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      Effects of Mindfulness-Based Stress Reduction Training on Healthcare Professionals’ Mental Health: Results from a Pilot Study Testing Its Predictive Validity in a Specialized Hospital Setting

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          Abstract

          This pilot study aimed to evaluate the feasibility and acceptability of a Mindfulness-Based Stress Reduction (MBSR) training and to examine positive and negative symptom-focused mental health variables. The mental health variables were used to test the predictive validity of the training among healthcare professionals. Thirty healthcare professionals participated in this non-randomized pre-post intervention pilot study. The questionnaire on mental health was filled in twice. Baseline and post-intervention differences were tested with paired samples t-tests and Wilcoxon signed-rank tests. The participants’ evaluation of the training was assessed with a five-item questionnaire. The recruitment and retention were successful, and participants’ evaluation of the training itself was positive but the influence on daily life was rated only moderately positive. In comparison with baseline at post-intervention participants showed significant improvements in general mindfulness, the burnout dimension personal accomplishment, quality of sleep, positive emotions, and self-efficacy. A significant decrease was found in the burnout dimension emotional exhaustion, stress level, negative emotions at work, and worrying. No significant changes were found for the burnout dimension mental distance, and work engagement. The measures showed ample within-person differences and low, medium, or high effect sizes. The current trial approach of the MBSR training seems feasible and acceptable. Our results suggest that mindfulness, burnout, stress level, quality of sleep, positive emotions at work, negative emotions at work, self-efficacy, and worrying are meaningful mental health variables for inclusion in a larger-scale Randomized Controlled Trial on the effects of MBSR.

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          A power primer.

          One possible reason for the continued neglect of statistical power analysis in research in the behavioral sciences is the inaccessibility of or difficulty with the standard material. A convenient, although not comprehensive, presentation of required sample sizes is provided here. Effect-size indexes and conventional values for these are given for operationally defined small, medium, and large effects. The sample sizes necessary for .80 power to detect effects at these levels are tabled for eight standard statistical tests: (a) the difference between independent means, (b) the significance of a product-moment correlation, (c) the difference between independent rs, (d) the sign test, (e) the difference between independent proportions, (f) chi-square tests for goodness of fit and contingency tables, (g) one-way analysis of variance, and (h) the significance of a multiple or multiple partial correlation.
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            The measurement of experienced burnout

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              Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples.

              Previous research on assessment of mindfulness by self-report suggests that it may include five component skills: observing, describing, acting with awareness, nonjudging of inner experience, and nonreactivity to inner experience. These elements of mindfulness can be measured with the Five Facet Mindfulness Questionnaire (FFMQ). The authors investigated several aspects of the construct validity of the FFMQ in experienced meditators and nonmeditating comparison groups. Consistent with predictions, most mindfulness facets were significantly related to meditation experience and to psychological symptoms and well-being. As expected, relationships between the observing facet and psychological adjustment varied with meditation experience. Regression and mediation analyses showed that several of the facets contributed independently to the prediction of well-being and significantly mediated the relationship between meditation experience and well-being. Findings support the construct validity of the FFMQ in a combination of samples not previously investigated.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                16 December 2020
                December 2020
                : 17
                : 24
                : 9420
                Affiliations
                [1 ]Occupation & Health Research Group, HAN University of Applied Sciences, 6525EN Nijmegen, The Netherlands; josephine.engels@ 123456han.nl (J.E.); yvonne.heerkens@ 123456han.nl (Y.H.)
                [2 ]Institute for Management Research, Radboud University, 6525AJ Nijmegen, The Netherlands; b.vanderheijden@ 123456fm.ru.nl (B.V.d.H.); h.korzilius@ 123456fm.ru.nl (H.K.); p.peters@ 123456nyenrode.nl (P.P.)
                [3 ]The Netherlands School of Management, Open University of the Netherlands, 6419AT Heerlen, The Netherlands
                [4 ]The Netherlands Faculty of Economics and Business Administration, Ghent University, 9000 Ghent, Belgium
                [5 ]Hubei Business School, Hubei University, Wuhan 368 Youyi Ave., Wuchang District, Wuhan 430062, China
                [6 ]Kingston Business School, Kingston University, London KT11LQ, UK
                [7 ]Center for Strategy, Organization and Leadership, Nyenrode Business Universiteit, P.O. Box 130, 3620AC Breukelen, The Netherlands
                Author notes
                [* ]Correspondence: math.janssen@ 123456han.nl
                [†]

                These authors contributed equally to this work. ISRCTN registry: ID ISRCTN16078945.

                Author information
                https://orcid.org/0000-0001-8623-3523
                https://orcid.org/0000-0001-8672-5368
                https://orcid.org/0000-0003-3728-6519
                Article
                ijerph-17-09420
                10.3390/ijerph17249420
                7765548
                33339097
                c59ff0e2-40e6-4a03-8221-103bb14157c0
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 20 November 2020
                : 09 December 2020
                Categories
                Article

                Public health
                mindfulness,mindfulness-based stress reduction (mbsr),mental health variables

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