Moderators of a resiliency group intervention for frontline clinicians during the COVID-19 pandemic.
Moderators of a resiliency group intervention for frontline clinicians during the COVID-19 pandemic.
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DOI：
10.1016/j.jad.2021.06.036
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发表时间：
2021-10-01
影响因子：
6.6
通讯作者：
Park ER
中科院分区：
文献类型：
--
作者：
Sylvia LG;George N;Rabideau DJ;Streck JM;Albury E;Hall DL;Luberto CM;Mizrach HR;Perez GK;Crute S;Mehta DH;Convery MS;Looby SE;Fricchione G;Fava M;Wilhelm S;Park ER
To mitigate the psychological burdens of COVID-19 for frontline clinicians (FCs), we adapted an existing evidence-based resiliency program, Stress Management and Resilience Training Relaxation Response Program (SMART-3RP), for FCs.该分析探讨了压力应对的调节因素，以确定 FC 的哪些亚组从 SMART-3RP 中受益最多。来自麻省总医院的 102 个 FC 参与了改造后的 SMART-3RP。评估在小组进入（第 0 周）和结束（第 4 周）时完成。主要结果是压力应对，我们检查了 15 种可能的基线调节因素。我们拟合线性混合效应回归模型，并使用似然比检验评估潜在的基线调节因素。 We report model-based estimates and confidence intervals for each moderator-by-time interaction (i.e., differential effect), where positive/negative values indicate more/less improvement in average perceived stress coping.从第 0 周到第 4 周，压力应对有所改善（平均改善 [95% CI] = 0.9 [0.6 至 1.2]）。 FCs with higher anxiety (differential effect [95% CI] = 0.3 [0.1 to 0.4]), depression (0.4 [0.2 to 0.6]), and loneliness (0.4 [0.1 to 0.6]), but lower levels of mindfulness (CAMS-Rfocus: 1.0 [0.4 to 1.6]; CAMS-Raccept: 1.3 [0.7 to 2.0]）和自我慈悲（0.4，[0.1 至 0.8]）在基线时从 SMART-3RP 中获得了更大的感知压力应对益处。基线健康不确定性以及社会人口统计和工作特征并没有缓解压力应对。 Results highlight particular sub-populations of FCs that may benefit more from a stress management intervention, especially during emergency responses (e.g., COVID-19 pandemic).
To mitigate the psychological burdens of COVID-19 for frontline clinicians (FCs), we adapted an existing evidence-based resiliency program, Stress Management and Resilience Training Relaxation Response Program (SMART-3RP), for FCs. This analysis explores moderators of stress coping to determine which subgroups of FCs benefited most from SMART-3RP. 102 FCs from Mass General Brigham hospitals engaged in the adapted SMART-3RP. Assessments were completed at group entry (Week 0) and completion (Week 4). The primary outcome was stress coping, and we examined 15 possible baseline moderators. We fit linear mixed effects regression models and assessed potential baseline moderators using a likelihood ratio test. We report model-based estimates and confidence intervals for each moderator-by-time interaction (i.e., differential effect), where positive/negative values indicate more/less improvement in average perceived stress coping. Stress coping improved from Week 0 to Week 4 (mean improvement [95% CI] = 0.9 [0.6 to 1.2]). FCs with higher anxiety (differential effect [95% CI] = 0.3 [0.1 to 0.4]), depression (0.4 [0.2 to 0.6]), and loneliness (0.4 [0.1 to 0.6]), but lower levels of mindfulness (CAMS-Rfocus: 1.0 [0.4 to 1.6]; CAMS-Raccept: 1.3 [0.7 to 2.0]) and self-compassion (0.4, [0.1 to 0.8]) at baseline experienced greater benefits in perceived stress coping from the SMART-3RP. Baseline health uncertainty along with sociodemographic and work characteristics did not moderate stress coping. Results highlight particular sub-populations of FCs that may benefit more from a stress management intervention, especially during emergency responses (e.g., COVID-19 pandemic).
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DOI：
10.3390/ijerph17249155
发表时间：
2020-12-08
影响因子：
--
作者：
Woon LS;Sidi H;Nik Jaafar NR;Leong Bin Abdullah MFI
通讯作者：
Leong Bin Abdullah MFI
影响因子：
4.7
作者：
Mehta, Darshan H.;Perez, Giselle K.;Jackson, Vicki A.
通讯作者：
Jackson, Vicki A.
影响因子：
3.4
作者：
RUSSELL, D;PEPLAU, LA;FERGUSON, ML
通讯作者：
FERGUSON, ML
影响因子：
16.4
作者：
Rettie, Hannah;Daniels, Jo
通讯作者：
Daniels, Jo
影响因子：
2.3
作者：
Park, Elyse R.;Perez, Giselle K.;Kuhlthau, Karen A.
通讯作者：
Kuhlthau, Karen A.