Stress Management and Resiliency Training Program (SMART)

Stress Management and Resiliency Training Program (SMART)

Objectives: The high prevalence of stress at the workplace has been well documented; however, few studies have investigated the efficacy of worksite resiliency programs. Therefore, the objec- tive of this project was to examine the impact of a worksite resilience training program on improving resiliency and health behaviors in healthcare employees.

Methods: Between 2012 and 2016, 137 adult wellness center members of a healthcare institution participating in a single-arm cohort study of a 12-week resiliency training program were assessed at baseline, end of intervention, and at 3-month follow-up.

Results: Statistically significant (p ≤ .01) improvements were seen at the end of the intervention and extending to 3 months follow-up for resiliency, perceived stress, anxiety level, quality of life, and health behaviors.

Conclusions: These results support the premise that worksite programs designed to improve resiliency in healthcare employees have efficacy in improving resiliency, quality of life and health behaviors. Given the importance of stress and burnout in healthcare employees, future randomized studies are warranted to determine more clearly the impacts of this type of resiliency intervention for improving the wellness of healthcare workers.

Rank: 30
First Author: Werneburg
Outcome: Stress,Anxiety,Quality of Life,Well-being,Confidence,General Health,Sleep/Exhaustion
Outcome p-value: Stress:⭑⭑, Anxiety:⭑⭑, Quality of Life:⭑⭑, Well-being:⭑⭑, Confidence:⭑⭑, General Health:⭑⭑, Sleep/Exhaustion:⭑⭑
Intervention Category: Coping Skills Development
Time per Employee (hours): No time specified.
D&B Study Quality Rating: 19
Reviewer Confidence: 3
Country: US
Study Design Type: Quasi-experimental
Materials Available to Implement: The program was built on the principles found in Stress Management and Resiliency Training Program (SMART; Sood A. The Mayo Clinic Guide to Stress-Free Living. Boston MA: Da Capo Press; 2013).   Corresponding author:
Organiz./Individ. Focus: Individual
Prevention Category: Primary,Secondary
Effect Size: Medium,Large
Effect size Small:
Effect size Medium: General Health,Sleep/Exhaustion
Effect size Large: Stress,Quality of Life,Anxiety,Well-being,Confidence
Reference: Werneburg, B. L., Jenkins, S. M., Friend, J. L., Berkland, B. E., Clark, M. M., Rosedahl, J. K., Preston, H. R., Daniels, D. C., Riley, B. A., Olsen, K. D., & Sood, A. (2018). Improving Resiliency in Healthcare Employees. American Journal of Health Behavior, 42(1), 39–50.