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"Mind body medicine"
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A custom tailored, evidence-based, theory-informed intervention for healthcare professionals to prevent burnout (LAGOM): study protocol for a pragmatic randomized controlled trial
Background
Healthcare professionals in hospitals are exposed to a high level of professional stress, time pressure, workload, and often times poor organizational support. This makes them especially susceptible to burnout. In this pragmatic randomized controlled trial, we test the hypothesis that participation in a 9-week program (
LAGOM
) that was designed in close collaboration with healthcare professionals, incorporating both individual and organizational aspects reduces emotional exhaustion in healthcare professionals (primary outcome).
Methods
Eighty four nurses and physicians working at the Charité – Universitätsmedizin Berlin and the Immanuel Hospital Berlin are automatically randomized to the
LAGOM
program (
n
= 42) or to usual care (
n
= 42) in a one-to-one allocation rate. The primary outcome emotional exhaustion is measured by the Maslach Burnout Inventory—Human Services Survey at baseline, post-intervention, and 1-month follow-up via an online survey. Secondary outcomes include depersonalization, personal accomplishment, subjective stress, mental well-being, self-care, self-efficacy, working conditions, mindfulness, and adverse events. Electrophysiological measures for heart rate variation analysis are captured. The PRECIS-2 tool is used to characterize the degree of pragmatism in our trial. Data analysis and primary intention-to-treat analysis using repeated measures analysis of variance are performed blind to intervention allocation. Per-protocol, subgroup, and secondary outcome analyses are conducted exploratively. An advisory board consisting of various stakeholders accompanies the study process.
Discussion
If
LAGOM
proves to be effective in reducing symptoms of burnout, the program could make an important contribution to tackling the problem of the very high burnout rates among healthcare professionals and become an integral part of preventive services offered by hospitals.
Trial registration
German Clinical Trials Register, DRKS00034060. Registered 31 May 2024.
Journal Article
Feasibility of a custom-tailored, evidence-based, theory-informed, intervention to prevent burnout and reduce stress for healthcare professionals: protocol for a single-arm trial
Background
Healthcare professionals face high levels of occupational stress, time pressure, workload, and poor organizational support. This makes them particularly vulnerable to burnout. The COVID-19 pandemic has further exacerbated this situation. This single-arm, multicenter, mixed-methods feasibility study pilots the
LAGOM
program: A tailored, evidence-based intervention to prevent burnout and reduce stress among healthcare professionals.
Methods
Participants will include healthcare professionals (
N
= 30) working at Charité–Universitätsmedizin Berlin and Immanuel Hospital, Berlin.
LAGOM
focuses on support for individual behavior change and personal resources and also addresses the organizational level. The intervention´s feasibility will be evaluated through a non-randomized feasibility trial with a mixed methods process evaluation. The exploratory primary study aims are to assess the acceptability and feasibility of the (1) evaluation procedures and of the (2) intervention content and structure using study records, standardized questionnaires, protocol checklists, and diaries. Exploratory effectiveness analysis will take place as well. Further, semi-structured interviews (
n
= 3 to 6) and electrophysiological measurements (
n
= 20) will be conducted.
Discussion
Custom-tailored, well-implemented multi-level interventions are needed to prevent burnout and reduce stress among healthcare professionals. Long-term strategies are warranted to sustainably implement effective programs. This feasibility study helps to refine trial procedures and content of the
LAGOM
program for a randomized controlled trial to evaluate the intervention’s effectiveness.
Trial registration
German Clinical Trials Register:
DRKS00032014
, registered 17
th
October 2023.
Journal Article
Brain body diet : 40 days to a lean, calm, energized, and happy self
\"New York Times bestselling author and Harvard-MIT educated women's health expert, Sara Gottfried, M.D., delivers a revolutionary program to prevent and reverse the myriad symptoms and diseases that result from an unhealthy connection between the brain and the body\"-- Provided by publisher.
Book
Potential health benefits of simulated laughter: A narrative review of the literature and recommendations for future research
Scientific research has shown that laughter may have both preventive and therapeutic values. Health-related benefits of laughter are mainly reported from spontaneous laughter interventional studies. While the human mind can make a distinction between simulated and spontaneous laughter, the human body cannot. Either way health-related outcomes are deemed to be produced. Simulated laughter is thus a relatively under-researched treatment modality with potential health benefits. The aim of this review was firstly to identify, critically evaluate and summarize the laughter literature; secondly to assess to which extent simulated laughter health-related benefits are currently sustained by empirical evidence; and lastly to provide recommendations and future directions for further research.
A comprehensive laughter literature search was performed. A list of inclusion and exclusion criteria was identified. Thematic analysis was applied to summarize laughter health-related outcomes, relationships, and general robustness.
Laughter has shown different physiological and psychological benefits. Adverse effects are very limited and laughter is practically lacking in counter-indications. Despite the limited number of publications, there is some evidence to suggest that simulated laughter has also some effects on certain aspects of health, though further well-designed research is warranted.
Simulated laughter techniques can be easily implemented in traditional clinical settings for health and patient care. Their effective use for therapeutic purposes needs to be learned, practiced, and developed as any other medical strategy. Practical guidelines and further research are needed to help health care professionals (and others) implement laughter techniques in their health care portfolio.
Journal Article
Quantum healing : exploring the frontiers of mind/body medicine
\"Twenty-five years after its initial publication, a long-awaited second edition of Deepak Chopra's revolutionary book on the scientific and spiritual connections between the mind and body-- a classic work, thoroughly revised and updated with new research and scientific findings, for a whole new generation of readers. Bringing together the current research of Western medicine, neuroscience, and physics with the insights of Ayruvedic theory, Dr. Deepak Chopra shows how the human body is controlled by a \"network of intelligence\" that can change the basic patterns that design our physiology-- with the potential to defeat cancer, heart disease, and even aging itself\"-- Provided by publisher.
Book
Mind-body skills groups for medical students: reducing stress, enhancing commitment, and promoting patient-centered care
Background
For several decades, psychological stress has been observed to be a significant challenge for medical students. The techniques and approach of mind-body medicine and group support have repeatedly demonstrated their effectiveness at reducing stress and improving the quality of the education experience.
Discussion
Mind-Body Skills Groups provide medical students with practical instruction in and scientific evidence for a variety of techniques that reduce stress, promote self-awareness and self-expression, facilitate imaginative solutions to personal and professional problems, foster mutual understanding among students, and enhance confidence in and optimism about future medical practice. The Center for Mind-Body Medicine, which developed this model 20 years ago, has trained medical school faculty who offer these supportive small groups to students at more than 15 US medical schools. This paper describes the model, surveys its use in medical schools, summarizes published research on it, and discusses obstacles to successful implementation as well as its benefits.
Summary
Mind-Body Skills groups have demonstrated their effectiveness on reducing stress in medical students; in enhancing the students’ experience of medical education; and in helping them look forward more confidently and hopefully to becoming physicians. The experience of these 15 institutions may encourage other medical schools to include mind-body skills groups in their curricula.
Journal Article
The cure within : a history of mind-body medicine
When it comes to disease and healing, most of us believe we must look beyond doctors and drugs; we must look within ourselves. Faith, relationships, and attitude matter. We've all heard that people suffering from serious illnesses improve their survival chances by adopting a positive attitude and refusing to believe in the worst, that stress can kill, and that ancient Eastern mind-body techniques can bring us balance and healing. But why do we believe such things? From psychoanalysis to the placebo effect to meditation, this history describes our commitments to mind-body healing as rooted in a patchwork of stories that have allowed people to make new sense of their suffering, express discontent with existing care, and rationalize new treatments and lifestyles. These stories are sometimes supported by science, sometimes at odds with science, but are all ultimately about much more than just science.--From publisher description.
Book
Undetermined relationship between five modalities of mind-body medicine, and non-mind body complementary medicine practices among a subset of an indigenous culture in Miami-Dade County, Florida: An exploratory integrative medicine view in the COVID-19 Era
The concepts of Mind-body medicine (MBM), and non-mind body complementary medicine practices among Haitians in Little Haiti, Florida are unexplored. This article investigated five non-habituated MBM modalities and practices within the Haitian culture. An additional objective of this article was to determine whether a relationship could exist among the mbm and non-mbm modalities in the indigenous culture in Miami-Dade County, Florida, looking at the cultural and traditional medicine practices. A literature survey shows adherence through cultural health beliefs and spiritual conduits of the indigenous culture. The result shows that MBM modalities are salient within this group, and awareness or exposure to MBM and non-MBM modalities can be essential in cultural health beliefs formation, and practices. In a COVOD-19 era these modalities can help alleviate the ill-consequences. Knowledge and embrace of the modalities are paramount while maintaining traditional medicine and cultural traditions. Further research is needed.
Journal Article