Efficacy of an online stress management and resilience techniques intervention with medical doctors: a randomised controlled trial

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Date
2023
Authors
O'Rourke, Conall
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University College Cork
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Abstract
Background: Managing stress and maintaining psychological resilience are considerable challenges within medicine. Though a number of evidence-based interventions aimed at reducing stress and promoting resilience exist, there remains limited research examining the potential of digital and web-based interventions. The current study aimed to examine the efficacy of a tailored digital stress reduction intervention on stress, resilience and burnout among physicians. Methods: A randomized controlled trial was conducted to assess the efficacy of an online stress management and resilience intervention among 80 NCHDs. All participants completed measures on stress, resilience, burnout, and sleep satisfaction before being randomly assigned to either the intervention group or a control group. The intervention group additionally completed a measure of intervention acceptability. The two week intervention comprised three didactic 20-30 minute audio-visual modules, covering stress, resilience, and burnout among physicians alongside CBT-informed skills and tools for stress management. The control group received no intervention during this period. Results: Significant pre-post change in stress, burnout, and subscales of the resilience measure were observed in the intervention group and no significant pre-post changes were observed in the control group. No significant between groups changes were observed although medium effect sizes were noted in sleep, one subscale of the resilience measure, and one subscale of the burnout measure. Acceptability of the intervention was high among participants. Conclusion: While acceptability of the digital intervention was high among physicians who engaged with it, and the intervention group experienced significant improvements in pre-post measures of stress and burnout, changes in outcomes between groups did not reach significance. Future adaptions may seek to build upon these findings by including more interactive or dyadic components as well as organisation and system-level approaches such as protected time or space for participants to engage with the content.
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Controlled Access
Keywords
Online intervention , Stress management , Resilience techniques , Medical doctors , Randomised controlled trial , Efficacy , Psychological well-being , Healthcare professionals
Citation
O'Rourke, C. 2023. Efficacy of an online stress management and resilience techniques intervention with medical doctors: a randomised controlled trial. DClinPsych Thesis, University College Cork.
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