Resilience interventions in physicians: A systematic review and meta-analysis.
Paraskevi Angelopoulou1, Efharis Panagopoulou1
1Department of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Applied Psychology. Health and Well-Being
|May 21, 2021
Summary
Interventions can improve physician resilience, with emotional-supportive-coping methods showing greater benefits than mindfulness. Longer interventions (over one week) yield better results for enhancing physician resilience.
Area of Science:
- Medical Education
- Occupational Health
- Psychology
Background:
- Physician burnout and stress are significant concerns in healthcare.
- Previous reviews on resilience interventions lacked systematic meta-analytic evaluation.
- There is a need to assess the effectiveness of resilience-promoting strategies for physicians.
Purpose of the Study:
- To systematically evaluate the effectiveness of interventions designed to promote resilience in physicians.
- To compare the efficacy of different types of resilience interventions.
- To identify intervention characteristics associated with greater effectiveness.
Main Methods:
- A systematic review and meta-analysis of randomized clinical trials, non-randomized clinical trials, and repeated-measures studies.
- Searches were conducted in PubMed, PsycINFO, and Cochrane Register of Controlled Trials up to January 31, 2020.
- Eleven studies involving 580 physicians were included in the analysis.
Main Results:
- Interventions for physician resilience demonstrated small but statistically significant benefits.
- Emotional-supportive-coping interventions showed a larger effect size (Hedges's g = 0.242) compared to mindfulness-meditation-relaxation interventions (Hedges's g = 0.208).
- Interventions lasting longer than one week had a greater positive impact (Hedges's g = 0.262) than those of shorter duration.
Conclusions:
- Physicians can experience personal resilience benefits from targeted interventions exceeding one week in duration.
- Healthcare systems should consider redesigning to promote physician attendance at resilience-building programs.
- Future research should focus on higher-quality studies with improved designs to further elucidate intervention effectiveness.
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