Treatment - Mindfulness & Acceptance
Effects of Mobile App-based Mindfulness Practice on Healthcare Workers amidst the COVID-19 Pandemic: A Randomized Controlled Trial
Joseph Wei Ern Chin, B.A.
Research Assistant
Centre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore
Singapore, Singapore
Shian-Ling Keng, Ph.D.
Associate Professor of Psychology
Monash University Malaysia
KUALA LUMPUR, Kuala Lumpur, Malaysia
Irene Teo, Ph.D.
Principal psychologist
National cancer centre singapore
Singapore, Singapore
Maleyka Mammadova, B.A.
Research Assistant
Centre for Public Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
Singapore, Singapore
Amidst the COVID-19 pandemic, healthcare workers (HCWs) may be at greater risk of suffering from psychological distress compared to the general population. This study aimed to investigate the effects of mindfulness practice as delivered using Headspace on psychological and cognitive outcomes among HCWs in Singapore. A total of 80 HCWs were recruited and randomly assigned to engage in either three weeks (10 minutes/day) of mindfulness practice using Headspace or an active control condition (Lumosity; involving playing cognitive games). Participants were administered several self-report measures and two digit span tasks at pre- and post-intervention, and one-month follow-up. Compared to the control condition, participants in the Headspace condition demonstrated trend-level improvements in depression (p = .057) and trait mindfulness (p = .054) from pre- to post-intervention. From pre-intervention to one-month follow-up, there were significantly greater improvements among Headspace participants on fear of COVID-19 (p = .005), compassion satisfaction (p = .007), trait mindfulness (p = .002), self-compassion (p = .005), sleep quality (p = .002), and the forward digit span task (p < .001). Several outcomes were mediated by increases in trait mindfulness or self-compassion. Mindfulness practice duration was associated with improvements in self-compassion from pre- to post-intervention (p = .024). In conclusion, Headspace may lead to downstream benefits in reducing distress and improving psychological health outcomes among HCWs. The findings have implications for improving psychological support resources for HCWs amidst a pandemic.