Effects of a brief mindfulness-based intervention program for stress management among medical students: the Mindful-Gym randomized controlled study
Pursuing undergraduate medical training can be very stressful and academically challenging experience. A 5-week mindfulness-based stress management (MBSM/Mindful-Gym) program was developed to help medical students cope with stress. The aim of this study was to evaluate the effectiveness of the inter...
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| Veröffentlicht in: | Advances in health sciences education : theory and practice 2015-12, Vol.20 (5), p.1115-1134 |
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| creator | Phang, Cheng Kar Mukhtar, Firdaus Ibrahim, Normala Keng, Shian-Ling Mohd. Sidik, Sherina |
| description | Pursuing undergraduate medical training can be very stressful and academically challenging experience. A 5-week mindfulness-based stress management (MBSM/Mindful-Gym) program was developed to help medical students cope with stress. The aim of this study was to evaluate the effectiveness of the intervention in reducing stress among students in a medical school in Malaysia. Seventy-five medical students participated in the program. They were stratified according to years of studies and randomly allocated to intervention (
N
= 37) and control groups (
N
= 38). The following outcome variables were measured at pre- and post-intervention: mindfulness (with Mindful Awareness Attention Scale); perceived stress (with Perceived Stress Scale); mental distress (with General Health Questionnaire), and self-efficacy (with General Self-efficacy Scale). Hierarchical multiple regressions were used to analyse the effect of group (intervention vs. control) on changes in the outcome variables. There were significant improvements at one week post-intervention in all outcome variables: mindfulness (β = 0.19, ΔR2 = 0.04,
p
= .040,
f
2
= 0.05), perceived stress (β = −0.26, ΔR2 = 0.07,
p
= .009,
f
2
= 0.10); mental distress (β = −0.28, ΔR2 = 0.10,
p
= .003,
f
2
= 0.15); and self-efficacy (β = 0.30, ΔR2 = 0.09,
p
|
| doi_str_mv | 10.1007/s10459-015-9591-3 |
| format | Article |
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N
= 37) and control groups (
N
= 38). The following outcome variables were measured at pre- and post-intervention: mindfulness (with Mindful Awareness Attention Scale); perceived stress (with Perceived Stress Scale); mental distress (with General Health Questionnaire), and self-efficacy (with General Self-efficacy Scale). Hierarchical multiple regressions were used to analyse the effect of group (intervention vs. control) on changes in the outcome variables. There were significant improvements at one week post-intervention in all outcome variables: mindfulness (β = 0.19, ΔR2 = 0.04,
p
= .040,
f
2
= 0.05), perceived stress (β = −0.26, ΔR2 = 0.07,
p
= .009,
f
2
= 0.10); mental distress (β = −0.28, ΔR2 = 0.10,
p
= .003,
f
2
= 0.15); and self-efficacy (β = 0.30, ΔR2 = 0.09,
p
< .001,
f
2
= 0.21). Six months after the intervention, those who had joined the program reported higher self-efficacy compared to those in the control group (β = 0.24, ΔR2 = 0.06,
p
= .020,
f
2
= 0.08); but there was no difference in other outcome measures. More than 90 % of the participants found the program applicable in helping patients and all reported that they would recommend it to others. This study indicates that the program is potentially an effective stress management program for medical students in Malaysia.</description><identifier>ISSN: 1382-4996</identifier><identifier>EISSN: 1573-1677</identifier><identifier>DOI: 10.1007/s10459-015-9591-3</identifier><identifier>PMID: 25697124</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adaptation, Psychological ; Cognitive Therapy - methods ; Control Groups ; Education ; Female ; Foreign Countries ; Humans ; Intervention ; Malaysia ; Male ; Medical Education ; Medical Students ; Metacognition ; Mindfulness - methods ; Multiple Regression Analysis ; Outcome Measures ; Pretests Posttests ; Program Effectiveness ; Randomized Controlled Trials ; Self Efficacy ; Stress ; Stress Management ; Stress, Psychological - prevention & control ; Stress, Psychological - therapy ; Students ; Students, Medical - psychology ; Undergraduate Students ; Young Adult</subject><ispartof>Advances in health sciences education : theory and practice, 2015-12, Vol.20 (5), p.1115-1134</ispartof><rights>Springer Science+Business Media Dordrecht 2015</rights><rights>Advances in Health Sciences Education is a copyright of Springer, (2015). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-9c0db43ddb4b42e3ee7aaac50b08da893a9934e3d6d8e6d5ef293f2b2c2536273</citedby><cites>FETCH-LOGICAL-c464t-9c0db43ddb4b42e3ee7aaac50b08da893a9934e3d6d8e6d5ef293f2b2c2536273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10459-015-9591-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10459-015-9591-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1081154$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25697124$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phang, Cheng Kar</creatorcontrib><creatorcontrib>Mukhtar, Firdaus</creatorcontrib><creatorcontrib>Ibrahim, Normala</creatorcontrib><creatorcontrib>Keng, Shian-Ling</creatorcontrib><creatorcontrib>Mohd. Sidik, Sherina</creatorcontrib><title>Effects of a brief mindfulness-based intervention program for stress management among medical students: the Mindful-Gym randomized controlled study</title><title>Advances in health sciences education : theory and practice</title><addtitle>Adv in Health Sci Educ</addtitle><addtitle>Adv Health Sci Educ Theory Pract</addtitle><description>Pursuing undergraduate medical training can be very stressful and academically challenging experience. A 5-week mindfulness-based stress management (MBSM/Mindful-Gym) program was developed to help medical students cope with stress. The aim of this study was to evaluate the effectiveness of the intervention in reducing stress among students in a medical school in Malaysia. Seventy-five medical students participated in the program. They were stratified according to years of studies and randomly allocated to intervention (
N
= 37) and control groups (
N
= 38). The following outcome variables were measured at pre- and post-intervention: mindfulness (with Mindful Awareness Attention Scale); perceived stress (with Perceived Stress Scale); mental distress (with General Health Questionnaire), and self-efficacy (with General Self-efficacy Scale). Hierarchical multiple regressions were used to analyse the effect of group (intervention vs. control) on changes in the outcome variables. There were significant improvements at one week post-intervention in all outcome variables: mindfulness (β = 0.19, ΔR2 = 0.04,
p
= .040,
f
2
= 0.05), perceived stress (β = −0.26, ΔR2 = 0.07,
p
= .009,
f
2
= 0.10); mental distress (β = −0.28, ΔR2 = 0.10,
p
= .003,
f
2
= 0.15); and self-efficacy (β = 0.30, ΔR2 = 0.09,
p
< .001,
f
2
= 0.21). Six months after the intervention, those who had joined the program reported higher self-efficacy compared to those in the control group (β = 0.24, ΔR2 = 0.06,
p
= .020,
f
2
= 0.08); but there was no difference in other outcome measures. More than 90 % of the participants found the program applicable in helping patients and all reported that they would recommend it to others. This study indicates that the program is potentially an effective stress management program for medical students in Malaysia.</description><subject>Adaptation, Psychological</subject><subject>Cognitive Therapy - methods</subject><subject>Control Groups</subject><subject>Education</subject><subject>Female</subject><subject>Foreign Countries</subject><subject>Humans</subject><subject>Intervention</subject><subject>Malaysia</subject><subject>Male</subject><subject>Medical Education</subject><subject>Medical Students</subject><subject>Metacognition</subject><subject>Mindfulness - methods</subject><subject>Multiple Regression Analysis</subject><subject>Outcome Measures</subject><subject>Pretests Posttests</subject><subject>Program Effectiveness</subject><subject>Randomized Controlled Trials</subject><subject>Self Efficacy</subject><subject>Stress</subject><subject>Stress Management</subject><subject>Stress, Psychological - prevention & control</subject><subject>Stress, Psychological - therapy</subject><subject>Students</subject><subject>Students, Medical - psychology</subject><subject>Undergraduate Students</subject><subject>Young Adult</subject><issn>1382-4996</issn><issn>1573-1677</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc2OFSEQhYnROD_6AC40JG7coPw0TePOTK6jZowbXRMaimtPGhih2-T6Gr6w3PTMmJi4gQrnq0PBQegZo68ZpepNZbSTmlAmiZaaEfEAnTKpBGG9Ug9bLQZOOq37E3RW6zWlVLBheIxOuOy1Yrw7Rb93IYBbKs4BWzyWCQKOU_JhnRPUSkZbweMpLVB-QlqmnPBNyftiIw654LqURuFok91DbAC2Mac9juAnZ-emr76d1rd4-Q7482ZMLg8RF5t8jtOv5u5yWkqe51Ye-cMT9CjYucLT2_0cfXu_-3rxgVx9ufx48e6KuK7vFqId9WMnfFvGjoMAUNZaJ-lIB28HLazWogPhez9A7yUErkXgI3dcip4rcY5ebb7tRT9WqIuJU3UwzzZBXqthSnCpe6WHhr78B73Oa0ltOsMbw2ivBW8U2yhXcq0FgrkpU7TlYBg1x8TMlphpiZljYka0nhe3zuvYfu2-4y6iBjzfACiTu5d3nxgdGJNHnW96bVraQ_k72v9v_QONxK3R</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Phang, Cheng Kar</creator><creator>Mukhtar, Firdaus</creator><creator>Ibrahim, Normala</creator><creator>Keng, Shian-Ling</creator><creator>Mohd. Sidik, Sherina</creator><general>Springer Netherlands</general><general>Springer</general><general>Springer Nature B.V</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0P</scope><scope>M0S</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Effects of a brief mindfulness-based intervention program for stress management among medical students: the Mindful-Gym randomized controlled study</title><author>Phang, Cheng Kar ; Mukhtar, Firdaus ; Ibrahim, Normala ; Keng, Shian-Ling ; Mohd. Sidik, Sherina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-9c0db43ddb4b42e3ee7aaac50b08da893a9934e3d6d8e6d5ef293f2b2c2536273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptation, Psychological</topic><topic>Cognitive Therapy - methods</topic><topic>Control Groups</topic><topic>Education</topic><topic>Female</topic><topic>Foreign Countries</topic><topic>Humans</topic><topic>Intervention</topic><topic>Malaysia</topic><topic>Male</topic><topic>Medical Education</topic><topic>Medical Students</topic><topic>Metacognition</topic><topic>Mindfulness - methods</topic><topic>Multiple Regression Analysis</topic><topic>Outcome Measures</topic><topic>Pretests Posttests</topic><topic>Program Effectiveness</topic><topic>Randomized Controlled Trials</topic><topic>Self Efficacy</topic><topic>Stress</topic><topic>Stress Management</topic><topic>Stress, Psychological - prevention & control</topic><topic>Stress, Psychological - therapy</topic><topic>Students</topic><topic>Students, Medical - psychology</topic><topic>Undergraduate Students</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phang, Cheng Kar</creatorcontrib><creatorcontrib>Mukhtar, Firdaus</creatorcontrib><creatorcontrib>Ibrahim, Normala</creatorcontrib><creatorcontrib>Keng, Shian-Ling</creatorcontrib><creatorcontrib>Mohd. Sidik, Sherina</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Advances in health sciences education : theory and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phang, Cheng Kar</au><au>Mukhtar, Firdaus</au><au>Ibrahim, Normala</au><au>Keng, Shian-Ling</au><au>Mohd. Sidik, Sherina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1081154</ericid><atitle>Effects of a brief mindfulness-based intervention program for stress management among medical students: the Mindful-Gym randomized controlled study</atitle><jtitle>Advances in health sciences education : theory and practice</jtitle><stitle>Adv in Health Sci Educ</stitle><addtitle>Adv Health Sci Educ Theory Pract</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>20</volume><issue>5</issue><spage>1115</spage><epage>1134</epage><pages>1115-1134</pages><issn>1382-4996</issn><eissn>1573-1677</eissn><abstract>Pursuing undergraduate medical training can be very stressful and academically challenging experience. A 5-week mindfulness-based stress management (MBSM/Mindful-Gym) program was developed to help medical students cope with stress. The aim of this study was to evaluate the effectiveness of the intervention in reducing stress among students in a medical school in Malaysia. Seventy-five medical students participated in the program. They were stratified according to years of studies and randomly allocated to intervention (
N
= 37) and control groups (
N
= 38). The following outcome variables were measured at pre- and post-intervention: mindfulness (with Mindful Awareness Attention Scale); perceived stress (with Perceived Stress Scale); mental distress (with General Health Questionnaire), and self-efficacy (with General Self-efficacy Scale). Hierarchical multiple regressions were used to analyse the effect of group (intervention vs. control) on changes in the outcome variables. There were significant improvements at one week post-intervention in all outcome variables: mindfulness (β = 0.19, ΔR2 = 0.04,
p
= .040,
f
2
= 0.05), perceived stress (β = −0.26, ΔR2 = 0.07,
p
= .009,
f
2
= 0.10); mental distress (β = −0.28, ΔR2 = 0.10,
p
= .003,
f
2
= 0.15); and self-efficacy (β = 0.30, ΔR2 = 0.09,
p
< .001,
f
2
= 0.21). Six months after the intervention, those who had joined the program reported higher self-efficacy compared to those in the control group (β = 0.24, ΔR2 = 0.06,
p
= .020,
f
2
= 0.08); but there was no difference in other outcome measures. More than 90 % of the participants found the program applicable in helping patients and all reported that they would recommend it to others. This study indicates that the program is potentially an effective stress management program for medical students in Malaysia.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>25697124</pmid><doi>10.1007/s10459-015-9591-3</doi><tpages>20</tpages></addata></record> |
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| identifier | ISSN: 1382-4996 |
| ispartof | Advances in health sciences education : theory and practice, 2015-12, Vol.20 (5), p.1115-1134 |
| issn | 1382-4996 1573-1677 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adaptation, Psychological Cognitive Therapy - methods Control Groups Education Female Foreign Countries Humans Intervention Malaysia Male Medical Education Medical Students Metacognition Mindfulness - methods Multiple Regression Analysis Outcome Measures Pretests Posttests Program Effectiveness Randomized Controlled Trials Self Efficacy Stress Stress Management Stress, Psychological - prevention & control Stress, Psychological - therapy Students Students, Medical - psychology Undergraduate Students Young Adult |
| title | Effects of a brief mindfulness-based intervention program for stress management among medical students: the Mindful-Gym randomized controlled study |
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