Mindfulness in Motion (MIM): An Onsite Mindfulness Based Intervention (MBI) Effectively Reduces Burnout and Increases Resilience for Interprofessional Healthcare Providers

Abstract

Mindfulness in Motion (MIM) is a pragmatic mindfulness intervention designed to benefit personnel working in chronically high-stress environments, delivered onsite during the workday, and has produced valuable outcomes within and beyond the working environment of the healthcare professional. In response to increasing international rates of burnout and decreased job satisfaction amongst healthcare providers (HCPs), MIM has been successfully piloted (n=23) in an interprofessional group of HCPs, supported by the Graduate Medical Education (GME) department of a large American academic health system. Pre and post intervention, each participant completed the following scales: The Connor-Davidson Resilience Scale (CDRS), Utrecht Work Engagement Scale (UWES), Perceived Stress Scale (PSS), and the Maslach Burnout Inventory (MBI). Post intervention showed a significant decrease in the depersonalization score (p= 0.0442), and in emotional exhaustion (p=0.388) subscale for the MBI as compared to baseline scores. Resilience, measured by CDRS, significantly increased (p=0.0204), and there was also a significant increase for the vigor subscale of UWES (p=0.0042) compared to baseline. Future expansion of the MIM intervention is planned to scale the MIM program reach by filming the didactic and guided meditation portions of the one hour/per week 8-week intervention, making it widely available for HCPs within the health system. This hybrid ( half video instruction/ half instructor led discussion will be delivered by trained HCPs who have previously experienced the program. Additionally, there will be a monthly “refresher” session offered for any prior MIM participant. Individual residency programs, including the Internal Medicine Residency Program have expressed interest in adapting the MIM program to meet the specific needs of their residents, meeting rotation and timing needs of the residents. Hospital administration has funded 10 cohorts of MIM for 2018-2019 to extend the reach of the program. The hope is to reach all levels of employees of the health system.