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Resilience Training for Work-Related Stress Among Health Care Workers: Results of a Randomized Clinical Trial Comparing In-Person and Smartphone-Delivered Interventions

Mistretta, Erin, G., MA; Davis, Mary, C., PhD; Temkit, M’hamed, PhD; Lorenz, Christopher, MA; Darby, Betty, PhD; Stonnington, Cynthia, M., MD


In an article in the June 2018 issue, one of the institutional associations was incorrectly listed. Instead of “Department of Psychiatry & Psychology, Arizona State University, Tempe, Arizona” it should read “Department of Psychiatry & Psychology, Mayo Clinic, Scottsdale, Arizona.”

This change has been noted in the online version of the article, which is available at .

Journal of Occupational and Environmental Medicine. 60(8):e436, August 2018.

Journal of Occupational and Environmental Medicine: June 2018 - Volume 60 - Issue 6 - p 559–568
doi: 10.1097/JOM.0000000000001285

Objective: The aim of this study was to assess whether an in-person mindfulness-based resilience training (MBRT) program or a smartphone-delivered resiliency-based intervention improved stress, well-being, and burnout in employees at a major tertiary health care institution.

Methods: Sixty participants were randomized to a 6-week MBRT, a resiliency-based smartphone intervention, or an active control group. Stress, well-being, and burnout were assessed at baseline, at program completion, and 3 months postintervention.

Results: Both the MBRT and the smartphone groups showed improvements in well-being, whereas only the MBRT group showed improvements in stress and emotional burnout over time. The control group did not demonstrate sustained improvement on any outcome.

Conclusion: Findings suggest that brief, targeted interventions improve psychological outcomes and point to the need for larger scale studies comparing the individual and combined treatments that can inform development of tailored, effective, and low-cost programs for health care workers.

The Catholic University of America, Washington, District of Columbia (Ms Mistretta); Department of Psychiatry & Psychology, Arizona State University, Tempe, Arizona (Ms Mistretta, Dr Stonnington); Department of Psychology, Arizona State University, Tempe, Arizona (Ms Mistretta, Dr Davis); Department of Biostatistics, Mayo Clinic, Scottsdale, Arizona (Dr Temkit); SOMA Analytics, London, UK (Mr Lorenz); Private practice, Phoenix, Arizona (Dr Darby).

Address correspondence to: Erin G. Mistretta, MA, Department of Psychology, Arizona State University, P.O. Box 871104, Tempe, AZ 85287-1104 (

Funding were provided by Mayo Clinic Arizona-Research Funds and Mayo Clinic Values Council Research Committee.

Christopher Lorenz is Director of Soma Analytics.

Copyright © 2018 by the American College of Occupational and Environmental Medicine