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首页> 外文期刊>Journal of medical Internet research >Participant Engagement in and Perspectives on a Web-Based Mindfulness Intervention for 9-1-1 Telecommunicators: Multimethod Study
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Participant Engagement in and Perspectives on a Web-Based Mindfulness Intervention for 9-1-1 Telecommunicators: Multimethod Study

机译：9-1-1远程通信者基于Web的正念干预的参与者参与和观点：多方法研究

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Background Demanding working conditions and secondary exposure to trauma may contribute to a high burden of stress among 9-1-1 telecommunicators, decreasing their ability to work effectively and efficiently. Web-based mindfulness-based interventions (MBIs) can be effective in reducing stress in similar populations. However, low engagement may limit the effectiveness of the intervention. Objective The aim of this study was to assess participant engagement in a Web-based MBI designed for 9-1-1 telecommunicators. Specifically, we sought to describe the following: (1) participant characteristics associated with intervention engagement, (2) participant perspectives on engaging with the intervention, and (3) perceived challenges and facilitators to engaging. Methods We used qualitative and quantitative data from participant surveys (n=149) that were collected to assess the efficacy of the intervention. We conducted descriptive and bivariate analyses to identify associations between demographic, psychosocial, and workplace characteristics and engagement. We conducted a thematic analysis of qualitative survey responses to describe participant experiences with the MBI. Results We found that no individual participant characteristics were associated with the level of engagement (low vs high number of lessons completed). Participant engagement did vary by the call center ( P &.001). We identified the following overarching qualitative themes: (1) the participants perceived benefits of mindfulness practice, (2) the participants perceived challenges to engage with mindfulness and the intervention, and (3) intervention components that facilitated engagement. The participants expressed positive beliefs in the perceived benefits of practicing mindfulness, including increased self-efficacy in coping with stressors and increased empathy with callers. The most commonly cited barriers were work-related, particularly not having time to participate in the intervention at work. Facilitators included shorter meditation practices and the availability of multiple formats and types of intervention content. Conclusions The findings of this study suggest that efforts to improve intervention engagement should focus on organizational-level factors rather than individual participant characteristics. Future research should explore the effect of mindfulness practice on the efficiency and effectiveness of 9-1-1 telecommunicators at work. Trial Registration ClinicalTrials.gov NCT02961621;?https://clinicaltrials.gov/ct2/show/NCT02961621
机译：背景技术苛刻的工作条件和二次遭受的创伤可能会在9-1-1远程通信器中造成很大的压力负担，从而降低其有效工作的能力。基于网络的正念干预（MBI）可以有效减轻相似人群的压力。但是，参与度低可能会限制干预措施的有效性。目的这项研究的目的是评估针对9-1-1电信用户设计的基于Web的MBI中的参与者参与度。具体而言，我们试图描述以下内容：（1）与干预参与有关的参与者特征;（2）参与者对参与干预的观点;（3）感知到的挑战和促进参与的因素。方法我们使用来自参与者调查（n = 149）的定性和定量数据来评估干预措施的有效性。我们进行了描述性和双变量分析，以识别人口统计学，社会心理，工作场所特征与参与之间的关联。我们对定性调查回答进行了主题分析，以描述参与者对MBI的体验。结果我们发现，没有任何参与者的特征与参与程度相关（完成的课程数量少或多）。呼叫中心的参与者参与度确实有所不同（P <.001）。我们确定了以下总体定性主题：（1）参与者感知到正念练习的好处;（2）参与者感知到参与正念和干预的挑战;以及（3）促进参与的干预成分。参与者对练习正念带来的好处表示了积极的信念，包括提高应对压力的自我效能感和与呼叫者的同理心。最常见的障碍是与工作有关的，尤其是没有时间参加工作干预。主持人包括较短的冥想练习以及多种格式和类型的干预内容的可用性。结论本研究的结果表明，改善干预参与的努力应集中在组织层面的因素上，而不是个人参与者的特征上。未来的研究应该探讨正念练习对9-1-1远程通信员工作效率和效果的影响。试用注册ClinicalTrials.gov NCT02961621;？https：//clinicaltrials.gov/ct2/show/NCT02961621

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