Mindfulness to the Clinical Setting: The Mind Hand Connection Study

Study Overview
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Brief Summary
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This is a single center, randomized study that assessed the effects of mindfulness training on physician teaching teams at a VA hospital.

Detailed Description
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The primary objective of this study was to evaluate changes in hand hygiene compliance pre- and post- intervention in Internal Medicine physician and medical student inpatient teaching teams. Half of the teaching teams received the intervention of mindfulness education. Blinded observers collected data on hand hygiene compliance and mindfulness behaviors for both teams during patient care rounds for 1-week pre and post intervention. Additionally, the intervention group participated in focus group/interview discussions.

Official Title
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Mindfulness to the Clinical Setting: The Mind Hand Connection Study

Conditions
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Mindfulness, Education, Medical, Hand Hygiene, Patient Safety

Intervention / Treatment
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* Behavioral: Mindfulness Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Internal Medicine attendings, residents, interns and medical students on inpatient patient care teams, able to provide consent Exclusion Criteria: Surgical attendings, residents, interns or subspeciality teams, Internal medicine attendings rotating on non-resident teams

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participating teams were randomized with a 1:1 ratio to receive the intervention.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mindfulness Education<br>Participants viewed an informational video titled, All it Takes is 10 Mindful Minutes by mindfulness expert, Andy Puddicombe. Following the video, a guided discussion was provided that focused on how the principles of mindfulness can be used to influence a physician's state of mental presence, allowing for moments of clarity, insight, and reflection, and potentially enhance provider and patient safety. | Behavioral: Mindfulness Education<br>* Mindfulness Education<br>|
| No Intervention: No Intervention<br>Participants did not receive mindfulness education. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand Hygiene Compliance | Change in hand hygiene compliance observed during patient care rounds | Baseline and study completion at 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mindful Attention Awareness Scale | Measures core characteristics of mindfulness | Baseline and study completion at 2 weeks |