Digital Meditation to Target Employee Stress: A Randomized Clinical Trial.

A brief digital mindfulness meditation program, compared to a waiting list, reduced perceived stress and job strain among employees of a large academic medical center. In a randomized clinical trial with 1458 adults (mostly female, average age 35.5 years), those assigned to 10 minutes of daily meditation for 8 weeks showed moderate to large improvements in stress and secondary outcomes like burnout and work engagement at 8 weeks, and these benefits persisted at 4 months. Greater daily use of the app (5 to 9.9 minutes versus less than 5 minutes) was linked to larger stress reductions. The findings suggest that a scalable digital meditation program can effectively lower stress in the workplace.

Study at a glance

Abstract

Mindfulness meditation may improve well-being among employees; however, effects of digital meditation programs are poorly understood. To evaluate the effects of digital meditation vs a waiting list condition on general and work-specific stress and whether greater engagement in the intervention moderates these effects. This randomized clinical trial included a volunteer sample of adults (aged ≥18 years) employed at a large academic medical center who reported mild to moderate stress, had regular access to a web-connected device, and were fluent in English. Exclusion criteria included being a regular meditator. Participants were recruited from May 16, 2018, through September 28, 2019, and completed baseline, 8-week, and 4-month measures assessing stress, job strain, burnout, work engagement, mindfulness, depression, and anxiety. Data were analyzed from March 2023 to October 2024. Participants were randomized 1:1 to a digital meditation program or the waiting list control condition. Participants in the intervention group were instructed to complete 10 minutes of meditation per day for 8 weeks. The control group was instructed to continue their normal activities and not add any meditation during the study period. The primary outcome measure was change in Perceived Stress Scale (PSS) score at 8 weeks. Secondary outcome measures included changes in job strain, measured as work effort-reward imbalance. A total of 1458 participants (mean [SD] age, 35.54 [10.30] years; 1178 [80.80%] female) were included. Those randomized to meditation (n = 728) vs waiting list (n = 730) showed improvements in PSS (Cohen d, 0.85; 95% CI, 0.73-0.96) and in all secondary outcome measures (eg, job strain: Cohen d, 0.34; 95% CI, 0.23-0.46) at 8 weeks. These improvements were maintained at 4 months after randomization (PSS: Cohen d, 0.71; 95% CI, 0.59-0.84; job strain: Cohen d, 0.37; 95% CI, 0.25-0.50). Those using the app from 5 to 9.9 min/d vs less than 5 min/d showed greater reduction in stress (mean PSS score difference, -6.58; 95% CI, -7.44 to -5.73). The findings suggest that a brief, digital mindfulness-based program is an easily accessible and scalable method for reducing perceptions of stress. Future work should seek to clarify mechanisms by which such interventions contribute to improvements in work-specific well-being. ClinicalTrials.gov Identifier: NCT03527303.