Associations between daily wellness behaviours and outcomes among medical students: A longitudinal nightly survey study.

IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Ankrish Milne, Alexandra Novelli, Carly Watson, Hakeem Yousef, William E Copeland, Leigh Ann Holterman, Lee Rosen, Yang Bai, Azilee Curl, Samuel Pasqualoni, Stephen Kirby, Xi Xi Halvorson-Phelan, James Hudziak
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Abstract

Background: Previous research on medical student wellbeing has examined single wellness-related behaviours in isolation and relied on cross-sectional or pre-post surveys. The objective of this study was to use daily, app-based surveys to examine which wellness behaviours have the strongest associations with positive wellbeing in a medical student sample.

Methods: A total of 213 medical students willing to participate were enrolled in this study during summer 2021. Participants completed nightly surveys on a novel smartphone app, which assessed eight wellness-related indicators (e.g., social interaction, sleep, exercise, nutrition) and four wellbeing outcomes (mood, focus, stress, overall wellbeing). Both same-day and next-day associations between indicators and outcomes were assessed.

Results: Of the 213 participants enrolled, 116 completed more than 50% of nightly surveys, providing 7043 observations over 3 months. All wellbeing outcomes varied significantly within a given week, with peak stress and lowest mood and wellbeing levels at the midweek mark. In cross-sectional/same-day analyses, quality of social interactions, sleep quality and nutrition had the strongest associations with same-day outcomes. The cumulative impact of engaging in these wellness indicators was equal to a one standard deviation higher score on same-day wellbeing and mood outcomes. In longitudinal/next-day analyses, quality of social interactions and sleep quality had the strongest associations with outcomes, but the associations were generally modest compared to same-day results.

Conclusions: A specific set of daily wellness behaviours may have substantial associations with mood, wellbeing and other positive outcomes, but the carryover of these behaviours to the next day is limited. Medical schools should test interventions that target multiple wellness activities and find ways to prompt these behaviours daily.

医学生日常健康行为与结果之间的关系:一项纵向夜间调查研究。
背景:以前对医学生幸福感的研究是孤立地检查了单一的健康相关行为,并依赖于横断面或前后调查。本研究的目的是使用基于应用程序的日常调查来检查医学生样本中哪些健康行为与积极的幸福感有最强的关联。方法:2021年夏季,共有213名医学生自愿参加本研究。参与者在一款新颖的智能手机应用程序上完成了夜间调查,该应用程序评估了八项与健康相关的指标(例如,社交互动、睡眠、锻炼、营养)和四项健康结果(情绪、注意力、压力、整体健康)。评估了当日和次日指标与结果之间的关联。结果:在213名参与者中,116人完成了超过50%的夜间调查,在3个月内提供了7043次观察。在给定的一周内,所有的健康结果都有显著的变化,在周中压力最大,情绪和健康水平最低。在横断面/当日分析中,社交互动质量、睡眠质量和营养与当日结果的关系最为密切。参与这些健康指标的累积影响等于在当天的健康和情绪结果上得分高出一个标准差。在纵向/第二天的分析中,社交互动的质量和睡眠质量与结果有最强烈的联系,但与当天的结果相比,这种联系通常不大。结论:一组特定的日常健康行为可能与情绪、健康和其他积极结果有实质性的联系,但这些行为的延续到第二天是有限的。医学院应该测试针对多种健康活动的干预措施,并找到每天促进这些行为的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medical Education
Medical Education 医学-卫生保健
CiteScore
8.40
自引率
10.00%
发文量
279
审稿时长
4-8 weeks
期刊介绍: Medical Education seeks to be the pre-eminent journal in the field of education for health care professionals, and publishes material of the highest quality, reflecting world wide or provocative issues and perspectives. The journal welcomes high quality papers on all aspects of health professional education including; -undergraduate education -postgraduate training -continuing professional development -interprofessional education
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