A Randomised Trial of Mindfulness-based Social Work and Self-Care Among Social Workers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 2
- 主要终点
- Change in Stress measured on the Perceived Stress Scale (PSS)
研究概览
简要总结
Social work is a stressful occupation with social workers at high risk of job-related stress and burnout. Mindfulness has been evidenced as a promising approach for improving: recovery from stress; behavioural responses to stress; and resilience.
The main aim of the study is to examine the efficacy of a bespoke, innovative, 6-session Mindfulness Intervention for social workers (MBSWSC) in reducing social worker stress, feelings of burnout, anxiety, low mood and improving well-being. The study will also compare outcomes from the MBSWSC with a briefer, condensed 3 session mindfulness programme (MBSC).
详细描述
Background: Social work is a stressful occupation with social workers at high risk of burnout. It is perhaps unsurprising then that research has focused on the impact of working conditions and work-related stress in this population. COVID has seemingly intensified pressures on frontline social workers, in turn adversely impacting their health and wellbeing.
Despite awareness of the impact of social work, job-related stress, and burnout, there remains a lack of evidence on the implementation and effectiveness of interventions to mitigate these aspects and improve outcomes for social workers. A novel, innovative approach, embedded in social work practice, is needed to support and improve social worker wellbeing. Mindfulness has emerged as a promising approach evidencing success in improving: recovery, cognitive, emotional and behavioural responses to stress. Mindfulness has also been highlighted as an approach by which resilience is strengthened. Mindfulness has been found to generate positive outcomes for those working in health and social care; promoting wellbeing, increasing levels of self-care and self-compassion, reducing stress, and combating burnout. Self-care (self-compassion) has been highlighted as an important promoter of positive health effects in social work.
Although possible benefits of mindfulness for social workers have been suggested, the evidence base to support this is scant, mainly due to a scarcity of mindfulness based intervention studies aimed at social workers. Traditionally there has been a lack of evidence on the effectiveness of briefer mindfulness programmes; with recognised programmes such as MBSR and MBCT requiring significant time commitments from participants which may not be suitable for practicing professionals. In light of this; there is a clear need for high quality RCTs to add to the evidence base in this area and to inform future provision.
With this in mind, this study looked to explore the efficacy of a bespoke, innovative, 6-session Mindfulness Intervention for social workers (MBSWSC). It also served to compare the outcomes from the MBSWSC programme with a modified, condensed 3 session mindfulness programme (MBSC).
More explicitly, this RCT aims to examine the:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Frontline social work practitioner; Working in Northern Ireland; Aged 18 years and over
排除标准
- •Social workers in strategic social work roles with no contact with clients
结局指标
主要结局
Change in Stress measured on the Perceived Stress Scale (PSS)
时间窗: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
The Perceived Stress Scale is a 10-item, reliable and valid, measure of perceived stress. Scores on this scale can range from 0-40, with higher scores indicative of higher levels of stress
Change in Depression measured on the Hospital Anxiety and Depression Scale (HADS)
时间窗: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
Hospital Anxiety and Depression Scale is a 14-item reliable and valid measure of anxiety and depression. 7 of the 14 items measure severity of depression (HADS-D). Scores on this sub scale can range from 0-21. HADS-D subscale scores of 0-7 are considered normal, whilst scores of 11 or more are classified as moderate to severe
Change in Wellbeing measured on the Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
时间窗: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
The Warwick-Edinburgh Mental Well-being Scale is a 14 item, reliable and valid measure of mental wellbeing. Scores on this scale can range from 14-70. Lower Warwick-Edinburgh Mental Well-being Scale scores are indicative of poorer mental wellbeing
Change in Burnout measured on the Maslach Burnout Inventory (MBI)
时间窗: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
The Maslach Burnout Inventory is a 22-item, reliable and valid measure of work-related burnout. The scale comprises 3 sub scales: burnout, depersonalisation, and personal achievement. The burnout subscale was used in this study. Scores on this sub scale can range from 0-42. Scores of ≤17 on this subscale are indicative of low-level burnout; scores of 18-29 indicate moderate burnout; scores ≥30 indicate high level burnout.
Change in Anxiety measured on the Hospital Anxiety and Depression Scale (HADS-A)
时间窗: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
Hospital Anxiety and Depression Scale is a 14-item, reliable and valid measure of anxiety and depression. 7 of the 14 items measure severity of anxiety (HADS-A). Scores on this sub scale can range from 0-21. HADS-A subscale scores of 0-7 are considered normal, whilst scores of 11 or more are classified as moderate to severe
次要结局
- Change in Mindfulness measured by on the Southampton Mindfulness Questionnaire (SMQ)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Worry measured on the Penn State Worry Questionnaire (PSWQ)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Attention Regulation (Decentering) measured on the Experiences Questionnaire - Decentring (EQ-D)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Acceptance measured on the The Philadelphia Mindfulness - Acceptance Subscale (PHLMS-A)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Self-compassion measured by on the Self-Compassion Scale (SCS)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Non-attachment measured by the Southampton Mindfulness Questionnaire Non Attachment subscale (SMQ-LG)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Aversion measured by the Southampton Mindfulness Questionnaire Aversion subscale (SMQ-Av)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
- Change in Rumination measured on the Rumination Reflection Questionnaire Rumination subscale (RRQ-R)(Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20))
研究者
Karen McGuigan
Dr
Queen's University, Belfast