TY  - JOUR
PY  - 2020//
TI  - Personalised yoga for burnout and traumatic stress in junior doctors
JO  - Postgraduate medical journal
A1  - Taylor, Jennifer
A1  - McLean, Loyola
A1  - Richards, Bethan
A1  - Glozier, Nicholas
SP  - 349
EP  - 357
VL  - 96
IS  - 1136
N2  - OBJECTIVES: Junior doctors are frequently exposed to occupational and traumatic stress, sometimes with tragic consequences. Mindfulness-based and fitness interventions are increasingly used to mitigate this, but have not been compared.We conducted a randomised, controlled pilot trial to assess the feasibility, acceptability and effectiveness of these interventions in junior doctors.  METHODS: We randomised participants (n=21) to weekly 1-hour sessions of personalised, trauma-informed yoga (n=10), with a 4-hour workshop, and eHealth homework; or group-format fitness (n=8) in an existing wellness programme, MDOK. Burnout, traumatic stress and suicidality were measured at baseline and 8 weeks.  RESULTS: Both interventions reduced burnout, and yoga increased compassion satisfaction within group on the Professional Quality of Life scale, without difference between groups on this measure.Personalised yoga significantly reduced depersonalisation (z=-1.99, p=0.05) compared with group fitness on the Maslach Burnout Inventory (MBI-HSS (MP)) and showed greater flexibility changes. Both interventions increased MBI Personal Accomplishment, with no changes in other self-report psychological or physiological metrics, including breath-counting.Participants doing one-to-one yoga rated it more highly overall (p=0.02) than group fitness, and reported it comparatively more beneficial for mental (p=0.01) and physical health (p=0.05). Face-to-face weekly sessions were 100% attended in yoga, but only 45% in fitness.  CONCLUSION: In this pilot trial, both yoga and fitness improved burnout, but trauma-informed yoga reduced depersonalisation in junior doctors more than group-format fitness. One-to-one yoga was better adhered than fitness, but was more resource intensive. Junior doctors need larger-scale comparative research of the effectiveness and implementation of individual, organisational and systemic mental health interventions.  TRIAL REGISTRATION NUMBER: ANZCTR 12618001467224.<p /> <p>Language: en</p>
LA  - en
SN  - 0032-5473
UR  - http://dx.doi.org/10.1136/postgradmedj-2019-137413
ID  - ref1
ER  -