The Necessary Thread of Mindfulness Intervention Fidelity Assurance: Enabling an Organizational Strategy to Promote Health Care Professional Well-Being

Klatt, Maryanna; Bawa, Rani; Gabram, Olivia; Westrick, Alexis; Blake, Amanda

doi:10.1177/21649561211052902

Cited by 6 publications

(4 citation statements)

References 13 publications

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“… 6 , 27 A MIM program fidelity checker assured that all sessions followed the same format across cohorts. 28 The prompts, educational material, and home practice directly related to each weekly theme ( Table 2 ). In the beginning of the sessions, relaxing music was in the background to set the climate for MIM while the facilitator opened with the intent of the session and program: resiliency building and stress reduction through mindful awareness of habitual patterns of stress reactivity.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience

Merrigan,

Quatman-Yates,

Caputo

et al. 2023

Global Advances in Integrative Medicine and Health

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Background Mindfulness in Motion (MIM) is a workplace resilience-building intervention that has shown reductions in perceived stress and burnout, as well as increased resilience and work engagement in health care workers. Objective To evaluate effects of MIM delivered in a synchronous virtual format on self-reported respiratory rates (RR), as well as perceived stress and resiliency of health care workers. Methods Breath counts were self-reported by 275 participants before and after 8 weekly MIM sessions. MIM was delivered virtually in a group format as a structured, evidence-based workplace intervention including a variety of mindfulness, relaxation, and resilience-building techniques. Participants counted their breaths for 30 seconds, which was then multiplied by 2 to report RR. Additionally, participants completed Perceived Stress Scale and Connor–Davidson Resiliency Scale. Results According to mixed effect analyses there were main effects of MIM Session (P < .001) and Weeks (P < .001), but no Session by Week interaction (P = .489) on RR. On average, RR prior to MIM sessions were reduced from 13.24 bpm (95% CI = 12.94, 13.55 bpm) to 9.69 bpm (95% CI = 9.39, 9.99 bpm). When comparing average Pre-MIM and Post-MIM RR throughout the MIM intervention, Week-2 (mean = 12.34; 95% CI = 11.89, 12.79 bpm) was not significantly different than Week-1 (mean = 12.78; 95% CI = 12.34, 13.23 bpm), but Week-3 through Week-8 demonstrated significantly lower average Pre-MIM and Post-MIM RR compared to Week-1 (average weekly difference range: 1.36 to 2.48 bpm, P < .05). Perceived stress was reduced from Week-1 (17.52 ± 6.25) to after Week-8 (13.52 ± 6.04; P < .001), while perceived resiliency was increased from Week-1 (11.30 ± 5.14) to after Week-8 (19.29 ± 2.58); P < .001). Conclusion Thus far, completion of MIM sessions has shown acute and long-term effects on self-reported RR, but more research is required to determine the extent of improved parasympathetic (relaxed) states. Collectively, this work has shown value for mind–body stress mitigation and resiliency-building in high stress acute health care environments.

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Section: Methodsmentioning

confidence: 99%

Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience

Merrigan,

Quatman-Yates,

Caputo

et al. 2023

Global Advances in Integrative Medicine and Health

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“…Among the 2553 documents, 46 potentially relevant articles were selected after title and abstract screening. On the full-text screening, fifteen non-clinical studies [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ], four non-intervention studies [ 40 , 41 , 42 , 43 ], three generic studies [ 44 , 45 , 46 ], five studies not using MBMs [ 47 , 48 , 49 , 50 , 51 ], and one not presenting evaluation results [ 52 ] were excluded. Ultimately, this review included 18 studies [ 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ] ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Mind–Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era

Kwon

Lee

2022

Healthcare

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Healthcare workers (HCWs) have suffered physical and psychological threats since the beginning of the coronavirus disease 2019 (COVID-19) pandemic. Mind-body modalities (MBMs) can reduce the long-term adverse health effects associated with COVID-specific chronic stress. This systematic review aims to investigate the role of MBMs in managing the mental health of HCWs during the COVID-19 pandemic. A comprehensive search was conducted using 6 electronic databases, resulting in 18 clinical studies from 2019 to September 2021. Meta-analysis showed that MBMs significantly improved the perceived stress of HCWs (standardized mean difference, −0.37; 95% confidence intervals, −0.53 to −0.21). In addition, some MBMs had significant positive effects on psychological trauma, burnout, insomnia, anxiety, depression, self-compassion, mindfulness, quality of life, resilience, and well-being, but not psychological trauma and self-efficacy of HCWs. This review provides data supporting the potential of some MBMs to improve the mental health of HCWs during COVID-19. However, owing to poor methodological quality and heterogeneity of interventions and outcomes of the included studies, further high-quality clinical trials are needed on this topic in the future.

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“…Each one-hour weekly session of the 8-week program followed the same general structured format. A MIM program delity checker assured that all sessions follow the same format across cohorts (M. D. Klatt et al 2021). In the beginning of the sessions, relaxing music was in the background to set the climate for MIM while the instructor opened with the intent of the session re ection question and program: resiliency building and stress reduction through mindful awareness of habitual patterns of stress reactivity.…”

Section: Mindfulness In Motion Protocolmentioning

confidence: 99%

Heart Rate Variability and Respiration Rates during a Mindfulness Based Intervention for Health Care Professionals: Mindfulness in Motion

Justin,

Klatt,

Quatman-Yates

et al. 2023

Preprint

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The purpose was to evaluate the effects of Mindfulness in Motion (MIM), a Mindfulness Based Intervention, on respiration rate, heart rate, and heart rate variability (HRV). Healthcare providers wore chest strap electrocardiography-based (ECG) devices during MIM sessions (n = 84). Data were collected during the following mindfulness-based segments: 5-minute quiet sitting to reflect on the weekly theme that ended with a 30 second mindful breath count (Baseline-MIM), 15-minute Education video, 20-minute Discussion with peers, 15-minute Practice, and lastly a 5-minute reflection ending with a 30 second breath count (Post-MIM). Metrics from ECG included: mean heart rate, root-mean square of successive differences between R-R intervals (rMSSD), standard deviation of R-R intervals (SDNN), absolute power for low frequency (LF, 0.04–0.15 Hz), and high frequency (HF, 0.15–0.4 Hz) bands, Total Power across entire frequency range (< 0.4 Hz), LF:HF Ratio, and respiration rate. According to mixed effect models there were main effects of MIM Session Segments (p < 0.05) across all metrics. Heart rate was elevated during Practice (4.96 ± 0.91, p < 0.001, ES = 0.383), while rMSSD was not significantly different at any timepoint (p > 0.05). Compared to Baseline-MIM, respiration rates were significantly slower in Practice (1.98 ± 0.35 bpm) and Post-MIM (2.03 ± 0.35 bpm, p < 0.001), while SDNN, LF, and LF:HF were significantly increased. During practice, HF was decreased, while Total Power was increased during Post-MIM. Acute improvements in HRV, likely from acute decreases in respiration rates, occurred while healthcare providers completed a mindfulness intervention (MIM) during work hours.

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The Necessary Thread of Mindfulness Intervention Fidelity Assurance: Enabling an Organizational Strategy to Promote Health Care Professional Well-Being

Cited by 6 publications

References 13 publications

Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience

Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience

Systematic Review of Mind–Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era

Heart Rate Variability and Respiration Rates during a Mindfulness Based Intervention for Health Care Professionals: Mindfulness in Motion

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