TY - JOUR AU - Joyce, Sadhbh AU - Shand, Fiona AU - Lal, Tara J AU - Mott, Brendan AU - Bryant, Richard A AU - Harvey, Samuel B PY - 2019 DA - 2019/02/19 TI - Resilience@Work正念计划:结果来自与第一反应者JO - J Med Internet Res SP - e12894 VL - 21 IS - 2 KW -弹性训练KW -工作场所心理健康KW -职业健康KW -福祉KW -在线干预KW -员工弹性KW -健康和安全KW -心理健康KW -第一反应者AB -背景:越来越多的研究表明，弹性培训可以在创造心理健康的工作场所方面发挥关键作用，特别是在保护员工的长期福祉方面。新兴的研究描述了不同职业群体中各种类型的弹性训练计划(rtp)的积极结果。一个特定的工人群体可能受益于这种形式的主动弹性训练是第一反应者。鉴于他们的工作性质，急救人员经常暴露在压力环境和潜在的创伤性事件中，随着时间的推移，这可能会影响他们的整体恢复力和幸福感。目的:本研究旨在研究通过互联网提供的基于正念的RTP (Resilience@Work [RAW]正念计划)是否能有效地增强一组高风险工作者的弹性。方法:我们进行了一项集群随机对照试验(RCT)，包括新南威尔士州的24个主要消防救援和危险品站。总的来说，12个站被分配到6个阶段的RAW正念计划中，12个站被分配到控制条件中。共有143名现役全职消防员参与了这项研究。 Questionnaires were administered at baseline, immediately post training, and at 6-month follow-up. Measurements examined change in both adaptive and bounce-back resilience as well as several secondary outcomes examining resilience resources and acceptance and mindfulness skills. Results: Mixed-model repeated measures analysis found that the overall test of group-by-time interaction was significant (P=.008), with the intervention group increasing in adaptive resilience over time. However, no significant differences were found between the intervention group and the control group in terms of change in bounce-back resilience (P=.09). At 6-month follow-up, the group receiving the RAW intervention had an average increase in their resilience score of 1.3, equating to a moderate-to-large effect size compared with the control group of 0.73 (95% CI 0.38-1.06). Per-protocol analysis found that compared with the control group, the greatest improvements in adaptive resilience were observed among those who completed most of the RAW program, that is, 5 to 6 sessions (P=.002). Conclusions: The results of this RCT suggest that mindfulness-based resilience training delivered in an internet format can create improvements in adaptive resilience and related resources among high-risk workers, such as first responders. Despite a number of limitations, the results of this study suggest that the RAW Mindfulness Program is an effective, scalable, and practical means of delivering online resilience training in high-risk workplace settings. To the best of our knowledge, this is the first time a mindfulness-based RTP delivered entirely via the internet has been tested in the workplace. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12615000574549; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368296 (Archived by WebCite at http://www.webcitation.org/75w4xtrpw). SN - 1438-8871 UR - //www.mybigtv.com/2019/2/e12894/ UR - https://doi.org/10.2196/12894 UR - http://www.ncbi.nlm.nih.gov/pubmed/30777846 DO - 10.2196/12894 ID - info:doi/10.2196/12894 ER -