David Fryburg

Dr. David Fryburg

Envision Kindness, East Lyme, Connecticut, USA

Research Focus & Metrics

Academic Career Length

33Years (1994-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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29 January 2021 in American Journal of Lifestyle Medicine
Verified
Journal Article
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DFDavid Fryburg
David Fryburg
Chronic stress is a ubiquitous problem shouldered by many people worldwide. Although the stressors are myriad (eg, loneliness, finances, health, discrimination), the corporal response to them either causes or exacerbates mental and physical illness, including depression, anxiety, and cardiovascular disease. Identifying efficient ways to help people buffer their response and promote resilience and wellness is critical to improving overall health. Positive interpersonal connection is a proven way to promote resilience and happiness. It is associated with decreased mortality and markers of better health. Kindness and caring are prosocial behaviors that build positive interpersonal connections and can uplift both the giver and receiver. Simply seeing kindness and caring activates the neuropsychology of kindness, elevating the viewer and promoting generosity, interpersonal connection, and inclusion. That augmenting positive emotions, enhancing interpersonal connection, and inducing prosocial behavior change are possible through seeing kindness opens the opportunity to bolster resilience in higher stress settings like health care. In a recent study, watching kindness media in a health care setting rapidly increased self-reported feelings of happiness, calm, gratitude, and being inspired. Viewers were significantly more generous. Providing staff and patients with a nonjudgmental lift to enhance caring interactions through kindnesses media can be an important, low-cost adjunct to improving the healthcare environment.

1 January 2021 in Journal of Patient Experience
Verified
Journal Article
Open access
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DFDavid Fryburg
David Fryburg
Patients enter the healthcare space shouldering a lot of personal stress. Concurrently, health care providers and staff are managing their own personalstressors as well as workplace stressors. As stress can negatively affect the patient–provider experience and cognitive function of both individuals, it is imperative to try to uplift the health care environment for all. Part of the healthcare environmental psychology strategy to reduce stress often includes televisions in waiting rooms, cafeterias, and elsewhere, with the intent to distract the viewer and make waiting easier. Although well-intentioned, many select programming which can induce stress (eg, news). In contrast, as positive media can induce desirable changes in mood, it is possible to use it to decrease stress and uplift viewers, including staff. Positive media includes both nature media, which can relax and calm viewers and kindness media, which uplifts viewers, induces calm, and promotes interpersonal connection and generosity. Careful consideration of waiting room media can affect the patient–provider experience.

20 January 2021 in Frontiers in Psychology
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Journal Article
Open access
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DFDavid Fryburg
David Fryburg
SUSteven D. Ureles
Steven D. Ureles
JMJessica G. Myrick
Jessica G. Myrick
FCFrancesca Dillman Carpentier
Francesca Dillman Carpentier
MOMary Beth Oliver
Mary Beth Oliver
Background and Objectives: Stress is a ubiquitous aspect of modern life that affects both mental and physical health. Clinical care settings can be particularly stressful for both patients and providers. Kindness and compassion are buffers for the negative effects of stress, likely through strengthening positive interpersonal connection. In previous laboratory-based studies, simply watching kindness media uplifts (elevates) viewers, increases altruism, and promotes connection to others. The objective of the present study is to examine whether kindness media can affect viewers in a real-world, pediatric healthcare setting.Methods: Parents and staff in a pediatric dental clinic were studied. Study days were randomized for viewers to watch either original kindness media or the standard televised children’s programming that the clinic shows. Participants scored self-rated pre-media emotions in a survey, watched either media type for 8 min, and then completed the survey. All participants were informed that they would receive a gift card for their participation. After completion of the survey, participants were asked if they wanted to keep the card or donate it to a family in need.Results: Fifty (50) participants completed the study; 28 were parents and 22 were staff. In comparison to viewers of children’s programming, participants who watched kindness media had significant increases in feeling happy, calmer, more grateful, and less irritated (p < 0.05), with trends observed in feeling more optimistic and less anxious. Kindness media caused marked increases in viewers’ reports of feeling inspired, moved, or touched (p < 0.001). No change was observed in self-reported compassion, although baseline levels were self-rated as very high. People who watched kindness media were also more generous, with 85% donating their honoraria compared to 54% of Standard viewers (p = 0.03).Conclusions: Kindness media can increase positive emotions and promote generosity in a healthcare setting.

1 June 2023 in Behavioral Sciences
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Journal Article
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DFDavid Fryburg
David Fryburg
The healthcare workplace is a high-stress environment. All stakeholders, including patients and providers, display evidence of that stress. High stress has several effects. Even acutely, stress can negatively affect cognitive function, worsening diagnostic acumen, decision-making, and problem-solving. It decreases helpfulness. As stress increases, it can progress to burnout and more severe mental health consequences, including depression and suicide. One of the consequences (and causes) of stress is incivility. Both patients and staff can manifest these unkind behaviors, which in turn have been shown to cause medical errors. The human cost of errors is enormous, reflected in thousands of lives impacted every year. The economic cost is also enormous, costing at least several billion dollars annually. The warrant for promoting kindness, therefore, is enormous. Kindness creates positive interpersonal connections, which, in turn, buffers stress and fosters resilience. Kindness, therefore, is not just a nice thing to do: it is critically important in the workplace. Ways to promote kindness, including leadership modeling positive behaviors as well as the deterrence of negative behaviors, are essential. A new approach using kindness media is described. It uplifts patients and staff, decreases irritation and stress, and increases happiness, calmness, and feeling connected to others.

1 June 1994 in Burns
Verified
Journal Article
Closed access
SPS.M. Park
S.M. Park
GZG.C. Zachmann
G.C. Zachmann
WHW.L. Holliday
W.L. Holliday
DFDavid Fryburg
David Fryburg
RER.F. Edlich
R.F. Edlich
HHH.N. Himel
H.N. Himel

13 October 2025 in BMJ Leader
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Journal Article
Open access
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DFDavid Fryburg
David Fryburg
SMStacey Mueller
Stacey Mueller
APAlicia Pilarski
Alicia Pilarski
JRJennifer L Rabaglia
Jennifer L Rabaglia
JTJonathon D Truwit
Jonathon D Truwit
Introduction: One of the compelling reasons for healthcare leaders to nurture a kinder organisational culture is that kindness buffers stress by creating connection. As stress affects both patients and staff and increases negativity, burnout, distrust and incivility, the impetus for fostering kindness is much greater than just being nice. We have been deploying kindness media (KM)short form videos depicting acts of kindness and caringin healthcare. Seeing KM reduces stress and uplifts patients and staff in non-critical settings. The emergency department (ED) is a particularly stressful environment. In the ED, patients personal stressors are amplified by wait times, anxiety and illness. Objective: The goal of this observational study was to assess the impact of KM in a level 1 trauma ED. Two questions were addressed. Did KM affect how patients felt? Did viewing KM affect patient satisfaction with their care? Methods: KM was displayed on waiting area televisions. Questions were added to the patient experience survey (Press Ganey (PG)) to assess if patients watched KM and, if yes, how it made them feel. We report PG topbox scores (percentage of responses as very good). Results: 3176 survey responses were included in the analysis. Of these, 361 patients (11%) reported that they had watched KM. Of the 361 patients, 54% reported feeling more positive. In general, patients who watched KM had significantly higher top box scores across care-related questions stratified by waiting time satisfaction. For example, the top box percentage differences for overall rating of care were 9%27% higher in KM viewers (all p<0.001). Similar results were observed for multiple other questions, including Likelihood to recommend our ED and I was treated with respect and dignity. KM partially offset the negative impact of waiting time. Conclusions: Viewing KM in this ED is associated with a positive shift in patient perception of their care experience.