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Implementing an Acute Text-Based Wellness Alert System for Pediatric Residents: A Pilot Study

Published:October 08, 2022DOI:https://doi.org/10.1016/j.acap.2022.09.015
      Residency training presents a unique combination of factors affecting well-being. Studies suggest that mental/emotional distress is pervasive among residents, caused by contextual factors affecting emotional resilience (eg, sleep deprivation) and abrupt, stressful triggers (eg, patient deaths).
      • Moore KA
      • O'Brien BC
      • Thomas LR.
      “I wish they had asked”: a qualitative study of emotional distress and peer support during internship.
      Interventions including positive psychology coaching, peer support, mindfulness curricula, and web-based cognitive behavioral therapy have demonstrated modest but inconsistent improvements in well-being; however, they may be considered burdensome.
      • Guille C
      • Zhao Z
      • Krystal J
      • et al.
      Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: a randomized clinical trial.
      • Ireland MJ
      • Clough B
      • Gill K
      • et al.
      A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners.
      • Bommarito S
      • Hughes M.
      Intern mental health interventions.
      • Meeks LM
      • Ramsey J
      • Lyons M
      • et al.
      Wellness and work: mixed messages in residency training.
      By contrast, mobile phone-based interventions are less onerous and have been well-accepted.
      • Scielzo SA
      • Weigle DC
      • Kazi SD.
      Resident fuel levels: reframing, assessing, and addressing well-being.
      • Weis HB
      • Clark AT
      • Scielzo SA
      • et al.
      The fuel gauge: a simple tool for assessing general surgery resident well-being.
      • Nathan J
      • McCray L
      • Feldman N.
      The text effect: stress management and resiliency training pilot for resident physicians.
      No interventions, however, address abrupt or acute distressing events.

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