Increasing Self-Compassion and State-Mindfulness to Maintain Mental Health of Health Care Professionals through e-WellMind App: A Cluster Randomized Controlled Trial
Keywords:
nurse, physician, health care, training, e-WellMind appAbstract
Background: Work pressure and tight schedules have an effect on mood swings, boredom and burnout. This pressure has an impact on the quality of interaction between doctors/nurses and patients. This situation also has an impact on service providers who have the potential to experience mental health problems. Objective: This study was conducted to determine the effect of the e-WellMind digital application on self-compassion and state-mindfulness of professional health service providers in maintaining mental health. Method: The use of the Wellmind application is for 60 training sessions, with a duration of 5-10 minutes. This activity was attended by 22 health care professionals and 21 other people did not participate in this program. The effect of the Wellmind application was measured before and after the intervention was changes in self-compassion and state-mindfulness in health care professionals. This data is sourced from on Dryad. https://doi.org/10.5061/dryad.0zpc8672x. Results: The results showed that both groups had the same characteristics (homogeneous) for the variables of self-compassion (mean±SD) (28.8±6.93; p=0.680) and state-mindfulness (29.6±08.; p=0.564). There was a significant change after the application of the e-WellInd application to self-compassion (d1=.649; 95%CI=-.360 to -.035; p=.000; d2=.479; 95%CI= -.509 to -.100; p=.002 and trait-mindfulness (d1=.761; 95%CI=-39.3001 sampai -8.346; p=.010; d2=.634; 95%CI= -4.242 sampai -3.358; p=.023). Conclusions: The application of the e-WellMind digital application has an impact on protecting self-compassion and trait-mindfulness health care professionals in maintaining and maintaining mental health.
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J. L. Mensinger, G. M. Weissinger, M. A. Cantrell, R. Baskin, and C. George, “A Pilot Feasibility Evaluation of a Heart Rate Variability Biofeedback App to Improve Self-Care in COVID-19 Healthcare Workers,” Appl. Psychophysiol. Biofeedback, vol. 49, no. 2, pp. 241–259, 2024, doi: 10.1007/s10484-024-09621-w.
T. D. Shanafelt et al., “Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017,” Mayo Clin. Proc., vol. 94, no. 9, pp. 1681–1694, 2019, doi: https://doi.org/10.1016/j.mayocp.2018.10.023.
B. Riedel, S. R. Horen, A. Reynolds, and A. Hamidian Jahromi, “Mental Health Disorders in Nurses During the COVID-19 Pandemic: Implications and Coping Strategies,” Front. Public Heal., vol. 9, no. October, pp. 1–7, 2021, doi: 10.3389/fpubh.2021.707358.
T. Tajirian et al., “Tackling the Burden of Electronic Health Record Use Among Physicians in a Mental Health Setting: Physician Engagement Strategy,” J. Med. Internet Res., vol. 24, no. 3, pp. 1–11, 2022, doi: 10.2196/32800.
C. Marshman, A. Hansen, and I. Munro, “Compassion fatigue in mental health nurses: A systematic review,” J. Psychiatr. Ment. Health Nurs., vol. 29, no. 4, pp. 529–543, Aug. 2022, doi: https://doi.org/10.1111/jpm.12812.
U. Foye et al., “How has COVID-19 affected mental health nurses and the delivery of mental health nursing care in the UK? Results of a mixed-methods study,” J. Psychiatr. Ment. Health Nurs., vol. 28, no. 2, pp. 126–137, Apr. 2021, doi: https://doi.org/10.1111/jpm.12745.
J. Du et al., “Mental health burden in different professions during the final stage of the COVID-19 lockdown in China: Cross-sectional survey study,” J. Med. Internet Res., vol. 22, no. 12, pp. 1–14, 2020, doi: 10.2196/24240.
A. L. Rathbone and J. Prescott, “The use of mobile apps and SMS messaging as physical and mental health interventions: Systematic review,” J. Med. Internet Res., vol. 19, no. 8, pp. 1–13, 2017, doi: 10.2196/jmir.7740.
Y. Zhang et al., “The correlation between lifestyle health behaviors, coping style, and mental health during the COVID-19 pandemic among college students: Two rounds of a web-based study,” Front. Public Heal., vol. 10, 2023, doi: 10.3389/fpubh.2022.1031560.
A. M. Toole, D. LoParo, and L. W. Craighead, “Self-compassion and dissonance-based interventions for body image distress in young adult women,” Body Image, vol. 38, pp. 191–200, 2021, doi: 10.1016/j.bodyim.2021.04.001.
J. Mascaro, S. Kelley, A. Darcher, L. Negi, C. Worthman, and A. Miller, “Title: Meditation Buffers Medical Student Compassion from the Deleterious Effects of Depression Running Head: Compassion Meditation for Medical Students Jennifer S. Mascaro,” J. Posit. Psychol., vol. 30329, pp. 1–30, 1841.
S. Li, G. Cui, A. C. Kaminga, S. Cheng, and H. Xu, “Associations between health literacy, ehealth literacy, and covid-19-related health behaviors among chinese college students: Cross-sectional online study,” J. Med. Internet Res., vol. 23, no. 5, pp. 1–13, 2021, doi: 10.2196/25600.
U. Kirk et al., “App-Based Mindfulness for Attenuation of Subjective and Physiological Stress Reactivity in a Population With Elevated Stress: Randomized Controlled Trial,” JMIR mHealth uHealth, vol. 11, no. 1, 2023, doi: 10.2196/47371.
J. Kemp et al., “Delivery of compassionate mental health care in a digital technology–driven age: Scoping review,” J. Med. Internet Res., vol. 22, no. 3, pp. 1–15, 2020, doi: 10.2196/16263.
J. Linardon, “Can Acceptance, Mindfulness, and Self-Compassion Be Learned by Smartphone Apps? A Systematic and Meta-Analytic Review of Randomized Controlled Trials,” Behav. Ther., vol. 51, no. 4, pp. 646–658, 2020, doi: 10.1016/j.beth.2019.10.002.
E. Kim et al., “Reducing burnout and promoting health and wellness among medical students, residents, and physicians in Alberta: Protocol for a cross-sectional questionnaire study,” JMIR Res. Protoc., vol. 9, no. 4, 2020, doi: 10.2196/16285.
L. N. Dyrbye et al., “Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students,” JAMA, vol. 304, no. 11, pp. 1173–1180, Sep. 2010, doi: 10.1001/jama.2010.1318.
V. Dev, A. T. Fernando, A. G. Lim, and N. S. Consedine, “Does self-compassion mitigate the relationship between burnout and barriers to compassion? A cross-sectional quantitative study of 799 nurses,” Int. J. Nurs. Stud., vol. 81, no. November 2017, pp. 81–88, 2018, doi: 10.1016/j.ijnurstu.2018.02.003.
M. Karlsson and S. Pennbrant, “Ideas of caring in nursing practice,” Nurs. Philos., vol. 21, no. 4, pp. 1–5, 2020, doi: 10.1111/nup.12325.
J. L. Smith et al., “Impact of app-delivered mindfulness meditation on functional connectivity, mental health, and sleep disturbances among physician assistant students: Randomized, wait-list controlled pilot study,” JMIR Form. Res., vol. 5, no. 10, pp. 1–21, 2021, doi: 10.2196/24208.
W. Y. Ong and O. Sündermann, “Efficacy of the Mental Health App ‘Intellect’ to Improve Body Image and Self-compassion in Young Adults: A Randomized Controlled Trial With a 4-Week Follow-up,” JMIR mHealth uHealth, vol. 10, no. 11, 2022, doi: 10.2196/41800.
M. S. Krasner et al., “Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians,” JAMA, vol. 302, no. 12, pp. 1284–1293, Sep. 2009, doi: 10.1001/jama.2009.1384.
C. P. West, L. N. Dyrbye, P. J. Erwin, and T. D. Shanafelt, “Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis,” Lancet, vol. 388, no. 10057, pp. 2272–2281, 2016, doi: 10.1016/S0140-6736(16)31279-X.
T. Wang, C. Tang, X. Jiang, Y. Guo, S. Zhu, and Q. Xu, “Effectiveness of Web-Based Mindfulness-Based Interventions for Patients With Cancer: Systematic Review and Meta-Analyses,” J. Med. Internet Res., vol. 26, no. 1, 2024, doi: 10.2196/47704.
P. Muris, H. Otgaar, C. Meesters, A. Heutz, and M. van den Hombergh, “Self-compassion and Adolescents’ Positive and Negative Cognitive Reactions to Daily Life Problems,” J. Child Fam. Stud., vol. 28, no. 5, pp. 1433–1444, 2019, doi: 10.1007/s10826-019-01353-4.
C. A. Hunt, M. A. Hoffman, J. J. Mohr, and A. leila Williams, “Assessing Perceived Barriers to Meditation: the Determinants of Meditation Practice Inventory-Revised (DMPI-R),” Mindfulness (N. Y)., vol. 11, no. 5, pp. 1139–1149, 2020, doi: 10.1007/s12671-020-01308-7.
S. L. Russ, G. Maruyama, T. B. Sease, and S. Jellema, “Do early experiences matter? Development of an Early Meditation Hindrances Scale linked to novice meditators’ intention to persist.,” Psychol. Conscious. Theory Res. Pract., vol. 4, no. 3, pp. 274–287, 2017, doi: 10.1037/cns0000129.
W. W. S. Mak et al., “Efficacy and moderation of mobile app-based programs for mindfulness-based training, self-compassion training, and cognitive behavioral psychoeducation on mental health: Randomized controlled noninferiority trial,” JMIR Ment. Heal., vol. 5, no. 4, pp. 1–18, 2018, doi: 10.2196/mental.8597.
M. D. Venegas, J. M. Brooks, A. L. Myers, M. Storm, and K. L. Fortuna, “Peer Support Specialists and Service Users’ Perspectives on Privacy, Confidentiality, and Security of Digital Mental Health,” IEEE Pervasive Comput., vol. 21, no. 2, pp. 41–50, 2022, doi: 10.1109/MPRV.2022.3141986.
WHO, “WHO guideline: recommendations on digital interventions for health system strengthening: web supplement 2: summary of findings and GRADE tables,” No. WHO/RHR/19.7, 2019.
Dryad. URL: https://datadryad.org/stash/landing/show?id=doi%3A10.5061%2Fdryad.0zpc8672x
WellMind for the Healthcare Community. Powered by REDCap. URL: https://tinyurl.com/wellmind-ucsdhealth [accessed 2023-12-30]
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