Effect of Mindfulness-Based Stress Reduction Program on the Burnout and Resilience in Residents Physicians

Project: National Science and Technology CouncilNational Science and Technology Council Academic Grants

Project Details

Abstract

Distress and burnout are common problems in physician doctors. These problems might threaten the quality of patient care and the health of the medical staff. Growing evidence suggests that interventions might mitigate burnout and many strategies had been proposed Mindfulness-based stress reduction (MBSR) recently was found to be helpful in reducing stress in medical professional. However, one must spent 1.5-3 hr/wk for 8-10 wks to complete the standard MBSR training program. Such a time program might not be acceptable for the busy resident physicians. Indeed, it might even become their burden. For this reason, a dramatic modification of the MBSR program to shorten the course to only two sessions of 1-hr lecture had been tried. However, its efficacy has not been demonstrated. Moreover, current research data regarding the effect of MBSR in reducing stress in medical professionals mainly came from western countries. It is not clear whether MBSR has the same effect in East Asia people who are mainly Buddhist and having been exposed to meditation and contemplation in their daily life. The first purpose of this work is to examine the effect of standard MBSR in reducing stress and burnout in East Asian people. The second purpose is to identify the effective component and mechanism of MBSR, then, modify the MBSR program accordingly to reduce the learning time. The third purpose is to test whether the modified short course MBSR program is still effective in reducing stress and burnout in resident doctors Methodologically, this work will be undertaken through 3 stages within 3 years. In first stage, we will recruit resident doctors and divide them into experimental and control group. Experimental group receive standard MBSR program and control group receive no intervention. All participants will receive evaluation of burnout, stress and resilience at baseline, end and 3 months after intervention. In second stage, we will undertake qualitative interview with all the participants of the study group of the first stage. We will use realistic evaluation skill to identify the effective component and mechanism of MBSR program. Then, we will modify the content of MBSR program according to the results of this analysis. In third stage, we will again recruit resident physicians and randomize them into 3 groups. Group 1 receive short MBSR program, group 2 receive ultra-short MBSR program and group 3 receive no intervention. All participants will receive evaluation of stress, burnout and resilience score at baseline, end and 3 months after the intervention. Finally, a qualitative review will be undertaken with all participants to realize the effect of short and ultra-short MBSR program. Thus, its effect can be examined both quantitatively and qulitatively.

Project IDs

Project ID:PF10601-0873
External Project ID:MOST105-2511-S182-005-MY2
StatusFinished
Effective start/end date01/08/1731/07/18

Keywords

  • effective coverage
  • avoidable hospitalization
  • diabetes
  • hypertension
  • National Health Insurance

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