Healthy Coping Mechanisms Research Articles

Impact of the COVID-19 Pandemic on Mental Health of Health Education Specialists

The physical, mental, and professional impacts of the pandemic on healthcare and public health workers have been widely discussed in the media and the scientific literature, but what is known about health education specialists (HES) appears to be far less. To address this gap, a brief online survey including questions from the PHQ-9 Depression Questionnaire, General Anxiety Disorder Scale, Post Traumatic Stress Disorder Scale, Brief COPE, the Transtheoretical Model, and the Health Belief Model, was sent to certified (CHES®) and master certified (MCHES®) HES. Of the 11,743 successfully delivered, 1,480 (13%) were completed. The overwhelmingly female (89%), white (71.5%), non-Hispanic (86%), respondents reported being employed full-time (80.7%) and holding at least a master’s degree (77.7%). Though approximately half of participants reported at least some level of anxiety, worry, trouble sleeping, tiredness, poor appetite or overeating, trouble concentrating, depression, and/or little interest in doing things, the majority had not sought treatment. Not surprisingly, there was a significant correlation between those who reported a notable increase in COVID-19 work hours and those who felt nervous, anxious, or on edge over the last two weeks (r=8.5, p<.05). HES frequently turned to various forms of healthy and unhealthy coping mechanisms besides professional treatment. These findings are important both to document the impact of the ongoing COVID-19 pandemic on the HES workforce, as well as to highlight the ways employers can offer appropriate support to those needing mental health interventions.

Stress-Induced Syncope: A Case Study

Four adolescent female athletes across four grades were diagnosed with either psychogenic nonepileptic seizures or conversion disorder. The females underwent thorough evaluations with their primary care providers and episode and symptom tracking by their athletic trainer. Through different applications of cognitive behavioral therapy and one-on-one counseling, the disorders resolved. Teaching athletes the importance of choosing healthy coping mechanisms to stress is vital to quality mental health. It is recommended that more research be done on psychogenic nonepileptic seizures and provide an understanding to those working with the adolescent population on triggers and treatments for psychogenic nonepileptic seizures.

Relation between Deese-Roediger-Mcdermott recall measures of false memory and the fading affect bias

The fading affect bias (FAB) is the faster fading of unpleasant affect than pleasant affect for autobiographical event memories, and it is considered a healthy coping mechanism because it is positively related to healthy measures (e.g., self-esteem and positive PANAS), whereas it is negatively related to unhealthy measures (e.g., psychological distress and negative PANAS). Some researchers suggest that Deese-Roediger McDermott (DRM) critical lure false memories for words are conceptually equivalent to false memories for autobiographical event memories, which has not been examined. Based on the finding that false autobiographical event memories negatively predict FAB, the current study tested if false DRM word memories would negatively predict FAB for autobiographical event memories, which would demonstrate support for the conceptual equivalence of DRM memories and autobiographical event memories. We found that three measures of false word recall positively predicted FAB, which is a result that is contrary to prior findings and the contention that DRM false memories for words are conceptually the same as autobiographical event memories.

Mothers' Psychological Distress and their Perceived Parent-Child Closeness during COVID-19

The emergence of the COVID-19 pandemic has intensified the adverse impacts on maternal mental health. This study investigated the relationship between the degree of psychological distress experienced by mothers and their reported intimacy with their children during the COVID-19 epidemic. For the research, a total of 34 mothers from the 30-39 age group and 23 mothers from the 40-49 age group were recruited at random. Mothers completed questions regarding mental health and the relationship between mother and child. The data has been analysed using Pearson correlation and independent sample t-test. The mothers who participated reported experiencing moderate psychological distress (M=1.71, SD=.61). Mothers were found to be more inclined towards a closer relationship (M= 4.24, SD=.76) in relation to the high perceived relationship (M= 3.38, SD=.47) reported. In terms of reported closeness with their children and psychological distress level, there was no significant difference between mothers aged 30-39 and 40-49. This study focused on the measurement and analysis of mothers' psychological distress and how it impacts their relationship with their children in a beneficial way. Despite the fact that mothers appeared to be more engaged with their children, maternal mental health should not be overlooked. Social support, collaborative parenting, and healthy coping mechanisms are promoted to promote overall well-being. Recommendations for further research are also included.

Mental Health Effects of COVID-19 Among Health Care Providers: A Case Study of Kalulushi General Hospital in Kalulushi District, Zambia

Coronavirus disease 2019 is an infectious disease which was first identified in Wuhan a City in the Peoples Republic of China in December 2019. The aim of this study was to establish the mental health effects of COVID 19 on the frontline health care providers at Kalulushi General Hospital in Kalulushi district of Zambia. A descriptive cross-sectional study was employed to assess the mental health effects of COVID 19 on the frontline health care providers at Kalulushi General Hospital in Zambia. The study used simple random sampling technique to select 122 respondents to participate in the study. Data was collected from study participants using structured questionnaire. The collected data was analyzed using SPSS version 25 and MS excel and was presented using tables, bar charts and pie charts. Multivariate logistic regression analysis was used to examine the relationships between socio-demographic characteristics and mental health effects of COVID-19 parameters. The ethical approval was gotten from Lusaka Apex Medical University Biomedical Research Ethics Committee, Kalulushi General Hospital and Kalulushi District Health Office respectively. The study revealed that, most of the respondents (31%) were afraid of contracting COVID-19, while 27% of study participants claimed that COVID 19 was a propaganda and that no one knew when it would end. The study also found that, a small proportion of study participants reported a decline in work morale (17%), likely associated with witnessing numerous deaths (19%) and the added stress of inadequate personal protective equipment (PPE) experienced by 15%. The study further demonstrated that 58% of the respondents accepted that working in a COVID-19 environment affected their mental health while 42% of the respondents did not accept that working in the COVID-19 environment did affect mental health of frontline healthcare providers. The study further revealed that, most of the respondents were using handwashing or sanitizers, facemasks and protective clothing (27%) to cope with COVID-19 pandemic. The study also showed that, a few respondents were practicing social distancing (22%), and having healthy diet (19%) in order to cope with COVID-19. Marital status and religion were found to have significant association with copying strategies of frontline healthcare providers against COVID-19 pandemic at Kalulushi General Hospital in Kalulushi District of Zambia (P < 0.05). WHO, CDC, and Zambian Ministry of Health should prioritize implementing Critical Incident Stress Management protocols, develop culturally sensitive mobile applications to offer self-guided interventions, and promote healthy coping mechanisms among frontline healthcare providers.

The Role of Perceived Stress in the Relation between Childhood Maltreatment and Severity of Alcohol Use Disorder: A Mediation Analysis

Introduction: Experiences of Childhood Maltreatment (CM) relate to relapse and lower treatment success in Alcohol Use Disorder (AUD), one of the most prevalent substance use disorders. However, the exact mechanisms of this relationship still remain unclear. This study examines perceived stress and “drinking to cope with negative affect” (coping) as possible mediators in this relationship. Moreover, it aims at uncovering the differential effects of the subtypes of CM. Methods: N = 96 individuals (42% women; mean age 41 ± 13 years) including healthy controls and individuals with varying severity of AUD and CM completed the Alcohol-Dependence Scale, Childhood Trauma Questionnaire, Perceived Stress Scale and German Inventory of Drinking Situations. Mediation analyses including perceived stress as a mediator between CM (and subtypes) and severity of AUD, as well as a serial mediation of the relationship between CM and AUD severity by perceived stress and coping were conducted. Results: Perceived stress significantly mediated the relation between CM and AUD severity and the serial mediation by perceived stress and coping turned out significant. Subtype-specific analyses did not yield significant results. Conclusion: This study reinforces perceived stress as a potential mechanism in the relation between CM and AUD severity. Moreover, coping further mediated the relationship between CM and AUD severity. Our results suggest including screening for CM (subtypes) in clinical routine in order to individually emphasize interventions focusing on stress regulation, as well as on developing healthy coping mechanisms, in patients with AUD. This might prevent heightened stress sensitivity, relapse and further maintenance of AUD.

Lower perceived stress among physically active elite private university students with higher levels of gratitude.

Elite private universities have high stress levels, particularly for underrepresented populations. While physical activity and gratitude can both reduce stress, independent effects from gratitude and interaction effects between physical activity and gratitude on stress are insufficiently explored. Our study investigated these effects among undergraduates at elite private universities. Undergraduates (n = 145) completed an online survey in Fall 2022. Moderate-high physical activity levels were reported by 96.19% of the sample. No significant interaction effect between physical activity and gratitude was seen nor a significant main effect of physical activity on perceived stress. A significant main effect of gratitude on perceived stress [F (2, 99) = 16.732, p < .001, ω2 = .253] was found with higher perceived stress among participants with low compared to moderate (p = .001) or high gratitude (p < .001). Gratitude exerted an independent, significant effect on perceived stress among elite university undergraduates and could be used as an additional healthy coping mechanism along with physical activity to combat stress.

Assessing mental health and technology use in the time of COVID-19 among farmworkers in the U.S. – Mexico border

Purpose The purpose of this paper is to present findings on a community-based participatory research project where the authors examined access and ability to use technology, attitudes and perceptions of technology, and COVID-19 and mental health beliefs in the time of COVID-19, among predominantly Hispanic/Latinx farmworker males residing in the US–Mexico border city of El Paso, Texas. Design/methodology/approach This paper used a qualitative narrative analysis which consisted of in-person interviews in Spanish with male farmworkers (n = 10) between the ages of 49–60 years. This paper applied a research approach designed to engage researchers and community stakeholders as equal partners with the goal of improving practice. Findings Of the participants, eight reported having a phone and only three reported knowing how to use the internet. Before the COVID-19 pandemic, the participants reported living a relatively stress-free life. When the pandemic impacted their community, they reported experiencing heightened anxiety and stress. To relieve stress, all participants used healthy coping strategies (e.g. walking and gardening). Originality/value The findings suggest that farmworker males are receptive to obtaining mental health services. In addition, they would benefit from resources highlighting healthy stress coping mechanisms. Due to their limited knowledge of current internet technology, efforts on how to promote and deliver mental health services and resources to farmworkers should be strategic and appropriate.

Mental Health Burden and Facilitators Among Frontline Healthcare Professionals in Nigeria Amid COVID-19 Pandemic: A Cross-sectional Study.

During the COVID-19 pandemic, the frontline healthcare providers faced significant mental health stressors. Previous pandemics have revealed the need for psychosocial support and healthy coping mechanisms to mitigate mental health risks. The study aimed to assess psychological impact and supportive mechanisms experienced by frontline healthcare workers treating COVID-19 patients in Kaduna State. This study involved 38 frontline healthcare providers mainly from Kaduna State Infectious Disease Treatment Center. Participants' mental health burden was captured through Hospital Anxiety and Depression Scale. Mental health facilitators were assessed through six tools: Ten-Item Values Inventory, healthy defense section of the Defense Style Questionnaire, Existential Anxiety Questionnaire, Brief Resilience Scale, Oslo Social Support Scale, and the Insomnia Severity Index. The mean age of the study participants was 35.5 ± 6.6 years, with the majority being males (68.4%) and doctors (39.5%). More than a quarter of the participants showed appreciable symptoms of depression and anxiety. Psychosocial facilitators such as moral values, openness to change, self-transcendence, sublimation, anticipation, and humor scored above average for more than half of the participants. Most participants demonstrated moderate resilience and social support, with few experiencing sleep challenges. Comparisons of variables indicated "openness to change" was significantly higher among males, whereas symptoms of depression and anxiety were associated with higher levels of existential concerns and sleep challenges. Our study finds that Nigerian frontline health workers experienced significant mental health challenges during the COVID-19 pandemic. It identified specific facilitators linked to gender and psychological burdens, informing the need for tailored support interventions.

The effect of yoga practices on health parameters: A review

Yoga, a practice originating in India thousands of years ago, has gained immense popularity today and its effects are under scrutiny. Numerous studies demonstrate the positive impact of various types of yoga on human physiology. Specifically, research highlights the ability of yoga to mitigate stress and anxiety, as well as increase serotonin and dopamine hormones, facilitating healthy coping mechanisms in modern living. For a healthy lifestyle, yoga can be an important addition to a nutritious diet. While numerous studies have reported on the positive effects of yoga, its complete impact has yet to be fully understood. It may be recommended that the studies planned to be addressed in the future on the subject should be carried out for a specific health problem, should have a methodologically good and high quality structure and the sample size should be kept large. This review found that yoga has significant positive effects on anxiety and depression. It also increases hormones such as serotonin and dopamine in the body, which can lead to a more positive outlook. However, the review found statistically insignificant decreases in fasting blood glucose levels, postprandial blood glucose levels, and HbA1c. Additionally, yoga was found to significantly improve quality of life.

Exploring Alcohol-Related Behaviours in an Adult Sample with Anorexia Nervosa and Those in Recovery.

While individuals with Bulimia Nervosa (BN) and Binge Eating Disorder (BED) often present with a higher rate of Alcohol Use Disorder (AUD) than the general population, it is unclear whether this extends to AN. This cross-sectional study examined differences in alcohol-related behaviours, measured using the Alcohol Use Identification Test (AUDIT), between AN participants (n = 58), recovered AN (rec-AN) participants (n = 25), and healthy controls (n = 57). Statistical models controlled for age and ethnicity. The relationship between alcohol-related behaviours with ED psychopathology and with depression was also assessed. The findings indicated that acute AN participants were not at greater risk of AUD than healthy controls. However, rec-AN participants displayed greater total audit scores than those with acute AN, and more alcohol-related behaviours than healthy controls. Acute AN participants consumed significantly less alcohol than both the healthy control group and rec-AN group. No associations were found between ED psychopathology and alcohol-related behaviours in the AN group or rec-AN. This highlights alcohol as a potential coping mechanism following AN recovery. Clinicians should consider assessments for AUD and targeted interventions aimed at encouraging healthy coping mechanisms in this group. Future studies should look at alcohol use as a moderating factor for AN recovery.

Aspects of palliative care in medical TV dramas and a look into its teaching capabilities

Doctors often feel extreme negative emotions when providing palliative care and experiencing a patient's death. Their education leaves them unprepared for dealing with their various feelings which can directly lead to death anxiety and burnout. Doctor’s lack of coping in these situations can significantly decrease their feelings of happiness towards their life, career, and overall patient care. Therefore, using a modified exploratory qualitative research approach that distributed a survey to Maryland medical students, an auxiliary form of education was identified to fill the gap in doctor's training. This study sought to find if modern medical dramas could teach medical students about the personal emotions associated with palliative care and the importance of developing healthy coping mechanisms. Through the research the shows “House MD” and “Private Practice” have the most accurate representation of death, the emotions involved, and healthy coping mechanisms. Meaning, that the two shows can be used in medical education to enrich students’ learning on the personal effects of palliative care and how to cope. Furthermore, this training can potentially lead to the decrease of death anxiety and burnout in the medical field. Thus, creating an environment where expressing emotion is destigmatized and allows doctors to provide the highest quality patient care.

A qualitative study exploring psychotherapy recipients’ perspectives on positive mental health

Traditionally, psychotherapy aims to address distressing emotions, thoughts, and behaviours in individuals, but it can also foster positive mental health (PMH) and earlier recovery by including salutogenic approaches in clinical practice. This study aimed to understand psychotherapy recipients’ perspectives on the meaning of PMH and how therapy could help them achieve it. A qualitative study was conducted among fifteen psychotherapy recipients seeking care at a mental health institute in Singapore. Their experiences were explored through semi-structured interviews. Inductive thematic analysis was conducted to identify key themes. Six themes on the meaning of PMH emerged – (i) acceptance of themselves and their emotions; (ii) positivity, which related to having a positive and optimistic outlook in different situations; (iii) resilience to bounce back from problems using healthy coping mechanisms; (iv) purpose in life which meant envisioning personal goals and working towards these; (v) social participation referred to having compassion, openness, and social skills to build supportive relationships; and (vi) euthymia represented being in a state without depression or anxiety and having better symptom management. Participants also narrated the ways in which psychotherapy had helped / can help them achieve their PMH goals. In this study, individuals receiving psychotherapy identified six key aspects of PMH as being relevant to them. By recognizing these unique perspectives around PMH, integrative and complementary therapy approaches can be designed to benefit people with mental health problems more effectively.

Exploring the Risk Factors Associated with Video Game Addiction among Adolescent School Children in Chennai District, Tamil Nadu, India: A Cross-sectional Study

Introduction: Video game addiction has emerged as a significant concern among adolescent children in recent years. With the widespread availability of technology and the increasing popularity of video games, a substantial number of adolescents are displaying addictive behaviours. Aim: To estimate the prevalence of video game addiction among adolescent school children in Chennai, Tamilnadu, India and find out the various risk factors associated with it. Materials and Methods: A cross-sectional study was conducted at the Department of Community Medicine, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chengalpattu, Chennai, Tamil Nadu, India among 300 school children aged 10-17 years from four private schools in Chennai, Tamil Nadu, India from February 2023 to June 2023. Data collection involved the Gaming Addiction Scale for Adolescents (GASA) and a pretested semistructured questionnaire. Data analysis was performed using Statistical Package for Social Sciences (SPSS) version 22.0. Results: The study revealed that approximately 31.7% of the participants had video game addiction. Categorical variables were analysed using the Chi-square test, with a significance level of p &lt;0.05. Bivariate logistic regression was utilised to determine unadjusted odds ratios, and variables with p &lt;0.05 were included in the multivariate model to calculate adjusted odds ratios and construct 95% confidence intervals. Conclusion: Video game addiction among adolescent school children is a significant issue with multiple associated risk factors. By promoting awareness, encouraging healthy coping mechanisms, and fostering balanced lifestyles, we can effectively address video game addiction and enhance the wellbeing of adolescent school children.

Stress Coping Strategies Among Undergraduate Nursing Students in The University of Nigeria Enugu Campus

Background: Undergraduate student nurses experience stress due to the demanding nature of their training. Therefore, assessing stress and coping strategies in this vulnerable group is essential. Moreover, a paucity of data exists on this subject among the study population. Aim: This study assessed the stress level, common stressors, and coping strategies adopted by undergraduate student nurses at the Department of Nursing, University of Nigeria, Enugu Campus. Methods and Materials: This study used the cross-sectional descriptive survey design. A proportionate sample method was utilized to select 196 undergraduate nursing students. The Perceived Stress Scale (PSS) and Coping Behaviour Inventory (CBI) were used for data collection. Statistical Package for the Social Sciences (SPSS) version 25 was used to analyze the data using descriptive and inferential statistics. Results: The results showed that the majority of respondents (71.8%) reported feeling moderately stressed. Assignment/workload stress (2.46±0.90), stress from teachers and nursing staff (1.92±0.79), and stress from peers and daily life (1.96±0.92) were the three main stressors. Problem-solving (2.84±0.95), transference (2.54±0.95), and positive coping behavior (2.52±0.88) were the most frequently employed coping mechanisms. There was no significant difference (p &gt; 0.05) between the students' demographic characteristics and their stress levels. Conclusion: The respondents reported moderate stress levels that were comparable between the different groups. Therefore, administrators of the nursing department should incorporate stress management and reduction techniques into the orientation program and motivate students to use healthy coping mechanisms that emphasize problem-solving to promote health. Keywords: stress, coping strategies, undergraduate nursing students, stressor, level of stress

FAITH AND HEALTH: THE INTRICATE INTERPLAY OF MARITAL QUALITY, RELIGIOSITY, AND DIABETES

Abstract Although chronic illness in later life can negatively affect marital quality and life satisfaction through increased stress and burden, religiosity and spirituality are known robust protective factors in relational and psychological outcomes. Stress theory suggests that religious behaviors can help moderate this negative relationship by providing patients with a sense of meaning in illness, external social support, and healthy coping mechanisms. Using data from the Life and Family Legacies Study, we analyzed cross-sectional data from 1,210 married participants around age 70 in 2016. Using an OLS linear regression model, we found main effects which showed that type 2 diabetes among older adults was predictive of lower positive marital quality and lower life satisfaction. When religious behaviors were included in the model as a moderator, religious behaviors interacted significantly with diabetes such that individuals with type 2 diabetes who reported high religiosity had high positive marital quality, while those with low religiosity reported significantly lower positive marital quality. Findings suggest that when persons with type 2 diabetes participate regularly in church services, prayer, and scripture study they experience more positive marital quality. This indicates that religiosity may be a significant protective factor and coping tool for marital quality when chronic illness is present.

Women's strategies for navigating a healthy sex life post-sexual trauma.

Sexual trauma is common. Consequences of sexual trauma can include deterioration of mental and physical health and it can also affect future romantic and sexual relationships. Previous studies have identified common healthy and destructive coping mechanisms to recover after experiencing sexual trauma, but few studies have investigated useful strategies to move into a healthy sexual relationship focused on resilience. In-depth semi-structured interviews were conducted with 41 women with a history of sexual trauma who were in a healthy sexual relationship at the time of participation. Participants provided strategies that helped them move beyond the sexually traumatic event(s) toward a healthy sexual relationship. Reflexive thematic analysis identified 5 effective and 6 ineffective strategies reported by the participants. Rich examples of resilience and empowerment were overarching in the effective strategies used for moving toward healthy sexual relationships. Women were also able to reflect on the strategies that were ineffective for them with kindness and understanding for their coping at that time, a normalizing theme for women working through sexual trauma. The results of this study will help therapists and researchers working with women who have experienced sexual trauma learn from their experiences in working beyond trauma toward a healthy sexual relationship.

Mental Well-being InSciEd Out: Health Partnerships with the Boys &amp; Girls Clubs of Puerto Rico

Abstract: Background: Mental health care is a top clinical concern for modern Puerto Rico, especially given a dramatically changing economic landscape paired with recurrent natural disasters. Youth are particularly at-risk due to long-term impacts of toxic stress and adverse childhood experiences on health and development. Objectives: Here we present a novel clinician–community-educator–scientist partnership to address Puerto Rican youth mental well-being and wellness. We deployed pilot health workshops within the Boys &amp; Girls Clubs of Puerto Rico to build youth mental health conceptual understanding and competencies in stress recognition and management. The work in progress herein evaluates acceptability and feasibility of our curricular model. Methods: Dialogue with community stakeholders guided curricular design of workshops for youth ages 6 to 13 and older. Prior to implementation, educators and volunteers attended a 1-day training on educational strategies. Workshop success was evaluated using qualitative approaches (i.e., narrative feedback, educator and volunteer reflections, youth Talking Drawings) to assess youth engagement, youth conceptual health understanding, and educator/volunteer impressions of feasibility and impact. Results: Initial findings indicate high acceptability and feasibility of our curricular model. Youth engagement and enthusiasm were noted in educator feedback and continue to be sustained post-workshop. Preliminary analysis shows accompanying increases in youth conceptual mental health understanding, particularly for 6- to 12-year-olds in recognition of stress and healthy coping mechanisms. Reciprocal gains were observed for volunteers. Conclusions: Activities have evolved into a formal partnership called Semilla , which features expanded analysis of mental well-being and wellness outcomes. Our collaborative model continues to engage Puerto Rican youth in the science of their well-being.

Problematic internet use and psychological distress among student nurses: The mediating role of coping skills

Problematic internet use has become a growing concern among student nurses, posing potential risks to their well-being and academic performance. Yet, the extent to which coping skills can help alleviate the adverse effects of problematic internet use on the psychological well-being of student nurses remains largely understudied. This study examined the mediating role of coping skills in the relationship between problematic internet use and psychological distress among student nurses. This cross-sectional study was conducted to collect data from 279 student nurses enrolled in a public-funded nursing school. Mediation analyses were conducted using the PROCESS Macro with Model 4. Findings showed that student nurses reported moderate levels of problematic internet use with a mean score of 2.233 (SD = 0.765). Several factors strongly predicted problematic internet, including being on the 3rd year of education (β = −0.261, p < 0.001), having an average academic performance (β = 0.184, p = 0.006), and using the internet for <3 h per day (β = −0.304, p < 0.001). Problematic internet use was significantly associated with increased psychological distress (β = 0.1791, p < 0.01). Coping skills were found to mediate the relationship between problematic internet use and psychological distress (β = 0.0160, SE = 0.0095). Overall, this study sheds light on the determinants of problematic internet use among student nurses and its negative impact on psychological well-being. By addressing problematic internet use and promoting healthy coping mechanisms, nursing education can better prepare student nurses to maintain their well-being and academic performance in the digital age.

Twelve tips for creating a multicultural mindfulness-based intervention in diverse healthcare settings

High levels of stress and burnout, low help-seeking behaviour and unhealthy coping in healthcare professionals (HCPs), are a critical concern globally. Mindfulness-based interventions (MBIs) reduce stress, are a healthy coping mechanism and have become increasingly popular among HCPs, especially during the Covid-19 pandemic. Nevertheless, HCPs’ busy schedules require the intervention to be accessible, pragmatic, and context specific. Key to this goal is approaching mindfulness from a multicultural perspective, especially in diverse settings such as Africa. This paper aims to provide practical tips to ensure that the MBI offered is effective with multicultural HCPs during intense stress. Four tips each discuss the curriculum, implementation, and sustainability, respectively. The tips are elucidated by practical examples of regulating stress in healthcare settings and to offer a guideline to help structure future MBIs to be culturally and context appropriate.