Improving psychological well-being among healthcare workers during the COVID-19 pandemic with an online mindfulness intervention: A randomised waitlist-controlled trial

Int J Psychol. 2024 Jun;59(3):410-418. doi: 10.1002/ijop.13118. Epub 2024 Feb 14.

Abstract

The high prevalence of psychological problems observed among healthcare workers (HCWs) during the COVID-19 pandemic called for interventions to safeguard their mental health. We assessed the effectiveness of a 6-week online mindfulness-based intervention in improving well-being and reducing stress among HCWs in Sri Lanka. Eighty HCWs were recruited and randomised into two groups: waitlist-control (WLC) and intervention groups. In the intervention, 1-hour online sessions were conducted at weekly intervals and participants were encouraged to do daily home practice. Stress and well-being were measured pre- and post-intervention using the Perceived Stress Scale and WHO-5 Well-being Index, respectively. One-way analysis of covariance was used to evaluate the effectiveness, in both intention-to-treat (ITT) and complete-case (CC) analyses. A significantly greater improvement in well-being occurred in the intervention arm compared to WLC on both ITT (p = .002) and CC analyses (p < .001), with medium-to-large effect sizes (partial η2 = .117-.278). However, the reduction in stress following the intervention was not significant compared to the WLC group on both ITT (p = .636) and CC analyses (p = .262). In the intervention arm, the median number of sessions attended by participants was 3. Low adherence to the intervention may have contributed to the apparent non-significant effect on stress.

Keywords: Healthcare worker; Mindfulness; Mindfulness‐based cognitive therapy; Mindfulness‐based stress reduction; Stress; Well‐being.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • COVID-19* / prevention & control
  • COVID-19* / psychology
  • Female
  • Health Personnel* / psychology
  • Humans
  • Internet-Based Intervention
  • Male
  • Mental Health
  • Middle Aged
  • Mindfulness*
  • Pandemics / prevention & control
  • Psychological Well-Being
  • SARS-CoV-2
  • Sri Lanka
  • Stress, Psychological
  • Waiting Lists