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Group interventions to promote mental health in health professional education: a systematic review and meta-analysis of randomised controlled trials
journal contribution
posted on 2018-05-01, 00:00 authored by K Lo, J Waterland, P Todd, T Gupta, Margaret BearmanMargaret Bearman, C Hassed, J L KeatingEffects of interventions for improving mental health of health professional students has not been established. This review analysed interventions to support mental health of health professional students and their effects. The full holdings of Medline, PsycINFO, EBM Reviews, Cinahl Plus, ERIC and EMBASE were searched until 15th April 2016. Inclusion criteria were randomised controlled trials of undergraduate and post graduate health professional students, group interventions to support mental health compared to alternative education, usual curriculum or no intervention; and post-intervention measurements for intervention and control participants of mindfulness, anxiety, depression, stress/distress or burnout. Studies were limited to English and short term effects. Studies were appraised using the PEDro scale. Data were synthesised using meta-analysis. Four comparisons were identified: psychoeducation or cognitive-behavioural interventions compared to alternative education, and mindfulness or relaxation compared to control conditions. Cognitive-behavioural interventions reduced anxiety (−0.26; −0.5 to −0.02), depression (−0.29; −0.52 to −0.05) and stress (0.37; −0.61 to −0.13). Mindfulness strategies reduced stress (−0.60; −0.97 to −0.22) but not anxiety (95% CI −0.21 to 0.18), depression (95% CI −0.36 to 0.03) or burnout (95% CI −0.36 to 0.10). Relaxation strategies reduced anxiety (SMD −0.80; 95% CI −1.03 to −0.58), depression (−0.49; −0.88 to −0.11) and stress (−0.34; −0.67 to −0.01). Method quality was generally poor. Evidence suggests that cognitive-behavioural, relaxation and mindfulness interventions may support health professional student mental health. Further high quality research is warranted.
History
Journal
Advances in health sciences educationVolume
23Issue
2Pagination
413 - 447Publisher
SpringerLocation
Dordrecht, The NetherlandsPublisher DOI
ISSN
1382-4996eISSN
1573-1677Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2017, Springer Science+Business Media DordrechtUsage metrics
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No categories selectedKeywords
Mental healthHealth professional studentMindfulnessCognitive-behaviouralRelaxationPsychoeducationSystematic reviewMeta-analysisSocial SciencesScience & TechnologyLife Sciences & BiomedicineEducation & Educational ResearchEducation, Scientific DisciplinesHealth Care Sciences & ServicesSTRESS-MANAGEMENT PROGRAMMEDICAL-STUDENTSNURSING-STUDENTSMINDFULNESS MEDITATIONPREVENTION PROGRAMSANXIETYDISTRESSREDUCTIONIMPACTPERFORMANCE
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