The impact of a smartphone meditation application on anesthesia trainee well-being

• Published in: Journal of clinical anesthesia Vol. 75; p. 110525
• Main Authors: Carullo, Philip C., Ungerman, Elizabeth A., Metro, David G., Adams, Phillip S.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2021; Elsevier Limited
• Subjects: Anesthesia; Anesthesia education; Anesthesiology; Burnout; Burnout, Professional - epidemiology; Burnout, Professional - prevention & control; Graduate medical education; Humans; Internship and Residency; Meditation; Mental depression; Mindfulness; Mobile Applications; Prospective Studies; Questionnaires; Sleep; Sleep Quality; Smartphone; Smartphones; Statistical analysis; Surveys and Questionnaires; Trainee; United States; Wellness; United States; United States > US; Wellness; Meditation; Trainee; Mindfulness; Anesthesia education; Graduate medical education
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2021.110525

Physician burnout is a pervasive problem in the United States. The goal of this study was to investigate use of the smartphone meditation application Headspace® as a well-being improvement tool in anesthesia trainees. Prospective self-controlled observational study. Anesthesia training program in an academic hospital. Resident and fellow trainees in the Department of Anesthesiology and Perioperative Medicine at the University of Pittsburgh Medical Center. Resident and fellow trainees were given a free 1-year subscription to the mindfulness application. Participation was voluntary and included questionnaires at baseline, 1 month, and 4 months for assessment of burnout and well-being. Questionnaires were linked with the use of de-identified codes and completed via REDCap. Questionnaires included the abbreviated Maslach Burnout Inventory, Becks Depression Index, Cohens Stress Score, Pittsburgh Sleep Quality Index, and a Headspace® Self-Reporting Questionnaire. Depression, stress, sleep quality, emotional exhaustion, depersonalization, and personal achievement. Of 112 trainees eligible to participate, 71 completed baseline questionnaires, 54 created application accounts, and 29 completed the entire questionnaire protocol with 4 months of app use. Application use was associated with reduced depression scores and increased feelings of personal achievement at both 1 month (p = 0.003, p = 0.066) and 4 months (p = 0.011, p = 0.005). Burnout from feelings of depersonalization and emotional exhaustion did not improve with application use. Over the study period, trainees completed 786 meditation sessions, accounting for 6123 min of app engagement. Findings of decreased depression scores and improved feelings of personal achievement suggest that Headspace® could serve as a mindfulness tool for incorporating meditation into the daily practice of anesthesia trainees in an effort to improve well-being. •Twenty-nine anesthesia trainees used a phone-based meditation app for 4 months.•Usage of the app (Headspace) was associated with reduced depression scores.•App usage also increased feelings of personal achievement.•Feelings of depersonalization and emotional exhaustion did not improve.•Incorporating mindfulness and meditation into training is feasible.