Reboot coaching programme: a mixed-methods evaluation assessing resilience, confidence, burnout and depression in medical students.

IF 1.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Scottish Medical Journal Pub Date : 2024-02-01 Epub Date: 2023-12-05 DOI:10.1177/00369330231213981

Judith Johnson, Lucy Pointon, Rebecca Talbot, Rebecca Coleman, Luke Budworth, Ruth Simms-Ellis, Katharina Vogt, Dialechti Tsimpida, Chandra Shekha Biyani, Reema Harrison, Gloria Cheung, Colin Melville, Vijay Jayagopal, William Lea

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Abstract

Background: Poor mental health in medical students is a global concern. Effective interventions are required, which are tailored towards the training-related stressors medical students experience. The Reboot coaching programme is an online, tailored intervention based on cognitive-behavioural principles.

Aims: To evaluate whether the Reboot coaching programme tailored for medical students was feasible and associated with improvements in mental health outcome indicators.

Methods: Medical students participated in two group online workshops and a one-to-one coaching call with a Reboot-trained licensed psychological therapist. Participants provided data at: baseline (T1), post-workshops (T2), post-coaching call (T3) and 4-month follow-up (T4). Outcome measures included resilience, confidence, burnout and depression. Feedback was provided regarding the workshops at T2.

Results: 115 participants (93/80.9% women; mage = 23.9; SD = 2.8) were recruited, 83 (72.2%) completed all intervention elements and 82 (71.3%) provided T4 data, surpassing recruitment and retention targets. There were significant improvements following baseline in resilience (ps < .001), confidence (ps < .001), burnout (ps < .001) and depression (ps ≤ .001). Most participants agreed the workshops imparted useful skills (n = 92; 99%) and would recommend Reboot to others (n = 89; 95.6%).

Conclusions: Existing interventions have produced mixed results regarding their effectiveness in improving medical students' mental health. Reboot is a feasible intervention in this group which is associated with improvements in resilience, confidence, burnout and depression. Further controlled studies of Reboot are now needed.

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重新启动指导方案:一种评估医学生恢复力、信心、倦怠和抑郁的混合方法评估。

背景:医学生心理健康状况不佳是一个全球关注的问题。需要针对医学生所经历的与训练有关的压力源进行有效的干预。Reboot辅导计划是一种基于认知行为原则的在线定制干预。目的:评价为医学生量身定制的Reboot指导方案是否可行，并与心理健康结局指标的改善有关。方法:医学生参加了两个小组在线研讨会和一个一对一的电话辅导与重启培训的执业心理治疗师。参与者在基线(T1)、工作坊后(T2)、辅导后电话(T3)和4个月随访(T4)时提供数据。结果测量包括恢复力、信心、倦怠和抑郁。就二号大楼的工作坊提供意见。结果:115名参与者(93/80.9%为女性;法师= 23.9;SD = 2.8)例，83例(72.2%)完成了所有干预要素，82例(71.3%)提供了T4数据，超过了招募和保留目标。恢复力与基线相比有显著改善(ps ps ps ps≤0.001)。大多数参与者认为讲习班传授了有用的技能(n = 92;99%)，并会向其他人推荐Reboot (n = 89;95.6%)。结论:现有的干预措施在改善医学生心理健康方面的效果好坏参半。在这个群体中，重新启动是一种可行的干预措施，它与恢复力、信心、倦怠和抑郁的改善有关。现在需要对Reboot进行进一步的对照研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scottish Medical Journal 医学-医学：内科

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

>12 weeks

期刊介绍： A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).