Seidel 2021.
Study characteristics | ||
Methods |
Study design: randomised controlled trial Study grouping: parallel group |
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Participants |
Baseline characteristics Mindfulness Curriculum
Control (wait list)
Overall
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" |
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Interventions |
Intervention characteristics Mindfulness Curriculum
Control (wait list)
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Outcomes |
Maslach Burnout Inventory ‐ Emotional Exhaustion
Maslach Burnout Inventory ‐ Depersonalisation
Maslach Burnout Inventory ‐ Personal accomplishment (lack of)
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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 |
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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 |