A Randomized Controlled Trial of a Smartphone-Based Well-Being Training in Public School System Employees During the COVID-19 Pandemic.

Matthew J Hirshberg, Corrina Frye, Cortland J Dahl, Kevin M Riordan, Nathan J Vack, Jane Sachs, Robin Goldman, Richard J Davidson, Simon B Goldberg
Author Information
  1. Matthew J Hirshberg: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  2. Corrina Frye: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  3. Cortland J Dahl: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  4. Kevin M Riordan: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  5. Nathan J Vack: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  6. Jane Sachs: Center for Healthy Minds, University of Wisconsin-Madison.
  7. Robin Goldman: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  8. Richard J Davidson: Center for Healthy Minds, University of Wisconsin-Madison. ORCID
  9. Simon B Goldberg: Center for Healthy Minds, University of Wisconsin-Madison. ORCID

Abstract

While the extraordinary pressures of the COVID-19 pandemic on student mental health have received considerable attention, less attention has been placed on educator well-being. School system employees play a vital role in society, and teacher levels of well-being are associated with the educational outcomes of young people. We extend extant research on the prevalence and correlates of educator distress during the pandemic by reporting on a pragmatic randomized wait-list controlled trial (=662; 64% teachers) of an innovative mental health promotion strategy implemented during the pandemic; a free four-week smartphone-based meditation app designed to train key constituents of well-being (Healthy Minds Program; HMP). Following our preregistered analysis plan and consistent with hypotheses, assignment to the HMP predicted significantly larger reductions in psychological distress, our primary outcome, at post-intervention (Cohen's =-0.52, 95% confidence interval [-0.68, -0.37], <.001) and at the three-month follow-up (=-0.33 [-0.48, -0.18], <.001). Also consistent with hypotheses, we observed similar indications of immediate and sustained benefit following the HMP on all six preregistered secondary outcomes selected to tap skills targeted in the app (e.g., perseverative thinking, social connection, well-being; absolute s=0.19-0.42, all s<.031 corrected except mindful action at follow-up). We found no evidence for elevated adverse events and the HMP was equally effective among participants with elevated baseline anxiety and depressive symptoms. These data suggest that the HMP may be an effective and scalable approach to supporting the mental health and well-being of teachers and other school system employees, with implications for employee retention and performance, and student outcomes.

Keywords

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Grants

  1. K23 AT010879/NCCIH NIH HHS
  2. U24 AT011289/NCCIH NIH HHS

Word Cloud

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