Digital Therapeutics · Journal article
Internet Interventions · August 12, 2026
Early or partial results. Treat as a signal, not a conclusion.
Two uncontrolled pilot studies of a mobile app–based mindfulness training program showed reductions in burnout-related scales and anxiety in nurses and residents over 28–30 days, with some improvements sustained at one-month follow-up. This is early-stage feasibility evidence supporting progression to randomized controlled trials; the findings cannot establish efficacy without a control arm.
Two parallel single-arm pilot feasibility trials. Study 1: 27 registered nurses; Study 2: 29 resident physicians. Specific eligibility criteria, setting, and recruitment details not provided in the extracted text.. Intervention: Seven-module mobile app–based mindfulness training (MT) program, user-centered design, self-paced delivery. n = 56. Not explicitly stated in the provided text; authors affiliated with Brown University (Providence, USA) and University Hospital Ulm (Germany), suggesting multi-site or international conduct, but geogr….
Among nurses: cynicism reduced 27%, emotional exhaustion reduced 28%, anxiety reduced 46%, depression reduced 52%, maintained at follow-up Among residents: emotional exhaustion reduced 19%, anxiety reduced 32%, intolerance of uncertainty reduced 14%, emotion regulation difficulties reduced 13%, sleep disturbances reduced 15% at follow-up Residents showed increases in self-compassion (21%) and nonreactivity (19%); cynicism reduction in residents did not persist after correction for multiple comparisons
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These preliminary findings suggest that brief, self-paced app-based mindfulness training may reduce burnout and anxiety in nurses and residents, but clinicians should await results from adequately powered randomized controlled trials before integrating this intervention into standard practice. The lack of a control group and small sample sizes limit confidence in attributing improvements to the intervention rather than placebo or other confounding factors.
Two small single-arm pilot feasibility studies with surrogate endpoints (burnout scales, psychological measures) showing improvements in nurses and residents; findings are encouraging but require confirmation in randomized controlled trials, as the authors explicitly state.
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These preliminary findings suggest that brief, self-paced app-based mindfulness training may reduce burnout and anxiety in nurses and residents, but clinicians should await results from adequately powered randomized controlled trials before integrating this intervention into standard practice. The lack of a control group and small sample sizes limit confidence in attributing improvements to the intervention rather than placebo or other confounding factors.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Objective. Burnout is a persistent issue among healthcare professionals, impairing both patient care and provider well-being. This pilot feasibility study evaluated the preliminary effects of a brief, mobile app-based mindfulness training (MT) program, developed using a user-centered design approach, in reducing burnout and improving psychological outcomes among registered nurses and resident physicians.Methods. Two single-arm pilot trials were conducted. Participants completed the digital MT intervention and online assessments at pre-intervention, post-intervention, and one-month follow-up. Study 1 included 27 registered nurses; Study 2 included 29 resident physicians. While the intervention consisted of seven digital modules, the average completion time was 28 days (SD = 15) for nurses and 30 days (SD = 16) for residents, reflecting a self-paced delivery model. The primary outcome was cynicism, with secondary outcomes including emotional exhaustion, anxiety, depression, intolerance of uncertainty, self-compassion, nonreactivity, non-judgment, worry, sleep disturbances, and emotion regulation difficulties.Results. Among nurses, significant reductions were associated with participation for cynicism (27%) and emotional exhaustion (28%), with decreased scores maintained at follow-up. Additional post-intervention improvements included reduced anxiety (46%), depression (52%), worry (7%), sleep disturbances (16%), and emotion regulation difficulties (11%). Increases were also found in self-compassion (13%), nonreactivity (8%), and non-judgment (9%). Among residents, significant reductions in cynicism did not persist after correction for multiple comparisons. However, residents showed significant reductions in emotional exhaustion (19%), anxiety (32%), intolerance of uncertainty (14%), emotion regulation difficulties (13%) and sleep disturbances (15%) at follow-up as well as early increases in self-compassion (21%) and nonreactivity (19%) and reduction in worry (13%). Emotional exhaustion and anxiety were consistently correlated across time points in both groups.Conclusions. These findings replicate and extend previous evidence among physicians, supporting the feasibility and preliminary benefits of brief and self-paced app-based mindfulness training (MT) in addressing burnout and anxiety among both nurses and residents. These pilot results provide a basis for future randomized controlled trials to further evaluate the intervention's effectiveness.
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