Work Engagement and Well-being Study (SWELL): A Randomised Controlled Feasibility Trial Evaluating the Effects of Mindfulness Versus Light Physical Exercise at Work
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 241
- 试验地点
- 2
- 主要终点
- Work Role Functioning Questionnaire (WRFQ).
研究概览
简要总结
Mindfulness and exercise are both widely used to improve mental health and well-being. Some people find that these activities also improve their ability to focus. This study aims to find out whether mindfulness and light exercise could be similarly effective in improving mental wellbeing and engagement at work. The study further investigates the cognitive processes (e.g., memory and attention skills) that might improve as a result of mindfulness and exercise.
详细描述
Mental illness is a major cause of disability worldwide[1]. Much of the adult population is employed and spends 28% of their waking hours doing paid work[2,3]. The occupational environment is therefore an opportune location for preventative mental health interventions. A growing number of employers provide programmes to improve well-being and work performance.
Mindfulness is typically defined as "the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the unfolding of experience moment by moment". Practising such awareness has been linked to reduction in symptoms of anxiety, depression, and stress in community populations. There is also evidence that mindfulness could improve life satisfaction, overall well-being, and quality of life.
It has also been argued that mindfulness may yield workplace benefits beyond well-being. Mindfulness has been suggested to improve work performance, reduce the negative effects of multitasking, and enhance self-regulation of thoughts, emotions and behaviours. Empirical evidence to support these suggestions, however, is scarce. Furthermore, the mechanisms through which mindfulness impacts work performance are not clear. Understanding mechanisms of change (a) would help to design better, more targeted interventions, (b) would improve our attempts to assess MBPs via selection of more stringent control interventions and (c) may promote a personalised medicine approach by informing understanding of what works for whom and in which context.
Current literature suggests that MBPs could improve work performance through increased mental well-being and/or cognitive control over emotional material. A definitive randomised controlled trial is needed to evaluate these potential mechanisms. However, methodological uncertainties need clarification to inform the design of such a trial. We aim to conduct a feasibility trial to clarify these uncertainties and complete a preliminary investigation of the relationships between mindfulness training, workplace performance and the proposed mechanisms of action: mental well-being and cognitive control.
This feasibility trial will:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcomes assessor will be blind to participant allocation
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
- •Employee at one of the participating organisations
- •Based in the UK
排除标准
- •Is currently on a long-term leave
- •Is currently suffering from severe periods of anxiety, depression or hypomania/mania;
- •Is experiencing other severe mental illnesses;
- •Has had a recent bereavement or major loss;
- •Has already completed a mindfulness course or have meditated more than 10 hours in the past 10 years.
结局指标
主要结局
Work Role Functioning Questionnaire (WRFQ).
时间窗: Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention
All participants will complete the Work Role Functioning Questionnaire's updated version. It is a 25-item measure to capture the perceived difficulties in meeting work demands. Items are rated on a 5-point scale where 0 is difficult all the time and 5 is difficult none of the time. A 6th option allows participants to denote "does not apply for my job". The subscale and total score are summed, with a minimum score 0 and maximum score 100, with higher scores indicating better work functioning. The questionnaire has not been validated in English but is available in English and validations done in Spain, The Netherlands, Norway, and Brazil have shown good Cronbach alphas (0.7-0.9). The primary hypothesis will be evaluated with a time (pre, post) x intervention (mindfulness, light exercise) interaction predicting score on the WRFQ.
次要结局
- General Anxiety Disorder 7-item Scale (GAD-7)(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Probabilistic reverse learning task: learning performance indexed via the proportion of correct responses(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Work and Social Adjustment Scale(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Daily work engagement(Days which participant works during the 4 weeks of intervention. For example, if working full-time and if Monday is Day 1 of intervention then measurements will take place on Day 1...5, Day 8...12, Day 16...20, Day 23...27.)
- Emotional Stop Signal Task: response accuracy (failure or success in inhibiting response)(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Emotional Stop Signal Task: Reaction times (in both, go and stop trials)(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Emotional Stop Signal Task: variability in reaction time throughout the task (ability to overcome errors).(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Probabilistic reverse learning task: accuracy, that is whether the chosen stimulus was the one that was correct.(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Other health problems(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Probabilistic reverse learning task: reaction time(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS)(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- The Perceived Stress Scale(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Patient Health Questionnaire (PHQ-9)(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Decentering(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)
- Mindfulness(Baseline (pre-intervention); 1 week post-intervention (primary outcome measure); 12-week post-intervention)