Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 1/2018

15-06-2017 | ORIGINAL PAPER

Impact of a Blended Web-Based Mindfulness Programme for General Practitioners: a Pilot Study

Auteurs: Jesus Montero-Marin, Jorge Gaete, Ricardo Araya, Marcelo Demarzo, Rick Manzanera, Melchor Álvarez de Mon, Javier García-Campayo

Gepubliceerd in: Mindfulness | Uitgave 1/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

General practitioners (GPs) report high levels of distress. This study examined whether a brief blended web-based mindfulness intervention could be effective at enhancing well-being for GPs and assessed the possible mediating role of awareness. An open uncontrolled trial, with pre-post measurements, was conducted. The programme comprised one face-to-face meeting (4 h) and eight online practice sessions with no support (two weekly sessions over 4 weeks). The primary outcome was positive affect (PANAS-positive). The secondary outcomes were as follows: negative affect (PANAS-negative), awareness (MAAS), resilience (CDRISC), and the burnout subtypes (BCSQ-12). Mixed-effects analysis for repeated measures and mediation analysis by regression models were performed. Two hundred ninety Spanish GPs took part in the study, attending the face-to-face meeting. Nearly one out 10 participants (n = 28) completed ‘one weekly practice’, and 10.4% (n = 30) accomplished ‘two or more weekly practices’. There were benefits for those with ‘two or more weekly practices’ in PANAS-positive (B = 2.97; p = 0.007), and MAAS (B = 4.65; p = 0.023). We found no benefits for those with ‘one weekly practice’ in any of the outcomes. There were mediating effects of MAAS in PANAS-positive (explaining a 60.8% of total effects). A brief blended mindfulness intervention, with minimum face-to-face contact and web-based practice sessions, seems to confer improvements in the well-being of Spanish GPs. The benefits may be mediated by awareness. The implementation of this kind of programme might enhance the well-being among GPs, but there is a need to improve adherence to practice. Further research using randomized controlled designs will be needed to support the evidence found in our study.
Literatuur
go back to reference Alda, M., Puebla-Guedea, M., Rodero, B., Demarzo, M., Montero-Marin, J., Roca, M., et al. (2016). Zen meditation, length of telomeres, and the role of experiential avoidance and compassion. Mindfulness, 7, 651–659. Alda, M., Puebla-Guedea, M., Rodero, B., Demarzo, M., Montero-Marin, J., Roca, M., et al. (2016). Zen meditation, length of telomeres, and the role of experiential avoidance and compassion. Mindfulness, 7, 651–659.
go back to reference Al-Sareai, N. S., Al-Khaldi, Y. M., Mostafa, O. A., & Abdel-Fattah, M. M. (2013). Magnitude and risk factors for burnout among primary health care physicians in Asir Province, Saudi Arabia. Eastern Mediterranean Health Journal, 19(5), 426–434. PubMed Al-Sareai, N. S., Al-Khaldi, Y. M., Mostafa, O. A., & Abdel-Fattah, M. M. (2013). Magnitude and risk factors for burnout among primary health care physicians in Asir Province, Saudi Arabia. Eastern Mediterranean Health Journal, 19(5), 426–434. PubMed
go back to reference Atanes, A. C., Andreoni, S., Hirayama, M. S., Montero-Marin, J., Barros, V. V., Ronzani, T. M., et al. (2015). Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals. BMC Complementary and Alternative Medicine, 15, 303. CrossRefPubMedPubMedCentral Atanes, A. C., Andreoni, S., Hirayama, M. S., Montero-Marin, J., Barros, V. V., Ronzani, T. M., et al. (2015). Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals. BMC Complementary and Alternative Medicine, 15, 303. CrossRefPubMedPubMedCentral
go back to reference Back, A. L., Steinhauser, K. E., Kamal, A. H., & Jackson, V. A. (2016). Building resilience for palliative care clinicians: an approach to burnout prevention based on individual skills and workplace factors. Journal of Pain and Symptom Management, 52(2), 284–291. CrossRefPubMed Back, A. L., Steinhauser, K. E., Kamal, A. H., & Jackson, V. A. (2016). Building resilience for palliative care clinicians: an approach to burnout prevention based on individual skills and workplace factors. Journal of Pain and Symptom Management, 52(2), 284–291. CrossRefPubMed
go back to reference Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143. Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.
go back to reference Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. CrossRefPubMed Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. CrossRefPubMed
go back to reference Bakker, J. M., Lieverse, R., Menne-Lothmann, C., Viechtbauer, W., Pishva, E., Kenis, G., et al. (2014). Therapygenetics in mindfulness-based cognitive therapy: do genes have an impact on therapy-induced change in real-life positive affective experiences? Translational Psychiatry, 4, e384. CrossRefPubMedPubMedCentral Bakker, J. M., Lieverse, R., Menne-Lothmann, C., Viechtbauer, W., Pishva, E., Kenis, G., et al. (2014). Therapygenetics in mindfulness-based cognitive therapy: do genes have an impact on therapy-induced change in real-life positive affective experiences? Translational Psychiatry, 4, e384. CrossRefPubMedPubMedCentral
go back to reference Bell, M. L., Kenward, M. G., Fairclough, D. L., & Horton, N. J. (2013). Differential dropout and bias in randomized controlled trials: when it matters and when it may not. BMJ, 346, e8668. CrossRefPubMedPubMedCentral Bell, M. L., Kenward, M. G., Fairclough, D. L., & Horton, N. J. (2013). Differential dropout and bias in randomized controlled trials: when it matters and when it may not. BMJ, 346, e8668. CrossRefPubMedPubMedCentral
go back to reference Berger, T., Hämmerli, K., Gubser, N., Andersson, G., & Caspar, F. (2011). Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cognitive Behaviour Therapy, 40(4), 251–266. CrossRefPubMed Berger, T., Hämmerli, K., Gubser, N., Andersson, G., & Caspar, F. (2011). Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cognitive Behaviour Therapy, 40(4), 251–266. CrossRefPubMed
go back to reference Bernstein, A., Hadash, Y., Lichtash, Y., Tanay, G., Shepherd, K., & Fresco, D. M. (2015). Decentering and related constructs: a critical review and metacognitive processes model. Perspectives on Psychological Science, 10(5), 599–617. CrossRefPubMedPubMedCentral Bernstein, A., Hadash, Y., Lichtash, Y., Tanay, G., Shepherd, K., & Fresco, D. M. (2015). Decentering and related constructs: a critical review and metacognitive processes model. Perspectives on Psychological Science, 10(5), 599–617. CrossRefPubMedPubMedCentral
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.
go back to reference Bogosian, A., Hughes, A., Norton, S., Silber, E., Moss-Morris, R. (2016). Potential treatment mechanisms in a mindfulness-based intervention for people with progressive multiple sclerosis. British Journal of Health Psychology, 21(4), 859–880. Bogosian, A., Hughes, A., Norton, S., Silber, E., Moss-Morris, R. (2016). Potential treatment mechanisms in a mindfulness-based intervention for people with progressive multiple sclerosis. British Journal of Health Psychology, 21(4), 859–880.
go back to reference Brown, K., & Ryan, R. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. CrossRefPubMed Brown, K., & Ryan, R. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. CrossRefPubMed
go back to reference Byrne, E., Donaldson, L., Manda-Taylor, L., Brugha, R., Matthews, A., MacDonalds, S., et al. (2016). The use of technology enhanced learning in health research capacity development: lessons from a cross country research partnership. Globalization and Health, 12:19. Byrne, E., Donaldson, L., Manda-Taylor, L., Brugha, R., Matthews, A., MacDonalds, S., et al. (2016). The use of technology enhanced learning in health research capacity development: lessons from a cross country research partnership. Globalization and Health, 12:19.
go back to reference Campbell-Sills, L., & Stein, M. (2007). Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20, 1019–1028. CrossRefPubMed Campbell-Sills, L., & Stein, M. (2007). Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20, 1019–1028. CrossRefPubMed
go back to reference Carmody, J. (2009). Evolving conceptions of mindfulness in clinical settings. Journal of Cognitive Psychotherapy, 23(3), 270–280. CrossRef Carmody, J. (2009). Evolving conceptions of mindfulness in clinical settings. Journal of Cognitive Psychotherapy, 23(3), 270–280. CrossRef
go back to reference Cebolla, A., Garcia-Campayo, J., & Demarzo, M. (2014). Mindfulness y ciencia: de la tradición a la modernidad. Madrid: Alianza Editorial. Cebolla, A., Garcia-Campayo, J., & Demarzo, M. (2014). Mindfulness y ciencia: de la tradición a la modernidad. Madrid: Alianza Editorial.
go back to reference Christensen, H., Griffiths, K., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression. Journal of Medical Internet Research, 11(2), e13. CrossRefPubMedPubMedCentral Christensen, H., Griffiths, K., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression. Journal of Medical Internet Research, 11(2), e13. CrossRefPubMedPubMedCentral
go back to reference Cohn, M. A., Fredrickson, B. L., Brown, S. L., Mikels, J. A., & Conway, A. M. (2011). Happiness unpacked: positive emotions increase life satisfaction by Buiding resilience. Emotion, 9(3), 361–368. CrossRef Cohn, M. A., Fredrickson, B. L., Brown, S. L., Mikels, J. A., & Conway, A. M. (2011). Happiness unpacked: positive emotions increase life satisfaction by Buiding resilience. Emotion, 9(3), 361–368. CrossRef
go back to reference National Research Council (US) Panel on Handling Missing Data in Clinical Trials (2010). The prevention and treatment of missing data in clinical trials. Whashington, DC: National Academies Press (US). National Research Council (US) Panel on Handling Missing Data in Clinical Trials (2010). The prevention and treatment of missing data in clinical trials. Whashington, DC: National Academies Press (US).
go back to reference Cramer, H., Hall, H., Leach, M., Frawley, J., Shang, Y., Leung, B., et al. (2016). Prevalence, patterns, and predictors of meditation use among US adults: a national representative survey. Scientific Reports, 6, 36760. CrossRefPubMedPubMedCentral Cramer, H., Hall, H., Leach, M., Frawley, J., Shang, Y., Leung, B., et al. (2016). Prevalence, patterns, and predictors of meditation use among US adults: a national representative survey. Scientific Reports, 6, 36760. CrossRefPubMedPubMedCentral
go back to reference Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2(3), 186–193. CrossRef Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2(3), 186–193. CrossRef
go back to reference Demarzo, M., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., et al. (2015a). The efficacy of mindfulness-based interventions in primary care: a meta-analytic review. Annals of Family Medicine, 13(6), 573–582. CrossRefPubMedPubMedCentral Demarzo, M., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., et al. (2015a). The efficacy of mindfulness-based interventions in primary care: a meta-analytic review. Annals of Family Medicine, 13(6), 573–582. CrossRefPubMedPubMedCentral
go back to reference Demarzo, M., Cebolla, A., & Garcia-Campayo, J. (2015b). The implementation of mindfulness in healthcare systems: a theoretical analysis. General Hospital Psychiatry, 37(2), 166–171. Demarzo, M., Cebolla, A., & Garcia-Campayo, J. (2015b). The implementation of mindfulness in healthcare systems: a theoretical analysis. General Hospital Psychiatry, 37(2), 166–171.
go back to reference Dolan, E. D., Mohr, D., Lempa, M., Joos, S., Fihn, S. D., Nelson, K. M., et al. (2014). Using a single item to measure Burnout in primary care staff: a psychometric evaluation. Journal of General Internal Medicine, 30(5), 582–587. CrossRefPubMedPubMedCentral Dolan, E. D., Mohr, D., Lempa, M., Joos, S., Fihn, S. D., Nelson, K. M., et al. (2014). Using a single item to measure Burnout in primary care staff: a psychometric evaluation. Journal of General Internal Medicine, 30(5), 582–587. CrossRefPubMedPubMedCentral
go back to reference Dowd, H., Hogan, M. J., McGuire, B. E., Davis, M. C., Sarma, K. M., Fish, R. A., et al. (2015). Comparison of an online mindfulness-based cognitive therapy intervention with online pain management psychoeducation: a randomized controlled study. The Clinical Journal of Pain, 31(6), 517–527. CrossRefPubMed Dowd, H., Hogan, M. J., McGuire, B. E., Davis, M. C., Sarma, K. M., Fish, R. A., et al. (2015). Comparison of an online mindfulness-based cognitive therapy intervention with online pain management psychoeducation: a randomized controlled study. The Clinical Journal of Pain, 31(6), 517–527. CrossRefPubMed
go back to reference Egbewale, B. E., Lewis, M., & Sim, J. (2014). Bias, precision and statistical power of analysis of covariance in the analysis of randomized trials with baseline imbalance: a simulation study. BMC Medical Research Methodology, 14, 49. CrossRefPubMedPubMedCentral Egbewale, B. E., Lewis, M., & Sim, J. (2014). Bias, precision and statistical power of analysis of covariance in the analysis of randomized trials with baseline imbalance: a simulation study. BMC Medical Research Methodology, 14, 49. CrossRefPubMedPubMedCentral
go back to reference Farb, N., Anderson, A., & Segal, Z. (2012). The mindful brain and emotion regulation in mood disorders. Canadian Journal of Psychiatry, 57(2), 70–77. CrossRefPubMedPubMedCentral Farb, N., Anderson, A., & Segal, Z. (2012). The mindful brain and emotion regulation in mood disorders. Canadian Journal of Psychiatry, 57(2), 70–77. CrossRefPubMedPubMedCentral
go back to reference Fortney, L., Luchterhand, C., Zakletskaia, L., Zgierska, A., & Rakel, D. (2013). Abbreviated mindfulness intervention, quality of life and compassion in primary care clinicians: a controlled study. Annals of Family Medicine, 11(5), 412–420. CrossRefPubMedPubMedCentral Fortney, L., Luchterhand, C., Zakletskaia, L., Zgierska, A., & Rakel, D. (2013). Abbreviated mindfulness intervention, quality of life and compassion in primary care clinicians: a controlled study. Annals of Family Medicine, 11(5), 412–420. CrossRefPubMedPubMedCentral
go back to reference Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet, 376(9756), 1923–1958. CrossRefPubMed Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet, 376(9756), 1923–1958. CrossRefPubMed
go back to reference Garcia-Campayo, J., & Piva-Demarzo, M. (2015). Mindfulness y compasión. La nueva revolución. Madrid: Ilus Books. Garcia-Campayo, J., & Piva-Demarzo, M. (2015). Mindfulness y compasión. La nueva revolución. Madrid: Ilus Books.
go back to reference Gotink, R., Chu, P., Busschbach, J. J., Benson, H., Fricchione, G. L., & Hunink, M. G. (2015). Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. PloS One, 10(4), e0124344. CrossRefPubMedPubMedCentral Gotink, R., Chu, P., Busschbach, J. J., Benson, H., Fricchione, G. L., & Hunink, M. G. (2015). Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. PloS One, 10(4), e0124344. CrossRefPubMedPubMedCentral
go back to reference Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. CrossRefPubMed Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. CrossRefPubMed
go back to reference Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. CrossRefPubMed Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. CrossRefPubMed
go back to reference Hayes, S., & Shenk, C. (2004). Operationalizing mindfulness without unnecessary attachments. Clinical Psychology: Science and Practice, 11, 249–254. Hayes, S., & Shenk, C. (2004). Operationalizing mindfulness without unnecessary attachments. Clinical Psychology: Science and Practice, 11, 249–254.
go back to reference Hayes, S., Strosahl, K., & Wilson, K. (2012). Acceptance and commitment therapy: the process and practice of mindful change (2nd ed.). New York: Guilford Press. Hayes, S., Strosahl, K., & Wilson, K. (2012). Acceptance and commitment therapy: the process and practice of mindful change (2nd ed.). New York: Guilford Press.
go back to reference Heras-Mosteiro, J., Sanz-Barbero, B., & Otero-Garcia, L. (2016). Health care austerity measures in times of crisis: the perspectives of primary health care physicians in Madrid, Spain. International Journal of Health Services, 46(2), 283–299. CrossRefPubMed Heras-Mosteiro, J., Sanz-Barbero, B., & Otero-Garcia, L. (2016). Health care austerity measures in times of crisis: the perspectives of primary health care physicians in Madrid, Spain. International Journal of Health Services, 46(2), 283–299. CrossRefPubMed
go back to reference Hölzel, B., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537–559. Hölzel, B., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537–559.
go back to reference Irving, J., Dobkin, P., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. CrossRefPubMed Irving, J., Dobkin, P., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. CrossRefPubMed
go back to reference Jha, A., Krompinger, J., & Baime, M. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective, & Behavioral Neuroscience, 7(2), 109–119. CrossRef Jha, A., Krompinger, J., & Baime, M. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective, & Behavioral Neuroscience, 7(2), 109–119. CrossRef
go back to reference Johnson, J. R., Emmons, H. C., Rivard, R. L., Griffin, K. H., & Dusek, J. A. (2015). Resilience training: a pilot study of a mindfulness-based program with depressed healthcare professionals. Explore (New York, N.Y.), 11(6), 433–444. CrossRef Johnson, J. R., Emmons, H. C., Rivard, R. L., Griffin, K. H., & Dusek, J. A. (2015). Resilience training: a pilot study of a mindfulness-based program with depressed healthcare professionals. Explore (New York, N.Y.), 11(6), 433–444. CrossRef
go back to reference Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. CrossRefPubMed Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind to face stress. Pain and illness. New York: Dell. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind to face stress. Pain and illness. New York: Dell.
go back to reference Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present and future. Clinical Psychology: Science and Practice, 10(2), 144–156. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present and future. Clinical Psychology: Science and Practice, 10(2), 144–156.
go back to reference Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163–190. CrossRefPubMed Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163–190. CrossRefPubMed
go back to reference Klatt, M., Buckworth, J., & Malarkey, W. (2009). Effects of low-dose mindfulness-based stress reductions (MBSR-Id) on working adults. Healt Eduction & Behavior, 36, 601–614. CrossRef Klatt, M., Buckworth, J., & Malarkey, W. (2009). Effects of low-dose mindfulness-based stress reductions (MBSR-Id) on working adults. Healt Eduction & Behavior, 36, 601–614. CrossRef
go back to reference Kleiboer, A., Donker, T., Seekles, W., van Straten, A., Riper, H., & Cuijpers, P. (2015). A randomized controlled trial on the role of support in Internet-based problem solving therapy for depression and anxiety. Behaviour Research and Therapy, 72, 63–71. CrossRefPubMed Kleiboer, A., Donker, T., Seekles, W., van Straten, A., Riper, H., & Cuijpers, P. (2015). A randomized controlled trial on the role of support in Internet-based problem solving therapy for depression and anxiety. Behaviour Research and Therapy, 72, 63–71. CrossRefPubMed
go back to reference Krasner, M. (2009). Association of an educational program in mindful communication with burnout, empathy and attitudes among primary care physicians. JAMA, 302(12), 1284–1293. CrossRefPubMed Krasner, M. (2009). Association of an educational program in mindful communication with burnout, empathy and attitudes among primary care physicians. JAMA, 302(12), 1284–1293. CrossRefPubMed
go back to reference Liu, Q., Peng, W., Zhang, F., Hu, R., Li, Y., & Yan, W. (2016). The effectiveness of blended learning in health professions: systematic review and meta-analysis. Journal of Medical Internet Research, 18(1), e2. CrossRefPubMedPubMedCentral Liu, Q., Peng, W., Zhang, F., Hu, R., Li, Y., & Yan, W. (2016). The effectiveness of blended learning in health professions: systematic review and meta-analysis. Journal of Medical Internet Research, 18(1), e2. CrossRefPubMedPubMedCentral
go back to reference Lopez, A., Sanderman, R., & Schroevers, M. J. (2016). Mindfulness and self-compassion as unique and common predictors of affect in the general population. Mindfulness, 7(6), 1289–1296. CrossRefPubMedPubMedCentral Lopez, A., Sanderman, R., & Schroevers, M. J. (2016). Mindfulness and self-compassion as unique and common predictors of affect in the general population. Mindfulness, 7(6), 1289–1296. CrossRefPubMedPubMedCentral
go back to reference López-Gómez, I., Hervás, G., & Vázquez, C. (2015). Adaptación de las “escalas de afecto positivo y negativo” (panas) en una muestra general Española. Behavioral Psychology, 23(3), 529–548. López-Gómez, I., Hervás, G., & Vázquez, C. (2015). Adaptación de las “escalas de afecto positivo y negativo” (panas) en una muestra general Española. Behavioral Psychology, 23(3), 529–548.
go back to reference Mackinnon, D., & Dwyer, J. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17(2), 144–158. CrossRef Mackinnon, D., & Dwyer, J. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17(2), 144–158. CrossRef
go back to reference Molina Siguero, A., García Perez, M. A., Alonso González, M., & Cecilia Cermeño, P. (2003). Prevalence of worker burnout and psychiatric illness in primary care physicians in a health care area in Madrid. Atencion Primaria, 31(9), 564–571. CrossRefPubMed Molina Siguero, A., García Perez, M. A., Alonso González, M., & Cecilia Cermeño, P. (2003). Prevalence of worker burnout and psychiatric illness in primary care physicians in a health care area in Madrid. Atencion Primaria, 31(9), 564–571. CrossRefPubMed
go back to reference Montero-Marin, J., García-Campayo, J., Fajó-Pascual, M., Carrasco, J. M., Gascón, S., Gili, M., & Mayoral-Cleries, F. (2011). Sociodemographic and occupational risk factors associated with the development of different burnout types: the cross-sectional University of Zaragoza study. BMC Psychiatry, 11, 49. CrossRefPubMedPubMedCentral Montero-Marin, J., García-Campayo, J., Fajó-Pascual, M., Carrasco, J. M., Gascón, S., Gili, M., & Mayoral-Cleries, F. (2011). Sociodemographic and occupational risk factors associated with the development of different burnout types: the cross-sectional University of Zaragoza study. BMC Psychiatry, 11, 49. CrossRefPubMedPubMedCentral
go back to reference Montero-Marín, J., Skapinakis, P., Araya, R., Gili, M., & García-Campayo, J. (2011). Towards a brief definition of burnout syndrome by subtypes: Development of the “Burnout Clinical Subtypes Questionnaire” (BCSQ-12). HQLO, 9, 74. PubMedPubMedCentral Montero-Marín, J., Skapinakis, P., Araya, R., Gili, M., & García-Campayo, J. (2011). Towards a brief definition of burnout syndrome by subtypes: Development of the “Burnout Clinical Subtypes Questionnaire” (BCSQ-12). HQLO, 9, 74. PubMedPubMedCentral
go back to reference Montero-Marín, J., Araya, R., Blazquez, B. O., Skapinakis, P., Vizcaino, V. M., & García-Campayo, J. (2012). Understanding burnout according to individual differences: ongoing explanatory power evaluation of two models for measuring burnout types. BMC Public Health, 12, 922. CrossRefPubMedPubMedCentral Montero-Marín, J., Araya, R., Blazquez, B. O., Skapinakis, P., Vizcaino, V. M., & García-Campayo, J. (2012). Understanding burnout according to individual differences: ongoing explanatory power evaluation of two models for measuring burnout types. BMC Public Health, 12, 922. CrossRefPubMedPubMedCentral
go back to reference Montero-Marin, J., Tops, M., Manzanera, R., Piva-Demarzo, M. M., Álvarez de Mon, M., & García-Campayo, J. (2015). Mindfulness, resilience, and burnout subtypes in primary care physicians: the possible mediating role of positive and negative affect. Frontiers in Psychology, 6, 1895. CrossRefPubMedPubMedCentral Montero-Marin, J., Tops, M., Manzanera, R., Piva-Demarzo, M. M., Álvarez de Mon, M., & García-Campayo, J. (2015). Mindfulness, resilience, and burnout subtypes in primary care physicians: the possible mediating role of positive and negative affect. Frontiers in Psychology, 6, 1895. CrossRefPubMedPubMedCentral
go back to reference Morris, S., & DeShon, R. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105–125. CrossRefPubMed Morris, S., & DeShon, R. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105–125. CrossRefPubMed
go back to reference Morrison, A. B., Goolsarran, M., Rogers, S. L., & Jha, A. P. (2014). Taming a wandering attention: short-form mindfulness training in student cohorts. Frontiers in  Human Neuroscience, 7, 897. Morrison, A. B., Goolsarran, M., Rogers, S. L., & Jha, A. P. (2014). Taming a wandering attention: short-form mindfulness training in student cohorts. Frontiers in  Human Neuroscience, 7, 897.
go back to reference Notario-Pacheco, B., Solera-Martínez, M., Serrano-Parra, M. D., Bartolomé-Gutiérrez, R., Carcía-Campayo, J., & Martínez-Vizcaíno, V. (2011). Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults. HQLO, 9, 63. PubMedPubMedCentral Notario-Pacheco, B., Solera-Martínez, M., Serrano-Parra, M. D., Bartolomé-Gutiérrez, R., Carcía-Campayo, J., & Martínez-Vizcaíno, V. (2011). Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults. HQLO, 9, 63. PubMedPubMedCentral
go back to reference Ong, A. D., Zautra, A. J., & Carrington Reid, M. (2010). Psychological resilience predicts decreases in pai catastrophizing through positive emotions. Psychology and Aging, 25, 516–523. CrossRefPubMedPubMedCentral Ong, A. D., Zautra, A. J., & Carrington Reid, M. (2010). Psychological resilience predicts decreases in pai catastrophizing through positive emotions. Psychology and Aging, 25, 516–523. CrossRefPubMedPubMedCentral
go back to reference Piva-Demarzo, M., & Garcia-Campayo, J. (2015). Manual práctico mindfulness. Curiosidad y aceptación. Madrid: Ilus Books. Piva-Demarzo, M., & Garcia-Campayo, J. (2015). Manual práctico mindfulness. Curiosidad y aceptación. Madrid: Ilus Books.
go back to reference Rabatin, J., Williams, E., Baier Manwell, L., Schwartz, M. D., Brown, R. L., & Linzer, M. (2015). Predictors and outcomes of burnout in primary care physicians. Journal of Primary Care Community Health, 7(1), 41–43. Rabatin, J., Williams, E., Baier Manwell, L., Schwartz, M. D., Brown, R. L., & Linzer, M. (2015). Predictors and outcomes of burnout in primary care physicians. Journal of Primary Care Community Health, 7(1), 41–43.
go back to reference Ruiz, J., Mintzer, M., & Leipzig, R. (2006). The impact of E-learning in medical education. Academic Medicine, 81(3), 207–212. CrossRefPubMed Ruiz, J., Mintzer, M., & Leipzig, R. (2006). The impact of E-learning in medical education. Academic Medicine, 81(3), 207–212. CrossRefPubMed
go back to reference Sanada, K., Alda, M., Salas, M., Pérez-Yus, M. C., Demarzo, M. M., Montero-Marín, J., et al. (2017). Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review. BMC Complementary and Alternative Medicine, 17(1), 125. CrossRefPubMedPubMedCentral Sanada, K., Alda, M., Salas, M., Pérez-Yus, M. C., Demarzo, M. M., Montero-Marín, J., et al. (2017). Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review. BMC Complementary and Alternative Medicine, 17(1), 125. CrossRefPubMedPubMedCentral
go back to reference Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Escalas PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural. Psicothema, 11, 37–51. Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Escalas PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural. Psicothema, 11, 37–51.
go back to reference Segal, Z., Wiliams, J., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depresión. New York: Guilford Press. Segal, Z., Wiliams, J., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depresión. New York: Guilford Press.
go back to reference Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12(2), 164–176. CrossRef Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12(2), 164–176. CrossRef
go back to reference Soler, J., Tejedor, R., Feliú-Soler, A., Pascual, J. C., Cebolla, A., Soriano, J., et al. (2012). Psychometric properties of Spanish version of mindful attention awareness scale (MAAS). Actas Españolas de Psiquiatría, 40(1), 19–26. PubMed Soler, J., Tejedor, R., Feliú-Soler, A., Pascual, J. C., Cebolla, A., Soriano, J., et al. (2012). Psychometric properties of Spanish version of mindful attention awareness scale (MAAS). Actas Españolas de Psiquiatría, 40(1), 19–26. PubMed
go back to reference Stallard, N. (2012). Optimal sample sizes for phase II clinical trials and pilot studies. Statistics in Medicine, 21(11–12), 1031–1042. CrossRef Stallard, N. (2012). Optimal sample sizes for phase II clinical trials and pilot studies. Statistics in Medicine, 21(11–12), 1031–1042. CrossRef
go back to reference Tancred, T., Schleiff, M., Peters, DH., Balabanova, D. (2015). Global mapping of health policy and systems research training. The Teaching and Learning Health Policy and Systems Research Thematic Working Group: Health Systems Global with support of the Alliance for Health Policy and Systems Research. At http://​bit.​ly/​1N3a3jD. Accessed Jul 2016. Tancred, T., Schleiff, M., Peters, DH., Balabanova, D. (2015). Global mapping of health policy and systems research training. The Teaching and Learning Health Policy and Systems Research Thematic Working Group: Health Systems Global with support of the Alliance for Health Policy and Systems Research. At http://​bit.​ly/​1N3a3jD. Accessed Jul 2016.
go back to reference Treglown, L., Palaiou, K., Zarola, A., & Fumham, A. (2016). The dark side of resilience and burnout: a moderation-mediation model. PloS One, 11(6), e0156279. CrossRefPubMedPubMedCentral Treglown, L., Palaiou, K., Zarola, A., & Fumham, A. (2016). The dark side of resilience and burnout: a moderation-mediation model. PloS One, 11(6), e0156279. CrossRefPubMedPubMedCentral
go back to reference Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86, 320–333. CrossRefPubMedPubMedCentral Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86, 320–333. CrossRefPubMedPubMedCentral
go back to reference Vinci, C., Peltier, M. R., Shah, S., Kinsaul, J., Waldo, K., McVay, M. A., et al. (2014). Effects of a brief mindfulness intervention on negative affect and urge to drink among college student drinkers. Behaviour Research and Therapy, 59, 82–93. CrossRefPubMed Vinci, C., Peltier, M. R., Shah, S., Kinsaul, J., Waldo, K., McVay, M. A., et al. (2014). Effects of a brief mindfulness intervention on negative affect and urge to drink among college student drinkers. Behaviour Research and Therapy, 59, 82–93. CrossRefPubMed
go back to reference Wang, L., Zhang, Z., McArdle, J. J., & Salthouse, T. A. (2009). Investigating ceiling effects in longitudinal data analysis. Multivariate Behavioral Research, 43(3), 476–496. CrossRefPubMedPubMedCentral Wang, L., Zhang, Z., McArdle, J. J., & Salthouse, T. A. (2009). Investigating ceiling effects in longitudinal data analysis. Multivariate Behavioral Research, 43(3), 476–496. CrossRefPubMedPubMedCentral
go back to reference Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. CrossRefPubMed Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. CrossRefPubMed
go back to reference Wichers, M., Peeters, F., Geschwind, N., Jacobs, N., Simons, C. J. P., Derom, C., et al. (2010). Unveiling patterns of affective responses in daily life may improve outcome prediction in depression: a momentary assessment study. Journal of Affective Disorders, 124, 191–195. CrossRefPubMed Wichers, M., Peeters, F., Geschwind, N., Jacobs, N., Simons, C. J. P., Derom, C., et al. (2010). Unveiling patterns of affective responses in daily life may improve outcome prediction in depression: a momentary assessment study. Journal of Affective Disorders, 124, 191–195. CrossRefPubMed
go back to reference Windgassen, S., Goldsmith, K., Moss-Morris, R., & Chalder, T. (2016). Establishing how psychological therapies work: the importance of mediation analysis. Journal of Mental Health, 25(2), 93–99. CrossRefPubMed Windgassen, S., Goldsmith, K., Moss-Morris, R., & Chalder, T. (2016). Establishing how psychological therapies work: the importance of mediation analysis. Journal of Mental Health, 25(2), 93–99. CrossRefPubMed
go back to reference Wolkin, J. (2015). Cultivating multiple aspects of attention through mindfulness meditation accounts for psychological well-being through decreased rumination. Psychology Research and Behavior Management, 8, 171–180. CrossRefPubMedPubMedCentral Wolkin, J. (2015). Cultivating multiple aspects of attention through mindfulness meditation accounts for psychological well-being through decreased rumination. Psychology Research and Behavior Management, 8, 171–180. CrossRefPubMedPubMedCentral
Metagegevens
Titel
Impact of a Blended Web-Based Mindfulness Programme for General Practitioners: a Pilot Study
Auteurs
Jesus Montero-Marin
Jorge Gaete
Ricardo Araya
Marcelo Demarzo
Rick Manzanera
Melchor Álvarez de Mon
Javier García-Campayo
Publicatiedatum
15-06-2017
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 1/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-017-0752-8