Health care practitioners and families writing together: the three-minute mental makeover
Thoele DG, Gunalp C, Baran D, Harris J, Moss D, Donovan R, Li Y, Getz MA. Health Care Practitioners and Families Writing Together: The Three-Minute Mental Makeover. Perm J. 2020;24:19.056. doi: 10.7812/TPP/19.056. Epub 2019 Nov 22. PMID: 31852046; PMCID: PMC6907914
INTRODUCTION: Expressive writing, the process of self-expression through writing, appears to have beneficial effects. Our hospital's narrative medicine group developed an expressive writing tool, the Three-Minute Mental Makeover (3MMM).
OBJECTIVE: To evaluate the effectiveness of the 3MMM to reduce stress and optimize communication between health care practitioners and their patients/families.
METHODS: Patients and families were recruited from a Chicago-area children's hospital from December 2016 through July 2017, from the neonatal intensive care unit, pediatric intensive care unit, inpatient pediatric unit, and outpatient pediatric clinics. Health care practitioners included a pediatric cardiologist, pediatric residents, child development specialists, and pediatric nurses. Practitioner and patient family participants completed prestudy and poststudy surveys to assess perceived stress and communication levels. Using a standardized script, practitioners led the 3MMM activity, writing concurrently with patients/families. Participants then shared their responses. Presurvey and postsurvey data were compared using nonparametric tests.
RESULTS: Eight practitioners led 96 patient/family members in 3MMM activities and study surveys. At baseline, all patients, family members, and practitioners reported experiencing 1 or more symptoms of stress. After participating in the 3MMM, patients/family members and practitioners reported reduced stress compared with baseline (p < 0.001). A significant improvement in communication was reported by practitioners (p < 0.001). Eighty-eight percent of patients/families reported that the 3MMM activity was helpful, even though only 35% had used writing or journaling in the past.
CONCLUSION: The 3MMM is a short writing exercise that reduces stress for practitioners, patients, and families. Future studies may help determine long-term effects of the 3MMM.