Efficacy of Resilience Quotient Compared to Mindfulness-Based Brief Intervention in Reducing Stress among Personnel at Phrapokklao Hospital
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Abstract
BACKGROUND: Uncontrollable stress requires medical attention as it can lead to fatigue, burnout, reduced work efficiency, and an increased risk of depression. It can also impair quality of life, weaken immunity, and contribute to chronic diseases.
OBJECTIVES: To compare the effectiveness of Resilience Quotient (RQ) training and Mindfulness-Based Brief Intervention (MBBI) in reducing stress among hospital personnel.
METHODS: The authors conducted a randomized controlled trial among 88 volunteers who were randomly assigned to either the RQ group (n=44) or the MBBI group (n=44). Both interventions were delivered with a 1-month follow-up. Stress resilience, stress index, heart rate variability, and fatigue index were assessed using biofeedback.
RESULTS: The RQ group showed a greater increase in stress resilience compared with the MBBI group (9.2 ± 18.4 vs. 1.3 ± 18.1; p=0.047). The stress index decreased significantly more in the RQ group (−10.9 ± 22.7 vs. −0.2 ± 2.4; p=0.029). Heart rate variability increased in both groups (4.3 ± 10.7 vs. 0.5 ± 9.8), but the difference was not significant (p=0.074). The fatigue index decreased in the RQ group (−4.1 ± 26.7) but increased in the MBBI group (+3.3 ± 26.2), with no significant difference (p=0.190).
CONCLUSIONS: RQ training is more effective than MBBI in improving stress resilience and reducing stress levels and fatigue, with a tendency to enhance heart rate variability.
Thaiclinicaltrials.org number, TCTR20250319018
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