prevention.

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

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