title: A Multimodal Mindfulness Training to Address Mental Health Symptoms in Providers Who Care for and Interact With Children in Relation to End-of-Life Care.
abstract: OBJECTIVE
  Medical providers may face unique emotional challenges when confronted with the suffering of chronically ill, dying, and bereaved children. This study assessed the preliminary outcomes of participation in a group-based multimodal mindfulness training pilot designed to reduce symptoms of burnout and mental health symptoms in providers who interact with children in the context of end-of-life care.
  
  
  METHODS
  A total of 13 medical providers who care for children facing life-threatening illness or bereaved children participated in a 9-session multimodal mindfulness session. Mental health symptoms and burnout were assessed prior to the program, at the program midpoint, and at the conclusion of the program.
  
  
  RESULTS
  Participation in the pilot was associated with significant reductions in depressive and posttraumatic stress disorder (PTSD) symptoms among providers ( P < .05).
  
  
  CONCLUSIONS
  Mindfulness-based programs may help providers recognize and address symptoms of depression and PTSD. Additional research is needed to enhance access and uptake of programming among larger groups of participants.
authors.affiliation: 1 Palliative Care Service, Rush University Medical Center, Chicago, IL, USA.
authors.forename: Sean
authors.initials: S
authors.lastname: O'Mahony
authors.affiliation: 2 Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
authors.forename: James
authors.initials: J
authors.lastname: Gerhart
authors.affiliation: 3 Shambhala, Chicago, IL, USA.
authors.forename: Ira
authors.initials: I
authors.lastname: Abrams
authors.affiliation: 2 Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Greene
authors.affiliation: 1 Palliative Care Service, Rush University Medical Center, Chicago, IL, USA.
authors.forename: Rory
authors.initials: R
authors.lastname: McFadden
authors.affiliation: 4 Rush Medical College, Chicago, IL, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Tamizuddin
authors.affiliation: 5 Division of Pulmonary and Critical Care Medicine, Alpert Medical School at Brown University, Providence, RI, USA.
authors.forename: Mitchell M
authors.initials: MM
authors.lastname: Levy
mesh_terms: D000328:Adult; D000368:Aged; D002055:Burnout, Professional / Q000523:psychology; D002977:Clergy / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007363:Intensive Care Units, Neonatal; D015278:Intensive Care Units, Pediatric; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D064866:Mindfulness / Q000379:methods*; D000068217:Social Workers / Q000523:psychology; D013727:Terminal Care / Q000523:psychology*
keywords: burnout; compassion fatigue; health-care providers; mindfulness; palliative care; resilience