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Research ArticleOriginal Research

Abbreviated Mindfulness Intervention for Job Satisfaction, Quality of Life, and Compassion in Primary Care Clinicians: A Pilot Study

Luke Fortney, Charlene Luchterhand, Larissa Zakletskaia, Aleksandra Zgierska and David Rakel
The Annals of Family Medicine September 2013, 11 (5) 412-420; DOI: https://doi.org/10.1370/afm.1511
Luke Fortney
1Meriter Medical Group, Madison, Wisconsin
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  • For correspondence: lfortney@meriter.com
Charlene Luchterhand
2Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
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Larissa Zakletskaia
2Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
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Aleksandra Zgierska
2Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
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David Rakel
2Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
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Abstract

PURPOSE Burnout, attrition, and low work satisfaction of primary care physicians are growing concerns and can have a negative influence on health care. Interventions for clinicians that improve work-life balance are few and poorly understood. We undertook this study as a first step in investigating whether an abbreviated mindfulness intervention could increase job satisfaction, quality of life, and compassion among primary care clinicians.

METHODS A total of 30 primary care clinicians participated in an abbreviated mindfulness course. We used a single-sample, pre-post design. At 4 points in time (baseline, and 1 day, 8 weeks, and 9 months postintervention), participants completed a set of online measures assessing burnout, anxiety, stress, resilience, and compassion. We used a linear mixed-effects model analysis to assess changes in outcome measures.

RESULTS Participants had improvements compared with baseline at all 3 follow-up time points. At 9 months postintervention, they had significantly better scores (1) on all Maslach Burnout Inventory burnout subscales—Emotional Exhaustion (P =.009), Depersonalization (P = .005), and Personal Accomplishment (P <.001); (2) on the Depression (P =.001), Anxiety (P =.006), and Stress (P = .002) subscales of the Depression Anxiety Stress Scales-21; and (3) for perceived stress (P = .002) assessed with the Perceived Stress Scale. There were no significant changes on the 14-item Resilience Scale and the Santa Clara Brief Compassion Scale.

CONCLUSIONS In this uncontrolled pilot study, participating in an abbreviated mindfulness training course adapted for primary care clinicians was associated with reductions in indicators of job burnout, depression, anxiety, and stress. Modified mindfulness training may be a time-efficient tool to help support clinician health and well-being, which may have implications for patient care.

  • Burnout
  • mindfulness
  • job satisfaction
  • clinicians
  • physicians
  • stress
  • compassion
  • anxiety
  • depression
  • primary care
  • Received for publication July 12, 2012.
  • Revision received November 29, 2012.
  • Accepted for publication December 27, 2012.
  • © 2013 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 11 (5)
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Vol. 11, Issue 5
September/October 2013
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Abbreviated Mindfulness Intervention for Job Satisfaction, Quality of Life, and Compassion in Primary Care Clinicians: A Pilot Study
Luke Fortney, Charlene Luchterhand, Larissa Zakletskaia, Aleksandra Zgierska, David Rakel
The Annals of Family Medicine Sep 2013, 11 (5) 412-420; DOI: 10.1370/afm.1511

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Abbreviated Mindfulness Intervention for Job Satisfaction, Quality of Life, and Compassion in Primary Care Clinicians: A Pilot Study
Luke Fortney, Charlene Luchterhand, Larissa Zakletskaia, Aleksandra Zgierska, David Rakel
The Annals of Family Medicine Sep 2013, 11 (5) 412-420; DOI: 10.1370/afm.1511
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Subjects

  • Domains of illness & health:
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