Dunne 2019.
Study characteristics | ||
Methods |
Study design: randomised controlled trial Study grouping: parallel group |
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Participants |
Baseline characteristics Attention‐based training (ABT)
Control (wait list)
Overall
Included criteria: a current staff member of the emergency department of St. James’ Hospital; preference to participate in the study and to be over 18 years of age Excluded criteria: alcohol or substance abuse within the past 6 months; more than four consecutive classes of meditation or other mind–body practises (including yoga and Tai‐chi) in the past two years; a diagnosis of schizophrenia; currently using (at time of enrolment) anti‐psychotic medication or recently started on anti‐depressant meditation (less than three months at the time of enrolment). Participants on a stable dose of anti‐depressant medication (for more than three months) were permitted but advised to consult with their general practitioner or psychiatrist prior to enrolment. Pretreatment: NR Type of healthcare worker: exclusively emergency department healthcare worker Response rate: 100% Compliance rate: 16 of the 29 followed at least two sessions > 55% |
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Interventions |
Intervention characteristics Attention‐based training (ABT)
Control (wait list)
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Outcomes |
Maslach Burnout Inventory ‐ Emotional Exhaustion
Maslach Burnout Inventory ‐ Depersonalisation
Maslach Burnout Inventory ‐ Personal accomplishment
DASS ‐ stress
DASS ‐ anxiety
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Identification |
Sponsorship source: NR Country: Ireland Setting: Hospital Comments: NR Authors name: PJ Dunne Institution: Trinity Translational Medicine Institute, Trinity College Email: padraicdunne@rcsi.com Address: Dublin D08 W9RT, Ireland Time period: NR |
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Notes | The authors kindly referred to the supplementary file. MBI‐EE included in analysis 2.1 DASS anxiety included in analysis 2.3 |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Emergency MDT participants were stratified by role and gender and allocated to intervention or no‐treatment control group using an online randomization tool [17]. Volunteers" |
Allocation concealment (selection bias) | Unclear risk | Quote: "Emergency MDT participants were stratified by role and gender and allocated to intervention or no‐treatment control group using an online randomization tool [17]." Insufficient information to understand whether intervention allocations could have been foreseen in advance of, during, enrolment. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Participants were not blinded. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Participants were not blinded whereas outcomes are self‐reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "There was no significant difference between study completers and withdrawers." 42 of the 58 participants were analysed. Response rate 72%. However, missing at random according to the authors. |
Selective reporting (reporting bias) | Unclear risk | The authors report a trial registration, nor did we find one online |
Other bias | Unclear risk | Unclear whether participants differ on baseline characteristics. |