The Stress Management and Resiliency Training (SMART) Program Is Associated with Sustained Improvement in Clinician
Brittany L Garcia1, Maureen A Craig1, Nicole Adams1
1Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA.
Background:
Burnout negatively impacts clinicians, patients, and healthcare systems. We examined the immediate and sustained effects of an evidence-based, multi-modal Stress Management and Resiliency Training (SMART) Program on clinician well-being.
Methods:
Clinicians who registered to participate in the SMART Program were invited to join an observational study and complete questionnaires before the program started, at two months (post-program), and at eight months (six months following program completion).
Results:
We found significant improvements in well-being, burnout, perceived stress, stress coping, resilience, and self-compassion at 2 months (all p < 0.001), with moderate-to-large effect sizes (d = 0.57 to 1.0). Significant benefits were maintained at 8 months, with small-to-moderate effect sizes (d = 0.41 to 0.65). Exploratory analyses found significant correlations between improvements in well-being from baseline to 8 months and the number of stress-management techniques used at 8 months (r = 0.53, p < 0.0001) and the number of days on which participants practiced meditation for at least 10 min (r = 0.28, p = 0.049).
Conclusion:
Participation in the SMART Program was associated with significant improvements in clinician well-being that persisted six months following program completion and was positively associated with the number of stress-management tools used and meditation practice.
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