Abstract
Although many providers enter palliative medicine with the intention of helping others, working in this practice also entails that providers will be repeatedly exposed to the pain, trauma, and the death of their patients. These experiences may threaten the values of providers and evoke a range of avoidant coping behaviors that potentiate distress and erode the quality of care provided. This manuscript reports pilot findings from Aware Compassionate Communication: An Experiential Provider Training Series (ACCEPTS) for Palliative Care Providers that is informed by Mindfulness-Based Interventions and principles of Psychological Flexibility Theory. Providers participated in a group-based 8-week, 10-session training series that emphasized mindfulness and acceptance-based interventions as applied to the needs of those working with the chronically ill and dying. The program included formal meditation practice, communication role plays, and value clarification exercises. Participants completed measures of distress (i.e. Depression, PTSD, and Burnout), and potential mechanisms of change (i.e. cognitive fusion and experiential avoidance) at pre-training, mid-training and post-training. Significant reductions were observed in cognitive fusion (posttreatment d=−.54, p<.05), depressive symptoms (posttreatment d=−.64, p<.01), depersonalization (posttreatment d=−.83, p<.01), PTSD Re-experiencing (posttreatment d=−.34, p<.01). Results indicated that ACCEPTS is an acceptable and feasible intervention for providers that may enhance well-being.
Original language | English (US) |
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Pages (from-to) | 89-96 |
Number of pages | 8 |
Journal | Journal of Contextual Behavioral Science |
Volume | 5 |
Issue number | 2 |
DOIs | |
State | Published - Apr 1 2016 |
Externally published | Yes |
Keywords
- Burnout
- Cognitive fusion
- Compassion fatigue
- Experiential avoidance
- Healthcare professionals
- Palliative care
- Professional development
- Resilience
ASJC Scopus subject areas
- Health(social science)
- Ecology, Evolution, Behavior and Systematics
- Applied Psychology
- Organizational Behavior and Human Resource Management
- Behavioral Neuroscience