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Improvements in Resilience, Stress, and Somatic Symptoms Following Online Resilience Training: A Dose–Response Effect

Smith Brad PhD; Shatté, Andrew PhD; Perlman, Adam MD; Siers, Michael MS; Lynch, Wendy D. PhD
Journal of Occupational and Environmental Medicine: Post Author Corrections: November 13, 2017
doi: 10.1097/JOM.0000000000001142
Original Article: PDF Only


To determine if participation in an online resilience program impacts resilience, stress, and somatic symptoms.


Approximately 600 enrollees in the meQuilibrium resilience program received a series of brief, individually prescribed video, and text training modules in a user-friendly format. Regression models tested how time in the program affected change in resilience from baseline and how changes in resilience affected change in stress and reported symptoms.


A significant dose–response was detected, where increases in the time spent in training corresponded to greater improvements in resilience. Degree of change in resilience predicted the magnitude of reduction in stress and symptoms. Participants with the lowest resilience level at baseline experienced greater improvements.


Interaction with the online resilience training program had a positive effect on resilience, stress, and symptoms in proportion to the time of use.

This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Address correspondence to: Brad Smith, PhD, meQuilibrium, 260 Franklin Street, Suite 930, Boston, MA 02110 (

Work was funded by meQuilibrium Corporation.

Dr Shatté receives speaking fees for topics related to resilience. Dr Perlman speaks and consults about topics related to resilience. Dr Lynch consults for meQuilibrium and serves on its Board of Directors.

The authors report no conflicts of interest.

Copyright © 2017 by the American College of Occupational and Environmental Medicine