A Pilot Randomised Control Trial Examining the Effectiveness of an Online Compassionate Mind Training for Healthcare Staff
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- The Professional Quality of Life (ProQOL) scale
研究概览
简要总结
The COVID-19 pandemic has highlighted the critical need for evidence-based interventions to support the psychological wellbeing of healthcare staff, particularly within Occupational Health settings. Recent research has documented significant mental health challenges among healthcare professionals, including high rates of burnout and stress. Fostering self-compassion has emerged as a key area for intervention. This study aims to pilot and assess the effectiveness of an online compassion-based intervention for healthcare staff, using a randomised Treatment As Usual (TAU) control group. The intervention will be grounded in Compassion Focused Therapy (CFT) and Compassionate Mind Training (CMT). CFT aims to shift focus from self-blame and shame to self-compassion, while CMT involves specific techniques to cultivate compassionate attitudes.
The four-week online intervention, led by a CMT expert, will include mindfulness practices such as attention training, imagery, and behaviour-based exercises designed to foster an identity grounded in compassion. The sample will consist of healthcare professionals accessing Occupational Health service in Belfast Health and Social Care Trust (BHSCT) for psychological assessment. Participants who meet inclusion criteria will be randomly assigned to either the intervention group or the TAU control group.
Questionnaires will be administered online at four time points: pre-intervention,mid intervention, post-intervention, and at one-month follow-up. The measures will assess mental health, burnout, self-compassion, fear of self-compassion and credibility and expectancy of treatment. Participants will be recruited through BHSCT Occupational Health Service and will be screened to meet inclusion criteria by the clinician completing psychological assessment. If the client agrees to be contacted by the researcher their name will be added to a study spreadsheet by their clinician and they will be contacted by the researcher to provide further information and obtain informed consent. Data will be collected electronically using Microsoft Forms and stored securely on an encrypted Trust-based database.
详细描述
Purpose The purpose of the study is to pilot and assess the effectiveness of an online compassionate based intervention for NHS staff accessing psychological assessment with the Occupational Health Service in one healthcare trust in Northern Ireland (BHSCT). This study aims to compare the effectiveness of this online intervention with usual treatment provided, Staffcare counselling.
Design Participants who meet the criteria and agree to take part will be randomly assigned to one of two groups: 1) CMT Intervention Group (IG) or 2) Treatment as Usual Group (TAUG). The random assignment will be done using online software.
Intervention Group (IG) The IG will follow an online programme developed and led by Dr. Chris Irons, a CMT expert. The programme is hosted on the Balanced Minds website and consists of four weekly sessions. Each session includes a 30-minute video, audio exercises, and reading materials. Participants must complete one session before moving to the next.
Treatment as Usual Group (TAUG) Participants in the TAUG will receive standard care as offered by the Occupational Health Service. This involves referral to Staffcare, for 6 weekly counselling sessions through the Employee Assistance Programme (EAP) following self-referral.
Questionnaires will be collected from both the IG and TAUG at the same four time points: pre intervention, mid intervention, post intervention and 4 week follow up. For the IG these time intervals for collecting measures will be at baseline, after 2 CMT sessions completed, after 4 CMT sessions completed and 4 week follow up. For the TAUG measures will be collected at baseline, after 3 counselling sessions have been completed, after 6 counselling sessions have been completed and 4 week follow up.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 68 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthcare staff attending the occupational health service for psychological assessment in the BHSCT
- •Over the age of 18
- •Good level of English to access and complete the intervention and TAU
- •Internet access on a suitable device to access the intervention and/or questionnaires
- •Individuals who are off on sickness absence will be eligible to participate.
排除标准
- •Individuals who are engaging in alternative active psychological intervention
- •Individuals identified as being in active addiction or experiencing Serious Mental Illness, or if this is suspected by the staff member assessing the participant
- •A CORE-10 score of 25 and above indicating severe psychological distress will also act as exclusion criteria as the intervention has shown to be most beneficial as a low intensity treatment option
研究组 & 干预措施
Staffcare Counselling
Staffcare Counselling
干预措施: Staffcare Counselling (Other)
Compassionate Mind Training
4 week online compassionate mind training
干预措施: Compassionate Mind Training (Other)
结局指标
主要结局
The Professional Quality of Life (ProQOL) scale
时间窗: Each group is measured at 4 timepoints: IG: Baseline, after 2 sessions of CMT, after 4 sessions of CMT, 4 weeks post treatment. TAUG: Baseline, after approx. 3 sessions of counselling, after approx. 6 sessions of counselling, 4 weeks post treatment.
a self-report questionnaire designed by Stamm (2010) to measure the positive and negative aspects of working in helping professions. The ProQOL scale has three subscales: Compassion Satisfaction, Burnout and Secondary Traumatic Stress. Respondents rate how frequently they experience each item on a 5-point Likert scale from 1 "never" to 5 "very often". Respondents' scores on each subscale can provide insight into their overall professional quality of life. Higher scores on the Compassion Satisfaction subscale indicate greater satisfaction and fulfilment, while higher scores on the Burnout and Secondary Traumatic Stress subscales indicate greater levels of distress. Each scale has a minimum score of 10 and a maximum score of 50.
The Depression, Anxiety and Stress Scale (DASS-21),
时间窗: Each group is measured at 4 timepoints: IG: Baseline, after 2 sessions of CMT, after 4 sessions of CMT, 4 weeks post treatment. TAUG: Baseline, after approx. 3 sessions of counselling, after approx. 6 sessions of counselling, 4 weeks post treatment.
a 21-item shortened version of the long-form DASS-42 (Lovibond \& Lovibond, 1995). The DASS-21 includes three, 7 item, self-report subscales designed to measure the emotional states of depression, anxiety and stress over the past week e.g. "I felt scared without any good reason", "I felt I had nothing to look forward to", "I found myself getting agitated". Items are rated on a 4-point Likert scale ranging from 0 "did not apply to me at all" to 3 "applied to me very much or most of the time". Scores need to be multiplied by 2 to calculate the full-scale score. Clinical cut offs range from 'Normal' to 'Extremely Severe'.
次要结局
- Self Compassion Scale Short Form (SCS-SF)(Each group is measured at 4 timepoints: IG: Baseline, after 2 sessions of CMT, after 4 sessions of CMT, 4 weeks post treatment. TAUG: Baseline, after approx. 3 sessions of counselling, after approx. 6 sessions of counselling, 4 weeks post treatment.)
- Fears of Compassion Scale three: Expressing kindness and compassion towards yourself,(Each group is measured at 4 timepoints: IG: Baseline, after 2 sessions of CMT, after 4 sessions of CMT, 4 weeks post treatment. TAUG: Baseline, after approx. 3 sessions of counselling, after approx. 6 sessions of counselling, 4 weeks post treatment.)
- The Credibility Expectancy Questionnaire (CEQ)(Each group is measured at 4 timepoints: IG: Baseline, after 2 sessions of CMT, after 4 sessions of CMT, 4 weeks post treatment. TAUG: Baseline, after approx. 3 sessions of counselling, after approx. 6 sessions of counselling, 4 weeks post treatment.)
研究者
David Curran
Principal Investigator
Queen's University, Belfast