Stress Management And Resiliency Training: The SMART Program Safety/Patient... · 2: Loprinzi CE,...
Transcript of Stress Management And Resiliency Training: The SMART Program Safety/Patient... · 2: Loprinzi CE,...
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Resilient LivingAMIT SOOD, M.D.
PROFESSOR OF MEDICINE
MAYO CLINIC
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Our brains struggle with …
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F
F
BRAIN QUIZ
O
ATE
C
IA
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FEAR
FOCUS
FAT I G U E
Our brains struggle with …
BRAIN QUIZ
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HOME
CHILDRENWORK PARTNER
FINANCES PARENTSECONOMY
HEALTH
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PARENTS FINANCES
PARTNER
HOME
ECONOMY
WORK
CHILDRENHEALTH
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Courtesy - David T. Jones, M.D.
Courtesy of David T. Jones, M.D., Mayo Clinic
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Learning to Drive Driving as an Adult
Atte
ntio
n C
apac
ity U
sed
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Adapted from Faber LG, et al. Mental fatigue affects visual selective attention. PLOS ONE. 2012;7.
0 20 40 60 80 100 1200 20 40 60 80 100 120
1.7
7.3
Reaction times
Accuracy
Time in minutes Time in minutes
Fatigue
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15 30 45 60 75 90 15 30 45 60 75 90
Engagement
Fatigue
Performance
Time on task Time on task
Adapted from Hopstaken JF, et al. The window of my eyes: Task disengagement and mental fatigue covary with pupil dynamics. Biological Psychology. 2015;110:100.
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WORLD
Hurts and regrets Concerns and fears
PAST FUTUREPRESENT
MIND
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Imagination (Catastrophizing)
ATTENTION BLACK HOLES
Kernel of negative memory or fear
Rumination
Avoidant response
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WORLD
MIND
PAST FUTUREPRESENT
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Mindset
Attention
Insight
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CORE PRACTICE:
MORNING GRATITUDE
P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T
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PART 2:
MINDFUL PRESENCE
P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T
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Courtesy of David T. Jones, M.D., Mayo Clinic
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World
Mind
Smartphone
World
Mind
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CORE PRACTICE:
TWO-MINUTE RULE
P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T
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VIEW AS NOVELVIEW AS NOVEL • DO NOT TRY TO IMPROVE
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HELP OTHERS FEEL WORTHY
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PART 3:
KINDNESS
P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T
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STRESS RESPONSE
AMYGDALA(emotions)
HIPPOCAMPUS(memory)
PREFRONTAL CORTEX(rationality)
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Trustworthiness
Competence
Aggressiveness
I WISH YOU WELL
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Mindset
Attention
Insight
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PART 4:
RESILIENT MINDSET
P R E S E N C E K I N D N E S S M I N D S E TG R AT I T U D E
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Forgiveness
Gratitude
Compassion
Acceptance
Meaning
ANCHOR YOUR MIND
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MONDAY
ACCEPTANCE
WEDNESDAY
GRATITUDE COMPASSION
TUESDAY
MEANING
THURSDAY
FORGIVENESS
FRIDAY
TUESDAY
COMPASSION
MONDAY
GRATITUDE
FRIDAY
FORGIVENESS
THURSDAY
MEANING
WEDNESDAY
ACCEPTANCE
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20
24
28
32
Baseline Follow up
ActiveControl
64
68
72
76
80
Baseline Follow up
ActiveControl
42
46
50
54
Baseline Follow up
ActiveControl
7
8
9
Baseline Follow up
ActiveControl
Sood A, et al. JGIM 2011
Stress
Anxiety Quality of life
Resilience
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1: Sood A, Prasad K, Schroeder D, Varkey P. Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med. 2011 Aug;26(8):858-61.
2: Loprinzi CE, Prasad K, Schroeder DR, Sood A. Stress Management and Resilience Training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: a pilot randomized clinical trial. Clin Breast Cancer. 2011 Dec;11(6):364-8.
3: Prasad K, Wahner-Roedler DL, Cha SS, Sood A. Effect of a single-session meditation training to reduce stress and improve quality of life among health care professionals: a "dose-ranging" feasibility study. Altern Ther Health Med. 2011 May-Jun;17(3):46-9.
4. Sharma V, Sood A, Prasad K, Loehrer L, Schroeder D, Brent B. Bibliotherapy to decrease stress and anxiety and increase resilience and mindfulness: a pilot trial. Explore (NY). 2014 Jul-Aug;10(4):248-52.
5. Sood A, Sharma V, Schroeder DR, Gorman B. Stress Management and Resiliency Training (SMART) program among Department of Radiology faculty: a pilot randomized clinical trial. Explore (NY). 2014 Nov-Dec;10(6):358-63.
6. Chesak S, Bhagra A, Schroeder D, Foy D, Cutshall S, Sood A. Enhancing Resilience Among New Nurses: Feasibility and Efficacy of a Pilot Intervention. The Ochsner Journal. 2015.
7. Sood A, Fuehrer D, Schroeder D. Attention and Interpretation Therapy: Outcomes of Train the Trainer program.
8. Werneburg B, Clark M, Berkland B, Friend, K, Jenkins S, Sood A. Stress management and resilience training (SMART) for Mayo Clinic Employees.
9. Khan Z, Jensen J, Sood A. Stress management and resilience training (SMART) for couples undergoing IVF.
10. Chesak S, Cutshall S, Schroeder D, Sood A. Stress management and resilience training (SMART) for nurses: A one-year follow up.
11. Steinkraus L, Sood A. Integration of Stress management and resilience training (SMART) program among medical students: A pilot study.
12. Magtiby D, Sood A. Online Stress management and resilience training (SMART) program for transplant care nurses.
13. Stonnington C. Darby B, Santucci A, Mulligan P, Pathuis P, Cuc A, Hentz J, Zhang N, Mulligan D, Sood A. A Resilience Intervention Involving Mindfulness Training for Transplant Patients and their Caregivers
14. Gullickson A. M., Graham M. A., Amundson K.A., Smyth K. T., Sood A. A Mindfulness and Neuroscience Based Intervention: Stress Management and Resilience in the Workplace. Poster session at the meeting of the International Symposia of Contemplative Studies, Denver, Colorado, April 2012.
15. West R., Lauver D., Sood A. Mindfulness skills training for stress management among low socioeconomic workers. Midwest Nursing Research Society 36th Annual Research Conference, Dearborn, Michigan, April, 2012.
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