Mindfulness-Based Resilience Training in the Workplace: Pilot Study of the Internet-Based Resilience@Work (RAW) Mindfulness Program

• Published in: Journal of medical Internet research Vol. 20; no. 9; p. e10326
• Main Authors: Joyce, Sadhbh, Shand, Fiona, Bryant, Richard A, Lal, Tara J, Harvey, Samuel B
• Format: Journal Article
• Language: English
• Published: Canada Journal of Medical Internet Research 01.09.2018; Gunther Eysenbach MD MPH, Associate Professor; JMIR Publications
• Subjects: Anxiety; Avoidance behavior; Cognition & reasoning; Cognitive ability; Developed countries; Disability; Emotions; Feasibility; Firefighters; Flexibility; Health aspects; High risk; Internet; Intervention; Mental depression; Mental disorders; Mental health; Mental health care; Mental illness; Mindfulness; Original Paper; Pilot projects; Post traumatic stress disorder; Psychological flexibility; Public health; Resilience; Sick leave; Training; Work; Worker absenteeism; Workers; Workplaces; employee resilience; resilience training; online intervention; wellbeing; occupational health; psychological health; workplace mental health; health and safety
• ISSN: 1438-8871; 1439-4456; 1438-8871
• DOI: 10.2196/10326

The impact of mental illness on society is far reaching and has been identified as the leading cause of sickness absence and work disability in most developed countries. By developing evidence-based solutions that are practical, affordable, and accessible, there is potential to deliver substantial economic benefits while improving the lives of individual workers. Academic and industry groups are now responding to this public health issue. A key focus is on developing practical solutions that enhance the mental health and psychological resilience of workers. A growing body of research suggests resilience training may play a pivotal role in the realm of public health and prevention, particularly with regards to protecting the long-term well-being of workers. Our aim is to examine whether a mindfulness-based resilience-training program delivered via the internet is feasible and engaging to a group of high-risk workers. Additionally, we aim to measure the effect of the Resilience@Work Resilience@Work Mindfulness program on measures of resilience and related skills. The current pilot study recruited 29 full-time firefighters. Participants were enrolled in the 6-session internet-based resilience-training program and were administered questionnaires prior to training and directly after the program ended. Measurements examined program feasibility, psychological resilience, experiential avoidance, and thought entanglement. Participants reported greater levels of resilience after Resilience@Work training compared to baseline, with a mean increase in their overall resilience score of 1.5 (95% CI -0.25 to 3.18, t =1.84, P=.09). Compared to baseline, participants also reported lower levels of psychological inflexibility and experiential avoidance following training, with a mean decrease of -1.8 (95% CI -3.78 to 0.20, t =-1.94, P=.07). With regards to cognitive fusion (thought entanglement), paired-samples t tests revealed a trend towards reduction in mean scores post training (P=.12). This pilot study of the Resilience@Work program suggests that a mindfulness-based resilience program delivered via the Internet is feasible in a high-risk workplace setting. In addition, the firefighters using the program showed a trend toward increased resilience and psychological flexibility. Despite a number of limitations, the results of this pilot study provide some valuable insights into what form of resilience training may be viable in occupational settings particularly among those considered high risk, such as emergency workers. To the best of our knowledge, this is the first time a mindfulness-based resilience-training program delivered wholly via the internet has been tested in the workplace.