Evidence map›Paper›PMID 39589766›Full record

ArticleJMIR formative research2024

Optimizing Compassion Training in Medical Trainees Using an Adjunct mHealth App: A Preliminary Single-Arm Feasibility and Acceptability Study.

Jennalee S Wooldridge, Emily C Soriano, Gage Chu, Anaheed Shirazi, Desiree Shapiro, Marta Patterson, Hyun-Chung Kim, Matthew S Herbert

Abstract read
In one paragraph

Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

8 authors.

Jennalee S WooldridgeMental Health Service, VA San Diego Healthcare System, San Diego, CA, United States.ORCID 0000-0002-2815-5974
Emily C SorianoScripps Whittier Diabetes Institute, San Diego, CA, United States.ORCID 0000-0002-1069-9324
Gage ChuMental Health Service, VA San Diego Healthcare System, San Diego, CA, United States.ORCID 0000-0003-2589-7443
Anaheed ShiraziMental Health Service, VA San Diego Healthcare System, San Diego, CA, United States.ORCID 0000-0002-3516-7009
Desiree ShapiroDepartment of Psychiatry, University of California San Diego, San Diego, CA, United States.ORCID 0000-0002-1367-8713
Marta PattersonUniversity of California San Diego Center for Mindfulness, San Diego, CA, United States.ORCID 0009-0002-9201-3118
Hyun-Chung KimUniversity of California San Diego Center for Mindfulness, San Diego, CA, United States.ORCID 0000-0001-6339-3962
Matthew S HerbertMental Health Service, VA San Diego Healthcare System, San Diego, CA, United States.ORCID 0000-0001-7395-6271

Funding

Integrated Repetitive Transcranial Magnetic Stimulation and Acceptance and Commitment Therapy for Veterans with Chronic Pain and DepressionI21RX004090 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HERBERT, MATTHEW S · 2023 to 2025
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Real-World Assessment of Daily Functioning in Veterans with Type 2 DiabetesIK2RX003634 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI Jennalee S Wooldridge · 2022 to 2026
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RRD VA I21 RX004090RRD VA IK2 RX003634
6 · The paper itself

Abstract

backgroundWhile structured compassion training programs have shown promise for increasing compassion among medical trainees, a major challenge is applying the concepts and practices taught during the program into the complex, dynamic, time-pressured, and often hectic hospital workplace.

objectiveThe purpose of this pilot study was to examine the feasibility, acceptability, and preliminary effects of Compassion Coach, a mobile health (mHealth) smartphone app designed to bolster a 6-week mindfulness and self-compassion training program for medical trainees.

methodsIn Compassion Coach, notifications to remind, encourage, and measure the perceived impact of informal mindfulness and compassion practices taught during the program were delivered at 7 AM, 12 PM, and 7 PM, respectively, 3 times per week over the course of the training program. The app also contained a library of guided audio formal mindfulness and compassion practices to allow quick and easy access. In this pilot study, we collected data from 29 medical students and residents who downloaded Compassion Coach and completed surveys assessing perceived effectiveness and acceptability. Engagement with the Compassion Coach app was passively tracked through notification response rate and library resource access over time.

resultsThe average response rate to notifications was 58% (SD 29%; range 12%-98%), with a significant decline over time (P=.009; odds ratio 0.98, 95% CI 0.96-0.99). Across all participants and occasions, the majority agreed the informal practices prompted by Compassion Coach helped them feel grounded and centered (110/150, 73%), improved compassion (29/41, 71%), reduced burnout (106/191, 56%), and improved their mood (133/191, 70%). In total, 16 (55%) of the 29 participants accessed guided audio recordings on average 3 (SD 3.4) times throughout the program. At the posttreatment time point, most participants (13/18, 72%) indicated that Compassion Coach helped them engage in compassion practices in daily life, and half (9/18, 50%) indicated that Compassion Coach helped improve interactions with patients.

conclusionsOverall, preliminary results of Compassion Coach are encouraging and suggest the integration of a smartphone app with an ongoing mindfulness and self-compassion training program may bolster the effects of the program on medical trainees. However, there was variability in engagement with Compassion Coach and perceived helpfulness. Additional research is indicated to optimize this novel mHealth approach and conduct a study powered to formally evaluate effects.

Indexed as

Education, MedicalEmpathyMobile ApplicationsAdultFeasibility StudiesFemaleHumansMalePhysiciansPilot ProjectsSmartphoneStudents, MedicalSurveys and Questionnairesacceptabilityappapplicabilitycompassionempathyfeasibilitymedical residentmedical studentmedical traineemHealthmHealth appmindfulnessmobile healthmobile phonepilotself-compassionsmartphone apptraining

Identifiers

PMID39589766
PMCPMC11632279

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.