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

Seidel 2021.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Participants Baseline characteristics
Mindfulness Curriculum
  • Age (mean ± SD): NR

  • Sex (N (% female)): NR

  • Sample size: NR

  • Years of experience (mean ± SD): NR


Control (wait list)
  • Age (mean ± SD): NR

  • Sex (N (% female)): NR

  • Sample size: NR

  • Years of experience (mean ± SD): NR


Overall
  • Age (mean ± SD): NR

  • Sex (N (% female)): 71 (86%)

  • Sample size: 83

  • Years of experience (mean ± SD): NR


Included criteria: NR
Excluded criteria: NR
Pretreatment: NR
Compliance rate: NR
Response rate: NR
Type of healthcare worker: quote: "Physicians, nurses, physician assistants, nurse practitioners, clinical nurse specialists, social workers, physical therapists, occupational therapists, pharmacists, psychologists, and chaplains"
Interventions Intervention characteristics
Mindfulness Curriculum
  • Type of the intervention: Intervention type 2 ‐ to focus one’s attention away from the experience of stress

  • Description of the intervention: "A series of 4 consecutive weekly 1‐hour classes on mindfulness (Building a Mindful CommUnity) and 15 minutes of daily practice."

  • The number of sessions: 4

  • Duration of each session on average: 1 hour

  • Duration of the entire intervention: 4 weeks

  • Duration of the entire intervention short vs long: Short

  • Intervention deliverer: NR

  • Intervention form: Face‐to‐face classes AND at home practice by individual


Control (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 Maslach Burnout Inventory ‐ Emotional Exhaustion
  • Outcome type: ContinuousOutcome


Maslach Burnout Inventory ‐ Depersonalisation
  • Outcome type: ContinuousOutcome


Maslach Burnout Inventory ‐ Personal accomplishment (lack of)
  • Outcome type: ContinuousOutcome

Identification Sponsorship source: "Portions of the project were funded by a Research AccelerationProgram grant from Carilion Clinic."
Country: USA
Setting: Academic medical centre
Comments: The publication discusses two studies: 1 a quasi‐experimental study and another an RCT. The RCT details are abstracted here.
Authors name: Laurie Walker Seidel
Institution: Virginia Tech
Email: wseidel@vt.edu
Address: Roanoke City Public Schools Central Office, 40 Douglass Ave, Roanoke, VA 24012, USA
Time period: 2016‐2017
Notes MBI‐EE included in analysis 2.1 and 2.2
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were randomly assigned to either the intervention group or a waitlist control group. Sequence generation process insufficiently described.
Allocation concealment (selection bias) Unclear risk Unable to judge whether participants and/or investigators could possible foresee assignment
Blinding of participants and personnel (performance bias)
All outcomes High risk Blinding not possible
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 Of the 103 healthcare professionals who enroled, 83 completed the study (81%). Reasons not provide, nor whether missing was at random. Lost to follow‐up just below our pre‐defined cut‐off value. 
Selective reporting (reporting bias) Low risk No trial registration or no study protocol reported. No indication of selective reporting.
Other bias Unclear risk No information on baseline differences. Contamination between groups ‐> There was a low attrition rate, supporting the effectiveness of offering each class multiple times within the week to expand choice and flexibility with the typical scheduling of a healthcare environment. The pattern of results may indicate that participants' knowing they were eventually to receive mindfulness training motivated members of the control group to improve their outlook. Although one cannot be certain about any post hoc explanation, it seems more likely that intervention participants shared what they learnt with those in the control group during the training period. It was observed during study 2 enrolment, for example, that several groupings of friends were assigned randomly to different conditions. Sharing information may explain why control participants increased mindful awareness during the intervention but did not continue that increase to the 6‐month posttest