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首页> 外文期刊>Occupational and environmental medicine >Destress 9-1-1-an online mindfulness-based intervention in reducing stress among emergency medical dispatchers: a randomised controlled trial
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Destress 9-1-1-an online mindfulness-based intervention in reducing stress among emergency medical dispatchers: a randomised controlled trial

机译：Destress 9-1-1-基于在线致力于减少紧急医疗调度员压力的干预：随机对照试验

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Objectives Emergency medical dispatchers (EMDs) experience significant stress in the workplace. Yet, interventions aimed at reducing work-related stress are difficult to implement due to the logistic challenges associated with the relatively unique EMD work environment. This investigation tested the efficacy of a 7-week online mindfulness-based intervention (MBI) tailored to the EMD workforce. Methods Active-duty EMDs from the USA and Canada (n=323) were randomly assigned to an intervention or wait list control condition. Participants completed surveys of stress and mindfulness at baseline, post intervention, and 3 months follow-up. Repeated measures mixed effects models were used to assess changes in stress and mindfulness. Results Differences between the intervention group and control group in pre-post changes in stress using the Calgary Symptoms of Stress Inventory were statistically significant, with a difference of -10.0 (95% CI: -14.9, -5.2, p<0.001) for change from baseline to post intervention, and a difference of -6.5 (95% CI: -11.9, -1.1, p=0.02) for change from baseline to 3 months follow-up. Change in mindfulness scores did not differ between groups. However, increases in mindfulness scores were correlated with greater reductions in stress for all participants, regardless of group (r=-0.53, p<0.001). Conclusions Development of tailored online MBIs for employees working in challenging work environments offer a promising direction for prevention and intervention. This study found that a short, weekly online MBI for EMDs resulted in reductions in reports of stress. Implications of online MBIs in other emergency responding populations and directions for future research are discussed.
机译：目标紧急医疗调度员（EMDS）在工作场所进行重大压力。然而，由于与相对独特的EMD工作环境相关的后勤挑战，旨在减少工作相关压力的干预措施难以实施。这项调查测试了针对EMD劳动力量身定制的基于7周的基于在线思维的干预（MBI）的疗效。方法从美国和加拿大（n = 323）中的活动占空国被随机分配到干预或等待列表控制条件。参与者在基线，干预后和3个月随访中完成了压力和谨慎的调查。重复措施混合效果模型用于评估压力和谨慎的变化。结果干预组和对照组在使用应力库存的卡尔加里症状后胁迫前变化中的差异差异有统计学意义，差异为-10.0（95％CI：-14.9，-5.2，P <0.001）进行变化从基线到后干预，以及-6.5（95％CI：-11.9，-1.1，p = 0.02）的差异，从基线变为3个月随访。一群人之间的谨慎分数没有差异。然而，无论组（r = -0.53，p <0.001），所有参与者的压力的减少都会随着压力的减少而相关的增加。结论在挑战工作环境中工作的员工量身定制的在线MBIS的开发提供了有希望的预防和干预方向。本研究发现，用于EMD的简短，每周在线MBI导致压力报告中减少。讨论了在线MBI对其他紧急响应群体和未来研究的指示的影响。

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