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. 2023 May 12;2023(5):CD002892. doi: 10.1002/14651858.CD002892.pub6

Errazuriz 2022.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Participants Baseline characteristics
Mindfulness‐based stress reduction (MSBR)
  • Age (mean ± SD): 40.9 ± 12

  • Sex (N (% female)): 34 (97%)

  • Sample size: 35

  • Years of experience (mean ± SD): 16.8 ± 11


Psychoeducational stress management (SMC)
  • Age (mean ± SD): 40.1 ± 14

  • Sex (N (% female)): 33 (97%)

  • Sample size: 34

  • Years of experience (mean ± SD): nr ± (11)


Wait list
  • Age (mean ± SD): 39.6 ± 11

  • Sex (N (% female)): 36 (100%)

  • Sample size: 36

  • Years of experience (mean ± SD): 14 ± 10


Overall
  • Age (mean ± SD): NR

  • Sex (N (% female)): NR

  • Sample size: NR

  • Years of experience (mean ± SD): NR


Included criteria: (i) non‐physician healthcare workers; (ii) aged ≥ 18 years; (iii) with a permanent work contract; and (iv) in direct contact with patients.
Excluded criteria: participants were excluded if they reported suicidal ideation or problematic alcohol consumption at enrolment as measured in items 8 and 11 of the 45‐item Outcome Questionnaire
Pretreatment: the three groups did not differ significantly in any of the collected baseline characteristics, except for levels of ’rewards’ at work and scores in the mindfulness ‘describing’ facet
Compliance rate: NR
Response rate: NR
Type of healthcare worker: various healthcare workers
Interventions Intervention characteristics
Mindfulness‐based stress reduction (MSBR)
  • Type of the intervention: Intervention type 2 ‐ to focus one’s attention away from the experience of stress

  • Description of the intervention: Mindfulness‐based stress reduction (MBSR) courses teach individuals to observe thoughts, emotions, and situations non‐judgementally and non‐reactively via exercises, including meditation

  • The number of sessions: 8

  • Duration of each session on average: 2 hours

  • Duration of the entire intervention: 8 weeks

  • Duration of the entire intervention short vs long: short

  • Intervention deliverer: Clinical psychologist

  • Intervention form: Group


Psychoeducational stress management (SMC)
  • Type of the intervention: Intervention type 1 ‐ to focus one’s attention on the experience of stress

  • Description of the intervention: The training was aimed to develop efficient coping strategies through lectures addressing work‐related stress and wellbeing, interpersonal support, and experiential activities.

  • The number of sessions: 8

  • Duration of each session on average: 2 hours

  • Duration of the entire intervention: 8 weeks

  • Duration of the entire intervention short vs long: short

  • Intervention deliverer: Clinical psychologist

  • Intervention form: Group


Wait list
  • Type of the intervention: NA

  • Description of the intervention: NA

  • The number of sessions: NA

  • Duration of each session on average: NA

  • Duration of the entire intervention: NA

  • Duration of the entire intervention short vs long: NA

  • Intervention deliverer: NA

  • Intervention form: NA

Outcomes General Health Questionnaire (GHQ‐12)
  • Outcome type: ContinuousOutcome


45‐item Outcome Questionnaire (OQ‐45)
  • Outcome type: ContinuousOutcome


Perceived Stress Scale (PSS)
  • Outcome type: ContinuousOutcome

Identification Sponsorship source: NR
Country: Chile
Setting: Mixed healthcare settings including: a tertiary hospital, a teaching hospital and an outpatient complex.
Comments: NR
Authors name: Antonia Errazuriz
Institution: Department of Psychiatry, School of Medicine, Pontificia Universidad Catolica de Chile
Email: anerrazuriz@uc.cl
Address: School of Medicine, Pontificia Universidad Catolica de Chile, Diagonal Paraguay 362, Santiago, 8330077, Chile
Time period: NR
Notes We kindly received the mean and SD of the primary outcome from author A. Errazuriz. 
PSS included in analysis 1.1 and 1.2 and 2.1 and 2.2 and 5.1 and 5.2 and 6.1 and 6.2
 
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Participants were randomized into three groups (1:1:1 ratio) using computer‐generated random numbers, stratified by work position."
Allocation concealment (selection bias) Unclear risk Quote: "Allocation was executed by ordering subjects according to the random number within strata and assigning the subjects within each stratum to groups 1, 2, and 3, consecutively, until exhausting the number of subjects within each stratum."
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 High risk 52 of the 105 (50%) randomised participants were included in the analysis. Reasons not provided. Not reported whether lost to follow‐up at random.
Selective reporting (reporting bias) High risk Trial registration: ISRCTN12039804. Did not report on Maslach Burnout Inventory and  number of sick leaves in the previous three months
Other bias Unclear risk Compliance rate and response rate not reported.