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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
| VA Ann Arbor Healthcare System | FED |
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This is a single center, randomized study that assessed the effects of mindfulness training on physician teaching teams at a VA hospital.
The primary objective of this study was to evaluate changes in hand hygiene compliance pre- and post- intervention in Internal Medicine physician and medical student inpatient teaching teams. Half of the teaching teams received the intervention of mindfulness education. Blinded observers collected data on hand hygiene compliance and mindfulness behaviors for both teams during patient care rounds for 1-week pre and post intervention. Additionally, the intervention group participated in focus group/interview discussions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mindfulness Education | Experimental | Participants viewed an informational video titled, "All it Takes is 10 Mindful Minutes" by mindfulness expert, Andy Puddicombe. Following the video, a guided discussion was provided that focused on how the principles of mindfulness can be used to influence a physician's state of mental presence, allowing for moments of clarity, insight, and reflection, and potentially enhance provider and patient safety. |
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| No Intervention | No Intervention | Participants did not receive mindfulness education. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mindfulness Education | Behavioral | Mindfulness Education |
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| Measure | Description | Time Frame |
|---|---|---|
| Hand Hygiene Compliance | Change in hand hygiene compliance observed during patient care rounds | Baseline and study completion at 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Mindful Attention Awareness Scale | Measures core characteristics of mindfulness | Baseline and study completion at 2 weeks |
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Inclusion Criteria:
Internal Medicine attendings, residents, interns and medical students on inpatient patient care teams, able to provide consent
Exclusion Criteria:
Surgical attendings, residents, interns or subspeciality teams, Internal medicine attendings rotating on non-resident teams
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| Name | Affiliation | Role |
|---|---|---|
| Vineet I Chopra, MD | University of Michigan and Ann Arbor VA Healthcare System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Ann Arbor Healthcare System | Ann Arbor | Michigan | 48103 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26728590 | Background | Gilmartin HM. Use hand cleaning to prompt mindfulness in clinic. BMJ. 2016 Jan 4;352:i13. doi: 10.1136/bmj.i13. No abstract available. | |
| 24018928 | Background | Kiyoshi-Teo H, Krein SL, Saint S. Applying mindful evidence-based practice at the bedside: using catheter-associated urinary tract infection as a model. Infect Control Hosp Epidemiol. 2013 Oct;34(10):1099-101. doi: 10.1086/673147. Epub 2013 Aug 23. |
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Participating teams were randomized with a 1:1 ratio to receive the intervention.
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Observers collecting data were blinded to participant treatment/control randomization allocation.
| 25376074 | Background | Ellingson K, Haas JP, Aiello AE, Kusek L, Maragakis LL, Olmsted RN, Perencevich E, Polgreen PM, Schweizer ML, Trexler P, VanAmringe M, Yokoe DS. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014 Sep;35 Suppl 2:S155-78. doi: 10.1017/s0899823x00193900. No abstract available. |
| 26214075 | Background | King D, Vlaev I, Everett-Thomas R, Fitzpatrick M, Darzi A, Birnbach DJ. "Priming" hand hygiene compliance in clinical environments. Health Psychol. 2016 Jan;35(1):96-101. doi: 10.1037/hea0000239. Epub 2015 Jul 27. |
| 29463769 | Derived | Gilmartin H, Saint S, Rogers M, Winter S, Snyder A, Quinn M, Chopra V. Pilot randomised controlled trial to improve hand hygiene through mindful moments. BMJ Qual Saf. 2018 Oct;27(10):799-806. doi: 10.1136/bmjqs-2017-007359. Epub 2018 Feb 20. |