Should Mindfulness for Health Care Workers Go Virtual? A Mindfulness-Based Intervention Using Virtual Reality and Heart Rate Variability in the Emergency Department

Source avec lien : Journal of the Association of Occupational Health Professionals in Healthcare, 43(4). 10.1177/21650799221123258

La recherche sur l’épuisement professionnel dans la communauté médicale a largement étudié l’impact des interventions basées sur la pleine conscience (MBI), qui peuvent inclure la méditation, les retraites en plein air, les didactiques en personne et/ou les modules de bien-être en ligne. Cependant, outre le fait que ces interventions basées sur la pleine conscience manquent de mesures objectives et physiologiques du bien-être, il n’y a eu que peu ou pas de recherche impliquant la réalité virtuelle (RV) comme modalité d’intervention basée sur la pleine conscience pour les professionnels de la santé aux États-Unis.

Background: Research on burnout in the medical community has extensively studied the impact of mindfulness-based interventions (MBIs), which can include meditation, outdoor retreats, in-person didactics, and/or online wellness modules. However, in addition to these MBIs lacking objective, physiological measures for wellness, there has been little to no research involving virtual reality (VR) as an MBI modality for healthcare professionals in the United States. Methods: A randomized controlled intervention trial was used to study the impact of VR-based guided-meditations in the form of brief paced-breathing exercises. Heart-rate variability (HRV), a biomarker for relaxation, was measured during each session. Thirty-two participants, consisting of primarily medical students, resident physicians, and registered nurses, were recruited to complete brief guided-meditations via a VR headset or a standalone mobile app in the emergency department (ED) on-call room of a large urban academic medical center. Results: A total of 213 guided-meditation sessions were completed over the course of 4 weeks. Self-reported ratings of anxiety improved in both VR and mobile groups post-study. However, the VR group demonstrated higher intrasession HRV progress, indicating increased state of relaxation that also correlated with the number of sessions completed. Analysis by gender revealed disparity in HRV metrics between male and female VR participants. Conclusion/Application to Practice: VR-based guided meditations prove to be a feasible and accessible MBI that does not require extensive time commitment for healthcare workers. VR may be a more effective meditation platform compared with standalone mobile meditation apps, especially when used on a routine basis.

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