scholarly journals The Rural Clinical School of Western Australia Mindfulness Project

2020 ◽  
Vol 7 (1) ◽  
pp. 51
Author(s):  
Sarah Moore ◽  
Rita Barbour ◽  
Hanh Ngo ◽  
Craig Sinclair ◽  
Richard Chambers ◽  
...  

Background: Medical students experience high levels of stress during their training. Literature suggests that mindfulness can reduce stress and increase self-compassion levels in medical students. Most mindfulness training programs are delivered face-to-face and require significant time commitments, which can be difficult to achieve for rurally-based students with heavy academic workloads.Aim: We sought to determine the feasibility and effectiveness of a mindfulness training program delivered online to medical students at a Rural Clinical School.Methods: An 8-week online training program was delivered to third year medical students at the Rural Clinical School of Western Australia in 2016.Using quantitative-qualitative mixed-methods approach, we measured the frequency and duration of the participants’ mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion and compassion levels, as well as personal and professional attitudes and behaviours.Results: 47 students were recruited to the study. 50% of participants were practising at least weekly by the end of the 8-week program, and 32% of responding students reported practising at least weekly 6 months following the intervention. There was a statistically significant reduction in participants’ perceived stress levels and a significant increase in self-compassion at 6 month follow up. Participants reported qualitative insights about the personal and professional impact of mindfulness meditation training as well as barriers to practice.

2020 ◽  
Author(s):  
Sarah Jane Moore ◽  
Rita Barbour ◽  
Hanh Ngo ◽  
Craig Sinclair ◽  
Richard Chambers ◽  
...  

Abstract Background We sought to determine the feasibility and effectiveness of a mindfulness training program, delivered online to medical students at a Rural Clinical School.Methods An 8-week online training program was delivered to penultimate-year medical students at an Australian Rural Clinical School during 2016. Using a mixed methods approach, we measured the frequency and duration of participants’ mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion and compassion levels, as well as personal and professional attitudes and behaviours.Results 47 participants were recruited to the study. 50% of participants were practising mindfulness meditation at least weekly by the end of the 8-week program, and 32% reported practising at least weekly 4 months following completion of the intervention. There was a statistically significant reduction in participants’ perceived stress levels and a significant increase in self-compassion at 4-month follow-up. Participants reported insights about the personal and professional impact of mindfulness meditation training as well as barriers to practice.Conclusions The results provide preliminary evidence that online training in mindfulness meditation can be associated with reduced stress and increased self-compassion in rural medical students. More rigorous research is required to establish concrete measures of feasibility of a mindfulness meditation program.


Author(s):  
Sarah Jane Moore ◽  
Rita Barbour ◽  
Hanh Ngo ◽  
Craig Sinclair ◽  
Richard Chambers ◽  
...  

Abstract Background We sought to determine the feasibility and effectiveness of a mindfulness training program, delivered online to medical students at a Rural Clinical School.Methods An 8-week online training program was delivered to penultimate-year medical students at an Australian Rural Clinical School during 2016. Using a mixed methods approach, we measured the frequency and duration of participants’ mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion and compassion levels, as well as personal and professional attitudes and behaviours.Results 47 participants were recruited to the study. 50% of participants were practising mindfulness meditation at least weekly by the end of the 8-week program, and 32% reported practising at least weekly 4 months following completion of the intervention. There was a statistically significant reduction in participants’ perceived stress levels and a significant increase in self-compassion at 4-month follow-up. Participants reported insights about the personal and professional impact of mindfulness meditation training as well as barriers to practice.Conclusions The results provide preliminary evidence that online training in mindfulness meditation can be associated with reduced stress and increased self-compassion in rural medical students. More rigorous research is required to establish concrete measures of feasibility of a mindfulness meditation program.


2022 ◽  
Vol 9 (1) ◽  
pp. 40-41
Author(s):  
Sarah Moore ◽  
Denese Playford ◽  
Hanh Ngo ◽  
Rita Barbour ◽  
Kirsten Auret ◽  
...  

BACKGROUNDMedical students experience high levels of stress during their training. Literature suggests that mindfulness can reduce stress and increase self-compassion levels in medical students. However, most mindfulness training programs are delivered face-to-face and require significant time commitments, which can be challenging for rurally-based students with heavy academic workloads and limited support networks. PURPOSETo evaluate the feasibility and efficacy of a brief online Mindfulness training program for medical students based in rural areas, with regards to reducing stress, increasing self-compassion, mindfulness and study engagement. METHODSThis is a non-registered randomised control trial. Participants included both urban and rural medical students from UWA, University of Notre Dame and the RCSWA from 2018-2020. Participants were randomised to the intervention group, an 8-week online mindfulness training program, or the control group. Using quantitative-qualitative mixed-methods approach, we measured the frequency, duration and quality of the participants mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion, mindfulness and study engagement levels. Further, the intervention group recorded a weekly reflective journal documenting their experience of the program. RESULTS114 participants were recruited to the study. 61 were randomised to the intervention, and 53 to the control. Quantitative analysis of the frequency, duration and quality of mindfulness meditation practice and changes in stress, self-compassion, mindfulness and study engagement is currently being conducted. Preliminary qualitative results reveal that participants experienced increased self-awareness, more mindfulness of their day-to-day activities, improved emotional regulation and increased productivity, while also facing difficulties with making time for their mindfulness practice. CONCLUSIONWe anticipate that this study will demonstrate that an online mindfulness training program tailored to reach rurally located medical students is feasible and effective in modifying their stress levels and psychological wellbeing. 


Author(s):  
Jennifer Huberty ◽  
Jeni Green ◽  
Christine Glissmann ◽  
Linda Larkey ◽  
Megan Puzia ◽  
...  

BACKGROUND College students experience high levels of stress. Mindfulness meditation delivered via a mobile app may be an appealing, efficacious way to reduce stress in college students. OBJECTIVE We aimed to test the initial efficacy and sustained effects of an 8-week mindfulness meditation mobile app—Calm—compared to a wait-list control on stress, mindfulness, and self-compassion in college students with elevated stress. We also explored the intervention’s effect on health behaviors (ie, sleep disturbance, alcohol consumption [binge drinking], physical activity, and healthy eating [fruit and vegetable consumption]) and the feasibility and acceptability of the app. METHODS This study was a randomized, wait-list, control trial with assessments at baseline, postintervention (8 weeks), and at follow-up (12 weeks). Participants were eligible if they were current full-time undergraduate students and (1) at least 18 years of age, (2) scored ≥14 points on the Perceived Stress Scale, (3) owned a smartphone, (4) were willing to download the Calm app, (5) were willing to be randomized, and (7) were able to read and understand English. Participants were asked to meditate using Calm at least 10 minutes per day. A P value ≤.05 was considered statistically significant. RESULTS A total of 88 participants were included in the analysis. The mean age (SD) was 20.41 (2.31) years for the intervention group and 21.85 (6.3) years for the control group. There were significant differences in all outcomes (stress, mindfulness, and self-compassion) between the intervention and control groups after adjustment for covariates postintervention (all P<.04). These effects persisted at follow-up (all P<.03), except for the nonreacting subscale of mindfulness (P=.08). There was a significant interaction between group and time factors in perceived stress (P=.002), mindfulness (P<.001), and self-compassion (P<.001). Bonferroni posthoc tests showed significant within-group mean differences for perceived stress in the intervention group (P<.001), while there were no significant within-group mean differences in the control group (all P>.19). Similar results were found for mindfulness and self-compassion. Effect sizes ranged from moderate (0.59) to large (1.24) across all outcomes. A significant group×time interaction in models of sleep disturbance was found, but no significant effects were found for other health behaviors. The majority of students in the intervention group reported that Calm was helpful to reduce stress and stated they would use Calm in the future. The majority were satisfied using Calm and likely to recommend it to other college students. The intervention group participated in meditation for an average of 38 minutes/week during the intervention and 20 minutes/week during follow-up. CONCLUSIONS Calm is an effective modality to deliver mindfulness meditation in order to reduce stress and improve mindfulness and self-compassion in stressed college students. Our findings provide important information that can be applied to the design of future studies or mental health resources in university programs. CLINICALTRIAL ClinicalTrials.gov NCT03891810; https://clinicaltrials.gov/ct2/show/NCT03891810


2019 ◽  
Author(s):  
Daniel W Grupe ◽  
Chad McGehee ◽  
Chris Smith ◽  
Andrew Francis ◽  
Jeanette Mumford ◽  
...  

BACKGROUND. Police officers are exposed daily to high levels of organizational and operational stressors that have a negative impact on health and well-being outcomes. This population has elevated rates of cardiovascular disease, sleep disorders, symptoms of depression and post-traumatic stress disorder (PTSD), and suicide. Although there are few empirically supported effective stress reduction interventions in police officers, recent evidence suggests that an 8-week training program in mindfulness meditation, specifically tailored for this group, has promise in reducing perceived stress and improving stress-related physical and mental health outcomes including sleep disturbances, anxiety, depression, and burnout. The primary aims of the current study were to 1) demonstrate the feasibility, acceptability, and adherence of a similar mindfulness training program in a new population of police officers; 2) replicate previously demonstrated improvements in perceived stress and stress-related health outcomes, and 3) provide novel evidence of hypothesized reductions in symptoms of PTSD.METHODS. We enrolled 30 sworn law enforcement personnel from a mid-sized, Midwestern U.S. police department in an 8-week, group-based mindfulness training program. We conducted in-person assessments immediately before and after the training program, consisting of self-report measures of perceived stress, sleep quality, physical and mental health symptoms, and burnout and the assessment of high-sensitivity C-reactive protein (hs-CRP) and other physical health measures. An abbreviated remote assessment at 5-month follow-up included self-report measures only.RESULTS. All 30 officers completed the 8-week program and both in-person assessments, with high rates of class attendance, substantial out-of-class practice time, and uniformly positive evaluations of the training program and instructors. Replicating previous studies, we identified post-training reductions in perceived organizational and operational stress, global sleep disturbances, anxiety, and burnout, with significant reductions in anxiety and perceived stress observed at 5-month follow-up. We also identified novel evidence for reduced PTSD hyperarousal symptoms that persisted at 5-month follow-up, and reduced re-experiencing PTSD symptoms at 5-month follow-up only. There was no evidence for changes in self-reported physical health symptoms or hs-CRP.CONCLUSIONS. Successful adaptation, delivery, and acceptance of this mindfulness-based intervention demonstrates the generalizability of mindfulness training across law enforcement populations. The replication of improved stress-related outcomes, and novel evidence for reduced PTSD symptoms, indicate important targets to be further investigated in larger, mechanistic, randomized controlled trials of mindfulness training in police officers.


2021 ◽  
Author(s):  
Ruth Q Wolever ◽  
Michael TM Finn ◽  
Denise Shields

BACKGROUND Despite numerous gaps in the literature, mindfulness training in the workplace is rapidly proliferating. Many “online” or “digital mindfulness” programs do not distinguish between live teaching and recorded or asynchronous sessions, yet differences in delivery mode (e.g., face-to-face, online live, online self-guided, other) may explain outcomes. OBJECTIVE The objective of this study was to use existing data from an online mindfulness solutions company to assess the relative contribution of live and recorded mindfulness training to lower perceived stress in employees. METHODS Perceived stress and the amount of live and recorded online mindfulness training accessed by employees were assessed during eMindful’s One-Percent Challenge (OPC). The OPC is a 30-day program wherein participants are encouraged to spend 1% of their day (14 min) practicing mindfulness meditation on the platform. We used linear, mixed effects models to assess the relationship between stress reduction and usage of components of the eMindful platform (live teaching and recorded options) while controlling for potential reporting bias (completion) and sampling bias. RESULTS Participants who registered for the OPC included 8,431 from 44 companies, with 92% completing stress assessments prior to the OPC, and 28% completing the post-assessment. About a quarter completed both assessments (27%; n = 2,407). Most completers engaged in the platform at least once (90%), 8.5% accessed only recorded sessions while 33.8% participated only in the live programs. Most participants engaged in both live and recorded options, with those who used recordings at all (32.2%) tending to use them 3-4 times. Controlling for completer status, participation at all with the eMindful OPC reduced stress, B = -.32 [-0.35 – -0.30], SE = .01, t(2393.25) = -24.99, p < .001, Cohen’s d = -1.02. Participation in live programs drove decreases in stress, B = -.03, SE = .01, t(3258.61) = -3.03, p = .002, d = -.11, while participation in recorded classes alone did not. Regular practice across the month led to greater reduction in stress. CONCLUSIONS Live mindfulness programs, with recorded or on demand programs used to supplement live practices, confers the strongest likelihood of achieving a significant decrease in stress levels. CLINICALTRIAL NA


2021 ◽  
Author(s):  
Maria Auxiliadora Nogueira Saad ◽  
Vinicius Cesar Jardim Pereira ◽  
Arnaldo Costa Bueno ◽  
Alan Araujo Vieira ◽  
Maria de Fatima Pombo March ◽  
...  

Introduction: In Brazil, practices of medical students have been interrupted due to COVID-19 to meet emergency demands. Aim: To describe a strategy for a controlled return to the presential practices for medical students. Methods: We developed a standardized protocol to be applied before and during the return of the practical classes in medical students of Universidade Federal Fluminense, in the follow months after COVID-19 pandemic beginning. The protocol was comprised in three parts: Remote training on COVID-19 prevention; Face-to-face training focused in COVID-19 prevention, handwashing and personal protective equipment use; Investigation of students COVID-19 status before starting practical activities and weekly monitoring for COVID-19 during seven weeks. The training was done by medical teachers in small groups for medical students of the last lective semester. Results: The classes were interrupted on March 12, 2020 and returned in August 10, 2020. Seventy-one students were trained and followed. The mean age was 26.6 years (26.7 +/- 0.835) and 54% were female. Forty-nine (69%) students over 71 had a private health insurance, 60 (84.5%) shared a house/apartment with one or more person and 12(16.9%) reported a previous comorbidity. Eighteen (25.4%) over 71 reported previous symptoms of COVID-19, being positive in two students. During the follow-up, fourteen (19.7%) over 71 students were placed in quarantine due to signals/symptoms compatible with COVID-19 or contact with symptomatic case. Only two cases (2.8%) were confirmed and occurred in Brazilian epidemiological week 37. Conclusion: The protocol was successful in minimizing COVID-19 acquisition during practical classes of medical students.


BJGP Open ◽  
2018 ◽  
Vol 2 (4) ◽  
pp. bjgpopen18X101621 ◽  
Author(s):  
Herman van Wietmarschen ◽  
Bram Tjaden ◽  
Marja van Vliet ◽  
Marieke Battjes-Fries ◽  
Miek Jong

BackgroundPrimary care physicians are subjected to a high workload, which can lead to stress and a high incidence of burnout. A mindfulness training course was developed and implemented for primary care physicians to better cope with stress and improve job functioning.AimTo gain insight into the effects of the mindfulness training on perceived stress, self-compassion, and self-reflection of primary care physicians.Design & settingA pragmatic mixed-methods pre–post design in which physicians received 8 weeks of mindfulness training.MethodParticipants completed validated questionnaires on perceived stress (Perceived Stress Scale [PSS]), self-compassion (Self-Compassion Scale [SCS]), and self-reflection (Groningen Reflection Ability Scale [GRAS]) before the training, directly after, and 6 months later. Semi-structured interviews were conducted with six participants after the training and a content analysis was performed to gain in depth understanding of experiences.ResultsA total of 54 physicians participated in the study. PSS was reduced (mean difference [MD] -4.5, P<0.001), SCS improved (MD = 0.5, P<0.001), and GRAS improved (MD = 3.3, P<0.001), directly after the 8-week training compared with before training. Six months later, PSS was still reduced (MD = -2.9, P = 0.025) and SCS improved (MD = 0.7, P<0.001). GRAS did not remain significant (MD = 2.5, P = 0.120). Qualitative analysis revealed four themes: being more aware of their own feelings and thoughts; being better able to accept situations; experiencing more peacefulness; and having more openness to the self and others.ConclusionMindfulness training might be an effective approach for improving stress resilience, self-compassion, and self-reflection in primary care physicians.


2021 ◽  
Vol 8 (3) ◽  
pp. 328-337
Author(s):  
Indah Slamet Budiarti ◽  
Albert Lumbu

Learning to use PhET as a virtual laboratory can improve students’ understanding of abstract concepts or material that is difficult to experiment in a real laboratory. The purpose of this local service activity is to conduct training for teachers and students at SMAN 1 Nimboran, Jayapura Regency. This is to find out how the implementation of the PhET Simulation learning media in the 3T region which stands for terdepan (frontier), terpencil (remote), and tertinggal (disadvantaged) in Indonesia. This service activity was attended by physics teachers and students of class XI-IPA at SMAN 1 Nimboran, Jayapura Regency. The method of this activity is carried out in the form of virtual laboratory training through PhET Simulation, face-to-face/offline at SMAN 1 Nimboran. The success of this training program for teachers and students can be seen from the enthusiasm and attainment of skills to use PhET Simulation smoothly. Students better understand the concepts of vibration and waves through simulation. The plan for the next stage of this service activity is to follow up for other subjects and 3T area.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1739-1739
Author(s):  
Preciosa Martinez-Motta ◽  
Adriana Campa ◽  
Valerie George ◽  
Agustin Castellanos

Abstract Objectives Bariatric surgery has been proposed as a potential treatment for individuals who are severely obese. However, the literature indicates that 20–50% of bariatric patients, experience weight regain 18–24 months after surgery. In addition, some studies suggest that a large percentage of bariatric patients present with inability to respond appropriately to hunger and satiety cues and have difficulty dealing with stress. These factors might ultimately impact successful long-term weight management. Mindfulness meditation has been proposed as an approach that can reduce stress and increase awareness of physical sensations, such as hunger and satiety, while promoting increases in psychological flexibility. Based on these factors and research on the Acceptance and Commitment Therapy (ACT), we developed a model: The Mindfulness Meditation/Acceptance and Commitment Approach (MMACT), to support successful weight management in bariatric patients. This study will evaluate the impact of a mindfulness training, based on the MMACT model, on the constructs of mindfulness, psychological flexibility, perceived stress, and intuitive eating in adults post-bariatric surgery. We hypothesized that such intervention will increase mindfulness and psychological flexibility, which will lead to a decrease in perceived stress and an increase in intuitive eating. Methods Individuals 12 to 36 months post-bariatric surgery will be recruited to participate in a 6-session mindfulness training program. The training will take place in group settings of 8–10 participants (final n = 45) and outcome measurements will be assessed at three time points, baseline, six and ten weeks. Results The impact of the training on outcome measurements (i.e., mindfulness, psychological flexibility, perceived stress, and intuitive eating) will be evaluated through four validated questionnaires, the Short Form Five Facet Mindfulness Questionnaire, the Acceptance and Action Questionnaire II, the Perceived Stress Questionnaire, and the Intuitive Eating Scale – 2. Conclusions Evaluation of the MMACT will provide further insight into what factors may impact perceived stress and intuitive eating in bariatric patients and determine the feasibility of mindfulness-based trainings in this population. Funding Sources C.V. Starr Scholarship.


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