title: A Web-Based Mindfulness Stress Management Program in a Corporate Call Center: A Randomized Clinical Trial to Evaluate the Added Benefit of Onsite Group Support.
abstract: OBJECTIVE
  The objective of this study is to determine the effectiveness of an 8-week web-based, mindfulness stress management program (WSM) in a corporate call center and added benefit of group support.
  
  
  METHODS
  One hundred sixty-one participants were randomized to WSM, WSM with group support, WSM with group and expert clinical support, or wait-list control. Perceived stress, burnout, emotional and psychological well-being, mindfulness, and productivity were measured at baseline, weeks 8 and 16, and 1 year.
  
  
  RESULTS
  Online usage was low with participants favoring CD use and group practice. All active groups demonstrated significant reductions in perceived stress and increases in emotional and psychological well-being compared with control. Group support improved participation, engagement, and outcomes.
  
  
  CONCLUSIONS
  A self-directed mindfulness program with group practice and support can provide an affordable, effective, and scalable workplace stress management solution. Engagement may also benefit from combining web-based and traditional CD delivery.
authors.affiliation: Kessler Foundation, West Orange, New Jersey (Dr Allexandre); Wellness Institute, Cleveland Clinic, Ohio (Ms Hunter, Drs Allexandre, Bernstein, Roizen, Morledge); Rally Health, San Francisco, California (Dr Bernstein); Quantitative Health Science, Cleveland Clinic (Dr Walker); and Revati Wellness, Lyndhurst, Ohio (Dr Morledge).
authors.forename: Didier
authors.initials: D
authors.lastname: Allexandre
authors.forename: Adam M
authors.initials: AM
authors.lastname: Bernstein
authors.forename: Esteban
authors.initials: E
authors.lastname: Walker
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hunter
authors.forename: Michael F
authors.initials: MF
authors.lastname: Roizen
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Morledge
mesh_terms: D000328:Adult; D000070456:Call Centers; D003376:Counseling; D004526:Efficiency; D004644:Emotions; D005260:Female; D006126:Group Processes; D006801:Humans; D020407:Internet; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D064866:Mindfulness; D016272:Occupational Health; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control*; D017132:Workplace / Q000523:psychology