Impact of Mindful Awareness Practices in Pediatric Residency Training

Study Overview
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Brief Summary
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This study evaluates the effect of a standardized mindfulness based intervention compared to control on self-reported levels of stress in residency trainees.

Detailed Description
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Recent research studies have indicated that the practice of mindfulness is strongly correlated with enhanced well-being and improved resilience in a variety of populations. Mindfulness-based interventions have been shown to reduce stress and symptoms of burnout in physicians. However, the two studies that included residents were observational trials evaluating the effect of an abbreviated, informal mindfulness course. The aim of the investigator's study is to assess whether a standardized course in mindfulness meditation (Mindful Awareness Practices, MAPs) reduces self--reported signs and symptoms of stress, burnout, depression, anxiety, loneliness and poor sleep quality in residents in pediatrics training. This study is a randomized controlled trial using 2 parallel groups. The pediatrics residents randomized to the intervention will participate in a standardized mindful awareness practices intervention consisting of one live 45- minute session and 5 web--based self--study sessions. The live session will be administered by a trained mindfulness educator at the UCLA Westwood, Olive View Medical Center and Cedars--Sinai Medical Center campuses. The waitlist group will have the opportunity to participate in the same course once the study has been completed. Participants will respond to questionnaires to assess for levels of stress and other mental health measures before and after the intervention to see if the intervention group had a reduction in symptoms compared to the waitlist group.

Official Title
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Impact of Mindful Awareness Practices in Pediatric Residency Training

Conditions
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Stress, Burnout, Professional

Intervention / Treatment
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* Behavioral: Mindful Awareness Practices (MAPs)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pediatric resident at the University of California Los Angeles's Mattel Children's Hospital Medicine/Pediatric resident at University of California Los Angeles's Mattel Children's Hospital Exclusion Criteria: -None

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mindful Awareness Practices (MAPs)<br>Mindful Awareness Practices is a mindfulness-based intervention developed at UCLA's Mindful Awareness Research Center. It is a weekly 2-hour, 6-session, group-based course in mindfulness meditation that is available in-person or online. | Behavioral: Mindful Awareness Practices (MAPs)<br>* Please refer to arm description<br>|
| No Intervention: Control<br>Waitlist control (intervention will be available to this group at the end of the study period) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in level of stress per Perceived Stress Scale (PSS) | PSS = validated 14-item self-report questionnaire of stress experienced over past month. Scores range from 0-56. Higher scores represent a worse outcome. | Baseline and at 2 months (immediately post-intervention) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in symptoms of burnout per Abbreviated Maslach Burnout Inventory-9 | Physician-specific self-report questionnaire of symptoms of burnout. The inventory is divided into three subscales: emotional exhaustion, depersonalization and personal accomplishment. Each subscale scores from 0-18. The subscales are reported separately rather than added together for a total score. Higher scores represent a worse outcome, except on the personal accomplishment subscale, where higher scores represent better outcome. | Baseline and at 2 months (immediately post-intervention) | 
| Change in symptoms of depression per Beck Depression Inventory (BDI) | Validated self-report questionnaire of symptoms of depression. Scores range from 0-63. Higher scores represent a worse outcome. | Baseline and at 2 months (immediately post-intervention) | 
| Change in symptoms of anxiety per Beck Anxiety Inventory (BAI) | Validated self-report questionnaire of symptoms of anxiety. Scores range from 0-63. Higher scores represent a worse outcome. | Baseline and at 2 months (immediately post-intervention) | 
| Change in level of loneliness per UCLA Loneliness Scale | Validated self-report questionnaire of frequency of feeling lonely. Scores range from 20-80. Higher scores represent a worse outcome. | Baseline and at 2 months (immediately post-intervention) | 
| Change in level of sleep quality per Pittsburgh Sleep Quality Index (PSQI) | Validated self-report questionnaire evaluated sleep quality. Scores range from 0-21. Higher scores represent a worse outcome. | Baseline and at 2 months (immediately post-intervention) | 
| Change in level of mindfulness per Mindful Attention Awareness Scale (MAAS) | MAAS = validated 15-item self-report questionnaire of tendency to be attentive to and aware of experiences in daily life. Scores range from 15-90. Higher scores represent a better outcome. | Baseline and at 2 months (immediately post-intervention) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mindfulness, Residency training