医学生虚拟健康研讨会:对健康生活方式行为的影响

PRiMER Pub Date : 2024-02-28 DOI:10.22454/primer.2024.293111
Rachel S. Wasson, William H. O'Brien, Kelsey M. Dietrich
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引用次数: 0

摘要

导言:医学生的压力、职业倦怠、抑郁、自杀倾向和同情疲劳程度都很高。对这一人群的正念干预已证明其心理结果有所改善。然而,目前尚不清楚这些改善是否能够保持。对生活方式行为变化的评估可能有助于深入了解维持改善的因素。本研究的具体目标是:(1)评估涉及体验式学习、社会支持和动机访谈的创新虚拟计划的可行性和可接受性;(2)评估从计划前到计划后以及 4 周随访的初步健康生活方式行为和心理结果:我们采用了一种混合方法,通过验证措施和开放式问题来调查虚拟项目的可行性、可接受性和效果。参与者为美国中西部一所医学院的 20 名一年级和二年级医学生,他们在 2020 年 10 月至 2020 年 12 月期间参加了该项目。参与者通过 Webex 分为两组,一组参加为期 8 周的课程。参与者在课程前、课程后和 4 周的随访中填写了调查问卷。他们还完成了每周的家庭实践评估:结果:20 名参与者中有 19 人完成了课程(保留率为 95%)。所有参与者都参加了六次或六次以上的课程。重复测量方差分析显示,参与者在健康生活方式行为、职业倦怠、自我同情和压力方面都有显著改善。结果得到了社会支持、健康技能和总体积极体验等定性主题的支持:研究结果表明,该虚拟项目对医学生来说是可行和可接受的,它改善了健康的生活方式行为和心理结果,并在 4 周的随访中得以保持或提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Virtual Wellness Workshop for Medical Students: Effects on Healthy Lifestyle Behavior
Introduction: Medical students experience high levels of stress, burnout, depression, suicidal ideation, and compassion fatigue. Mindfulness interventions in this population have demonstrated improvement in psychological outcomes. However, it is unclear if these improvements are maintained. Evaluation of changes in lifestyle behaviors may provide insight into factors that sustain improvements. Specific aims of this study were to (1) assess feasibility and acceptability of an innovative, virtual program involving experiential learning, social support, and motivational interviewing; and (2) evaluate preliminary healthy lifestyle behaviors and psychological outcomes from preprogram to postprogram and 4-week follow-up. Methods: We used a mixed-methods approach to investigate feasibility, acceptability, and effects of the virtual program using validated measures and open-ended questions. Participants were 20 first- and second-year medical students at one Midwestern US medical college who participated between October 2020 and December 2020. Participants were enrolled in one of two groups for the 8-week program via Webex. Participants completed surveys at preprogram, postprogram, and 4-week follow-up. They also completed weekly home practice assessments. Results: Nineteen of 20 participants completed the program (95% retention rate). All participants attended six or more sessions. Repeated measures analysis of variance revealed that participants had significant improvements in healthy lifestyle behaviors, burnout, self-compassion, and stress across time. Results were supported by qualitative themes of increased social support, wellness skills, and overall positive experiences. Conclusion: Findings suggest that the virtual program was feasible and acceptable to medical students, and improved healthy lifestyle behaviors and psychological outcomes that were maintained or increased at 4-week follow-up.
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