A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners

Article

Ireland, Michael J., Clough, Bonnie, Gill, Kim, Langan, Fleur, O'Connor, Angela and Spencer, Lyndall. 2017. "A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners." Medical Teacher. 39 (4), pp. 409-414. https://doi.org/10.1080/0142159X.2017.1294749
Article Title

A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners

ERA Journal ID13709
Article CategoryArticle
AuthorsIreland, Michael J. (Author), Clough, Bonnie (Author), Gill, Kim (Author), Langan, Fleur (Author), O'Connor, Angela (Author) and Spencer, Lyndall (Author)
Journal TitleMedical Teacher
Journal Citation39 (4), pp. 409-414
Number of Pages6
Year2017
PublisherTaylor & Francis
Place of PublicationLondon, United Kingdom
ISSN0142-159X
1466-187X
Digital Object Identifier (DOI)https://doi.org/10.1080/0142159X.2017.1294749
Abstract

Introduction: Stress and burnout are highly prevalent among medical doctors, and are associated with negative consequences for doctors, patients, and organizations. The purpose of the current study was to examine the effectiveness of a mindfulness training intervention in reducing stress and burnout among medical practitioners, by means of a Randomised Controlled Trial design.

Methods: Participants were 44 intern doctors completing an emergency department rotation in a major Australian hospital. Participants were randomly assigned to either an active control (one hour extra break per week) or the 10-week mindfulness training intervention. Measures of stress and burnout were taken pre-, mid- and post intervention.

Results: Participants undergoing the 10-week mindfulness training program reported greater improvements in stress and burnout relative to participants in the control condition. Significant reduction in stress and burnout was observed for participants in the mindfulness condition. No such reductions were observed for participants in the control condition.

Conclusions: Mindfulness interventions may provide medical practitioners with skills to effectively manage stress and burnout, thereby reducing their experience of these symptoms. It is likely that doctors would benefit from the inclusion of such a training program as a part of their general medical education.

ANZSRC Field of Research 2020520399. Clinical and health psychology not elsewhere classified
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Byline AffiliationsSchool of Psychology and Counselling
Institute for Resilient Regions
Department of Health, Queensland
Institution of OriginUniversity of Southern Queensland
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Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review
Clough, Bonnie A., March, Sonja, Chan, Raymond J., Casey, Leanne M., Phillips, Rachel and Ireland, Michael J.. 2017. "Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review." Systematic Reviews. 6, pp. 1-19. https://doi.org/10.1186/s13643-017-0526-3
Psychometric testing of the revised “Families’ Importance in Nursing Care—Nurses’ Attitudes instrument”
Mackie, Benjamin R., Marshall, Andrea, Mitchell, Marion and Ireland, Michael J.. 2017. "Psychometric testing of the revised “Families’ Importance in Nursing Care—Nurses’ Attitudes instrument” ." Journal of Advanced Nursing. 74 (2), pp. 482-490. https://doi.org/10.1111/jan.13442
Can alcohol sponsorship be diluted by health messaging?
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2018. "Can alcohol sponsorship be diluted by health messaging?" Sport in Society. 21 (3), pp. 434-451. https://doi.org/10.1080/17430437.2017.1346617
Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: a randomised controlled trial
Casey, Leanne M., Oei, Tian P. S., Raylu, Namrata, Horrigan, Katherine, Day, Jamin, Ireland, Michael and Clough, Bonnie A.. 2017. "Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: a randomised controlled trial." Journal of Gambling Studies. 33 (3), pp. 993-1010. https://doi.org/10.1007/s10899-016-9666-y
Farmers tell us how to help improve their mental health help-seeking
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers tell us how to help improve their mental health help-seeking." 9th Australian Rural and Remote Mental Health Symposium. Albury, Australia 11 - 13 Oct 2017 Nerang, Qld, Australia.
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
The impact of alcohol sponsorship in sport upon varsity sportspeople
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Alpert, Frank. 2014. "The impact of alcohol sponsorship in sport upon varsity sportspeople." Journal of Sport Management. 28 (4), pp. 418-432. https://doi.org/10.1123/jsm.2013-0078
Young consumers’ exposure to alcohol sponsorship in sport
Kelly, Sarah, Ireland, Michael, Alpert, Frank and Mangan, John. 2015. "Young consumers’ exposure to alcohol sponsorship in sport." International Journal of Sports Marketing and Sponsorship. 16 (2), pp. 2-21. https://doi.org/10.1108/IJSMS-16-02-2015-B002
Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors
Clough, Bonnie A., Ireland, Michael J. and March, Sonja. 2018. "Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors." Journal of Mental Health. 28 (1), pp. 26-33. https://doi.org/10.1080/09638237.2017.1370642
Farmers are not seeking help: what does service provision have to do with it?
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers are not seeking help: what does service provision have to do with it?" 14th World Rural Health Conference (Wonca 2017). Cairns, QLD 29 Apr - 02 May 2017
Farmers aren't seeking help for mental health: their partners tell us why
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2017. "Farmers aren't seeking help for mental health: their partners tell us why." Coleman, Leanne (ed.) 14th National Rural Health Conference. Cairns, Australia 26 - 29 Mar 2017 Canberra, Australia.
Stories from Queensland farmers: 'why we don't seek help for mental health'
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2016. "Stories from Queensland farmers: 'why we don't seek help for mental health'." 8th Rural and Remote Mental Health Symposium (2016). Kingscliff, Australia 03 - 04 Nov 2016
The cognitive emotion regulation questionnaire: factorial, convergent, and criterion validity analyses of the full and short versions
Ireland, Michael J., Clough, Bonnie A. and Day, Jamin J.. 2017. "The cognitive emotion regulation questionnaire: factorial, convergent, and criterion validity analyses of the full and short versions." Personality and Individual Differences. 110, pp. 90-95. https://doi.org/10.1016/j.paid.2017.01.035
It works two ways: impacts of sponsorship alliance upon sport and sponsor image
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2016. "It works two ways: impacts of sponsorship alliance upon sport and sponsor image." Sport Marketing Quarterly. 25 (4), pp. 241-259.
The Therapy Attitudes and Process Questionnaire: a brief measure of factors related to psychotherapy appointment attendance
Clough, Bonnie A., Nazareth, Sonia M. and Casey, Leanne M.. 2017. "The Therapy Attitudes and Process Questionnaire: a brief measure of factors related to psychotherapy appointment attendance." The Patient: Patient Centered Outcomes Research. 10 (2), pp. 237-250. https://doi.org/10.1007/s40271-016-0199-3
Technological adjuncts to enhance current psychotherapy practices: a review
Clough, Bonnie A. and Casey, Leanne M.. 2011. "Technological adjuncts to enhance current psychotherapy practices: a review." Clinical Psychology Review. 31 (3), pp. 279-292. https://doi.org/10.1016/j.cpr.2010.12.008
An examination of the factor structure of the effects of meditation scale
Skipper, Tara, O'Donovan, Analise, Conlon, Elizabeth and Clough, Bonnie. 2015. "An examination of the factor structure of the effects of meditation scale." Personality and Individual Differences. 86, pp. 57-62. https://doi.org/10.1016/j.paid.2015.06.007
Comparison of perceived barriers and treatment preferences associated with internet-based and face-to-face psychological treatment of depression
Casey, Leanne M., Wright, Mary-Ann and Clough, Bonnie A.. 2014. "Comparison of perceived barriers and treatment preferences associated with internet-based and face-to-face psychological treatment of depression." International Journal of Cyber Behavior, Psychology and Learning. 4 (4), pp. 16-22. https://doi.org/10.4018/ijcbpl.2014100102
Protocols for protection of human participants: a comparison of five Countries
Clough, Bonnie A., Campbell, Megan M., Aliyeva, Turana A., Mateo, Nino Jose, Zarean, Mostafa and O'Donovan, Analise. 2013. "Protocols for protection of human participants: a comparison of five Countries." Journal of Empirical Research on Human Research Ethics. 8 (3), pp. 2-11. https://doi.org/10.1525/jer.2013.8.3.2
Computer-based interactive health communications for people with chronic disease
Casey, Leanne M., Clough, Bonnie A., Mihuta, Mary E., Green, Heather, Usher, Wayne, James, Daniel A., Rowlands, David D. and Laakso, E-Liisa. 2014. "Computer-based interactive health communications for people with chronic disease." Smart Homecare Technology and TeleHealth. https://doi.org/10.2147/SHTT.S42684
Therapy on the move: the development of a therapeutic smartphone application
Clough, Bonnie A. and Casey, Leanne M.. 2015. "Therapy on the move: the development of a therapeutic smartphone application." International Journal of Cyber Behavior, Psychology and Learning. 5 (1), pp. 33-41. https://doi.org/10.4018/ijcbpl.2015010103
Using SMS reminders in psychology clinics: a cautionary tale
Clough, Bonnie A. and Casey, Leanne M.. 2014. "Using SMS reminders in psychology clinics: a cautionary tale." Behavioural and Cognitive Psychotherapy. 42 (3), pp. 257-268. https://doi.org/10.1017/S1352465813001173
Measuring mental health literacy - a review of scale-based measures
O'Connor, Matt, Casey, Leanne and Clough, Bonnie. 2014. "Measuring mental health literacy - a review of scale-based measures." Journal of Mental Health. 23 (4), pp. 197-204. https://doi.org/10.3109/09638237.2014.910646
The smart therapist: a look to the future of smartphones and mHealth technologies in psychotherapy
Clough, Bonnie A. and Casey, Leanne M.. 2015. "The smart therapist: a look to the future of smartphones and mHealth technologies in psychotherapy." Professional Psychology: Research and Practice. 46 (3), pp. 147-153. https://doi.org/10.1037/pro0000011
The impact of information on attitudes toward e-mental health services
Casey, Leanne M., Joy, Angela and Clough, Bonnie A.. 2013. "The impact of information on attitudes toward e-mental health services." CyberPsychology, Behavior and Social Networking. 16 (8), pp. 593-598. https://doi.org/10.1089/cyber.2012.0515
Technological adjuncts to increase adherence to therapy: a review
Clough, Bonnie A. and Casey, Leanne M.. 2011. "Technological adjuncts to increase adherence to therapy: a review." Clinical Psychology Review. 31 (5), pp. 697-710. https://doi.org/10.1016/j.cpr.2011.03.006
Making and keeping the connection: Improving consumer attitudes and engagement in e-mental health interventions
Casey, Leanne and Clough, Bonnie. 2016. "Making and keeping the connection: Improving consumer attitudes and engagement in e-mental health interventions." Riva, Giuseppe, Wiederhold, Brenda K. and Cipresso, Pietro (ed.) The psychology of social networking Vol 1: Personal experience in online communities . Germany. Walter de Gruyter GmbH (European Journal of Nanomedicine). pp. 90-103
Assessing treatment barriers in eating disorders: A systematic review
Innes, Natasha T., Clough, Bonnie A. and Casey, Leanne M.. 2017. "Assessing treatment barriers in eating disorders: A systematic review." Eating Disorders. 25 (1), pp. 1-22. https://doi.org/10.1080/10640266.2016.1207455
Smart designs for smart technologies: research challenges and emerging solutions for scientist-practitioners within e-mental health
Clough, Bonnie A. and Casey, Leanne M.. 2015. "Smart designs for smart technologies: research challenges and emerging solutions for scientist-practitioners within e-mental health." Professional Psychology: Research and Practice. 46 (6), pp. 429-436. https://doi.org/10.1037/pro0000053
Innovative mental health solutions for regional well-being and resilience
March, Sonja, Ireland, Michael, Brownlow, Charlotte, Goh, Hong Eng, Antonio, Amy, Tehan, Gerry and Keppell, Mike. 2014. "Innovative mental health solutions for regional well-being and resilience." Keppell, Mike and Reushle, Shirley (ed.) 2nd Digital Rural Futures Conference 2014. Toowoomba, Australia 25 - 27 Jun 2014 Toowoomba, Australia.
The nature of youth care tasks in families experiencing chronic illness/disability: development of the Youth Activities of Caregiving Scale (YACS)
Ireland, Michael James and Pakenham, Kenneth Ian. 2010. "The nature of youth care tasks in families experiencing chronic illness/disability: development of the Youth Activities of Caregiving Scale (YACS)." Psychology and Health: an international journal. 25 (6), pp. 713-731. https://doi.org/10.1080/08870440902893724
Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment
Ireland, Michael J. and Pakenham, Kenneth I.. 2010. "Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment." Psychology, Health and Medicine. 15 (6), pp. 632-645. https://doi.org/10.1080/13548506.2010.498891
Meditation and psychological health and functioning: a descriptive and critical review
Ireland, Michael. 2012. "Meditation and psychological health and functioning: a descriptive and critical review." The Scientific Review of Mental Health Practice. 9 (1), pp. 4-19.
Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes
Ireland, Michael James. 2013. "Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes." Mindfulness. 4 (4), pp. 362-374. https://doi.org/10.1007/s12671-012-0136-z
Meditative insight: conceptual and measurement development
Ireland, Michael J.. 2013. "Meditative insight: conceptual and measurement development." Mental Health, Religion and Culture. 16 (1), pp. 79-99. https://doi.org/10.1080/13674676.2011.645225
Effect of context on performance approach orientation
Izadikhah, Zahra, Jackson, Chris and Ireland, Michael J.. 2012. "Effect of context on performance approach orientation." American Journal of Psychology. 125 (2), pp. 193-207. https://doi.org/10.5406/amerjpsyc.125.2.0193