Abstract：
BACKGROUND: Health care providers (HCP) experience high stress and burnout rates. Mindfulness Based Interventions (MBI) with biofeedback may help improve resiliency but require further research.
METHODS: Aims were to evaluate changes in sleep patterns, nocturnal physiology, stress, mood disturbances, and perceived experience with biofeedback during the Mindfulness in Motion (MIM) intervention. Data from 66 HCP were included after removing those below 75 % compliance with wearable sensors and wellness surveys. Participants were enrolled in MIM, including eight weekly one-hour virtually delivered synchronous group meetings and ∼10 min of mindfulness home practice at least 3 times per week using a mobile application. Participants wore wearable sensors to monitor sleep and nocturnal physiology and completed short daily stress and mood disturbances.
RESULTS: According to mixed effect models, no sleep nor physiological metrics changed across MIM (p > 0.05). More time was spent in bed after MIM sessions (8.33±1.03 h) compared to night before (8.05±0.93 h; p = 0.040). Heart rate variability was lower nights after MIM (33.00±15.59 ms) compared to nights before (34.50±17.04 ms; p = 0.004) but was not clinically meaningful (effect= 0.033). Significant reductions were noted in perceived stress at weeks 3 through 8 compared to Baseline and lower Total Mood Disturbance at weeks 3, 5, 6, and 8 compared to Baseline (p < 0.001).
CONCLUSIONS: Participating in the MIM with mobile applications and wearable sensors reduced perceived stress and mood disturbances but did not induce physiological changes. Additional research is warranted to further evaluate objective physiological outcomes while controlling for confounding variables (e.g., alcohol, medications).
METHODS: Aims were to evaluate changes in sleep patterns, nocturnal physiology, stress, mood disturbances, and perceived experience with biofeedback during the Mindfulness in Motion (MIM) intervention. Data from 66 HCP were included after removing those below 75 % compliance with wearable sensors and wellness surveys. Participants were enrolled in MIM, including eight weekly one-hour virtually delivered synchronous group meetings and ∼10 min of mindfulness home practice at least 3 times per week using a mobile application. Participants wore wearable sensors to monitor sleep and nocturnal physiology and completed short daily stress and mood disturbances.
RESULTS: According to mixed effect models, no sleep nor physiological metrics changed across MIM (p > 0.05). More time was spent in bed after MIM sessions (8.33±1.03 h) compared to night before (8.05±0.93 h; p = 0.040). Heart rate variability was lower nights after MIM (33.00±15.59 ms) compared to nights before (34.50±17.04 ms; p = 0.004) but was not clinically meaningful (effect= 0.033). Significant reductions were noted in perceived stress at weeks 3 through 8 compared to Baseline and lower Total Mood Disturbance at weeks 3, 5, 6, and 8 compared to Baseline (p < 0.001).
CONCLUSIONS: Participating in the MIM with mobile applications and wearable sensors reduced perceived stress and mood disturbances but did not induce physiological changes. Additional research is warranted to further evaluate objective physiological outcomes while controlling for confounding variables (e.g., alcohol, medications).
摘要：
背景：医疗保健提供者（HCP）经历高压力和倦怠率。基于正念的干预（MBI）与生物反馈可能有助于提高弹性，但需要进一步研究。
方法：目的是评估睡眠模式的变化，夜间生理学，压力，情绪障碍,以及在正念运动(MIM)干预期间对生物反馈的感知体验。在删除了对可穿戴传感器和健康调查的依从性低于75％的患者后，纳入了66个HCP的数据。参与者参加了MIM，包括八个每周一小时的虚拟交付同步小组会议和10分钟的正念在家练习至少3次每周使用移动应用程序。参与者佩戴可穿戴传感器来监测睡眠和夜间生理机能，并完成短暂的日常压力和情绪障碍。
结果：根据混合效应模型，整个MIM的睡眠和生理指标均无变化(p>0.05)。与前一天晚上（8.05±0.93h；p=0.040）相比，MIM会话后（8.33±1.03h）在床上花费的时间更多。MIM后夜间的心率变异性（33.00±15.59ms）低于前夜间（34.50±17.04ms；p=0.004），但没有临床意义（效果=0.033）。与基线相比,在第3周至第8周的感知压力显著降低,并且与基线相比,在第3、5、6和第8周的总情绪扰动较低(p<0.001)。
结论：使用移动应用程序和可穿戴传感器参与MIM可以减少感知的压力和情绪障碍，但不会引起生理变化。需要额外的研究来进一步评估客观的生理结果，同时控制混杂变量(例如，酒精,药物）。
方法：目的是评估睡眠模式的变化，夜间生理学，压力，情绪障碍,以及在正念运动(MIM)干预期间对生物反馈的感知体验。在删除了对可穿戴传感器和健康调查的依从性低于75％的患者后，纳入了66个HCP的数据。参与者参加了MIM，包括八个每周一小时的虚拟交付同步小组会议和10分钟的正念在家练习至少3次每周使用移动应用程序。参与者佩戴可穿戴传感器来监测睡眠和夜间生理机能，并完成短暂的日常压力和情绪障碍。
结果：根据混合效应模型，整个MIM的睡眠和生理指标均无变化(p>0.05)。与前一天晚上（8.05±0.93h；p=0.040）相比，MIM会话后（8.33±1.03h）在床上花费的时间更多。MIM后夜间的心率变异性（33.00±15.59ms）低于前夜间（34.50±17.04ms；p=0.004），但没有临床意义（效果=0.033）。与基线相比,在第3周至第8周的感知压力显著降低,并且与基线相比,在第3、5、6和第8周的总情绪扰动较低(p<0.001)。
结论：使用移动应用程序和可穿戴传感器参与MIM可以减少感知的压力和情绪障碍，但不会引起生理变化。需要额外的研究来进一步评估客观的生理结果，同时控制混杂变量(例如，酒精,药物）。
