High levels of chronic and recurrent workplace stress can profoundly impact the physical, mental, and emotional health of first responders. A multi-modal evidence-based mindfulness intervention was delivered to cohorts of first responders to evaluate effects on perceived stress, resilience, work engagement, and musculoskeletal pain.
The occupational stress experienced by first responders can result in decreased quality and safety of patient care, increased risk of first responder injury, and decreased organizational performance. Worksite mindfulness interventions have been shown to support decreases in occupational stress, as well as improved resilience and work engagement for other high stress professions. Mindfulness in Motion (MIM), an evidence-based mindfulness intervention, was adapted to target the specific occupational needs of first responders in a format that could be easily integrated into their workdays. Three cohorts of first responders received eight weekly synchronous mindfulness sessions with full access to the companion smartphone MIM app for six months after the core eight-week sessions were completed. Adaptations to the MIM content and experiential practices were informed by first responder feedback prior to the study. Self-report surveys to assess perceived stress, resilience, work engagement, and musculoskeletal pain were completed by first responder participants before participation in the intervention, at the end of the eight week intervention, and again six months after the intervention was completed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
29
Mindfulness in Motion (MIM) is an eight-week, evidence-based workplace intervention designed to provide participants with practical strategies to reduce stress and burnout, and improve resilience. Offered virtually, MIM was adapted to support first responders relative to their occupational stressors and unique work characteristics. A companion smartphone app supplemented the eight weekly synchronous sessions and offered content informed by first responders and experiential practices that were modeled by first responders.
The Ohio State University
Columbus, Ohio, United States
Perceived Stress Scale (PSS-10)
The Perceived Stress Scale-10 is a self-report measure of perceived stress that measures the degree to which situations in one's life over the past month are appraised as stressful. The 4-point Likert scale responses are 0=Never, 1=Almost Never, 2=Sometimes, 3=Fairly Often, and 4=Very Often. Individual scores are summed and range from 0 to 40 with higher scores indicating higher perceived stress.
Time frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
Connor-Davidson Resilience Scale-10 (CD-RISC-10)
The Connor Davidson-Resilience Scale-10 is a 10-item self-report assessment of a person's ability to bounce back after adversity. A 5-point Likert scale for each statement ranges from 0=Not true at all to 4=True nearly all of the time. A respondents's total sum score can range from 0-40 with higher scores indicating higher resilience.
Time frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
Utrecht Work Engagement Scale-0 (UWES-9)
A 9-item assessment of attitudes towards one's job. The Utrecht Work Engagement Scale-9 measures three dimensions: dedication, vigor, and absorption. All items are rated on a 7-point Likert scale ranging from 0=Never, 1=Almost Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Very Often, and 6=Always. Each sub scale time is summed and ranges from 0-18. Higher scores for each sub scale indicate higher dedication, vigor, and absorption with work.
Time frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
Modified Nordic Musculoskeletal Questionnaire (mNMQ)
The Modified Nordic Musculoskeletal Questionnaire is a standardized 14-item tool assessing musculoskeletal symptoms, over the past 12 months and past 7 days, across multiple body regions. Q. 1 asks about musculoskeletal pain in 9 anatomical areas include the neck, shoulders, upper back, elbows, lower back, wrists/hands, hips/thighs, knees, and ankles/feet--yes/no are responses. Q. 2 asks frequency of musculoskeletal issues in the 9 anatomical areas over the past 30 days with Q. 3 asking about length of time related to the musculoskeletal pain and Q. 4 about intensity of the pain that was indicated. With yes/no responses, Q. 5 \& 6 asks if pain has interfered with usual activities; question 7 asks if a healthcare provider was seen. Q. 9, 10, 11 asks if work activities have been disrupted and if a formal diagnosis was determined. Q. 12, 13, and 14 asks about related symptoms. The tool uses a structured, forced-choice format supported by a body map. There is no minimum or maximum score.
Time frame: Baseline, immediately after the 8 week intervention, and 6 months after the completion of the 8-week intervention
Mindfulness in Motion smartphone app usage
App usage data in time per participant
Time frame: Immediately after completion of the 8-week intervention
Mindfulness in Motion videos watched
Frequency of videos watched by the overall participant sample on the smartphone app
Time frame: immediately after completion of the 8-week intervention
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