Evidence map›Paper›PMID 31219045›Full record

ArticleJournal of medical Internet research2019

Participant Engagement in and Perspectives on a Web-Based Mindfulness Intervention for 9-1-1 Telecommunicators: Multimethod Study.

Darragh C Kerr, India J Ornelas, Michelle M Lilly, Rebecca Calhoun, Hendrika Meischke

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02961621 (Multi-tasking to Hyper-tasking), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02961621 nacompletednot on this map

Multi-tasking to Hyper-tasking: Investigating the Impact of Next Generation 911

TypeinterventionalSponsorUniversity of WashingtonRan2015 to 2017Enrolled323ConditionsStress, PsychologicalArmsStress Reduction Training for 9-1-1 Telecommunicators
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Darragh C KerrDepartment of Health Services, University of Washington, Seattle, WA, United States.ORCID 0000-0002-0386-9129
India J OrnelasDepartment of Health Services, University of Washington, Seattle, WA, United States.ORCID 0000-0003-2957-6452
Michelle M LillyDepartment of Psychology, Northern Illinois University, DeKalb, IL, United States.ORCID 0000-0002-4417-8164
Rebecca CalhounNorthwest Center for Public Health Practice, University of Washington, Seattle, WA, United States.ORCID 0000-0002-4766-650X
Hendrika MeischkeDepartment of Health Services, University of Washington, Seattle, WA, United States.ORCID 0000-0001-7195-0028

Funding

ACL HHS R01OH010536NIOSH CDC HHS R01 OH010536
6 · The paper itself

Abstract

backgroundDemanding working conditions and secondary exposure to trauma may contribute to a high burden of stress among 9-1-1 telecommunicators, decreasing their ability to work effectively and efficiently. Web-based mindfulness-based interventions (MBIs) can be effective in reducing stress in similar populations. However, low engagement may limit the effectiveness of the intervention.

objectiveThe aim of this study was to assess participant engagement in a Web-based MBI designed for 9-1-1 telecommunicators. Specifically, we sought to describe the following: (1) participant characteristics associated with intervention engagement, (2) participant perspectives on engaging with the intervention, and (3) perceived challenges and facilitators to engaging.

methodsWe used qualitative and quantitative data from participant surveys (n=149) that were collected to assess the efficacy of the intervention. We conducted descriptive and bivariate analyses to identify associations between demographic, psychosocial, and workplace characteristics and engagement. We conducted a thematic analysis of qualitative survey responses to describe participant experiences with the MBI.

resultsWe found that no individual participant characteristics were associated with the level of engagement (low vs high number of lessons completed). Participant engagement did vary by the call center (P<.001). We identified the following overarching qualitative themes: (1) the participants perceived benefits of mindfulness practice, (2) the participants perceived challenges to engage with mindfulness and the intervention, and (3) intervention components that facilitated engagement. The participants expressed positive beliefs in the perceived benefits of practicing mindfulness, including increased self-efficacy in coping with stressors and increased empathy with callers. The most commonly cited barriers were work-related, particularly not having time to participate in the intervention at work. Facilitators included shorter meditation practices and the availability of multiple formats and types of intervention content.

conclusionsThe findings of this study suggest that efforts to improve intervention engagement should focus on organizational-level factors rather than individual participant characteristics. Future research should explore the effect of mindfulness practice on the efficiency and effectiveness of 9-1-1 telecommunicators at work.

trial registrationClinicalTrials.gov NCT02961621; https://clinicaltrials.gov/ct2/show/NCT02961621.

Indexed as

AdolescentAdultEmergency Medical DispatcherFemaleHumansInternetMaleMiddle AgedMindfulnessSurveys and QuestionnairesTelecommunicationsWorkplaceYoung Adultmental healthmindfulnessoccupational healthoccupational stresstelecommunications

Identifiers

PMID31219045
PMCPMC6607772

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.