A Randomised Controlled Trial of a Mindfulness-based Cognitive Therapy Self-help Intervention for UK National Health Service Employees
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Psychological Stress
- Sponsor
- Canterbury Christ Church University
- Enrollment
- 102
- Locations
- 2
- Primary Endpoint
- Stress
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This study examines whether a mindfulness-based self-help book is effective at reducing healthcare workers' levels of stress and improving their wellbeing.
Detailed Description
This study is a randomised controlled trial (RCT) examining the efficacy of a mindfulness-based cognitive therapy self-help book ('Mindfulness: A practice guide to finding peace in a frantic world') relative to a wait-list control, in healthcare staff. It builds on a previous pilot RCT (http://www.isrctn.com/ISRCTN16486066). A battery of measures will be administered at baseline (week 0), post-intervention (week 9) and follow-up (week 21). This trial is designed to test the following hypotheses. Primary Hypothesis -Mindfulness-based cognitive therapy self-help (MBCT-SH) participants, in comparison to waitlist control participants, will show a reduction in symptoms of stress by the end of MBCT-SH (week 9). Secondary Hypotheses * The improvement detailed in the primary hypothesis will be maintained at a follow-up 12 weeks after the end of the MBCT-SH (week 21). * MBCT-SH participants, in comparison to waitlist control participants, will show improvements in mindfulness, other-compassion, self-compassion, anxiety, depression, burnout and mental well-being by the end of MBCT-SH (week 9), and these improvements will be maintained at a follow-up 12 weeks after the end of the MBCT-SH (week 21). * MBCT-SH participants, in comparison to waitlist control participants, will show a reduction in the number of sickness absence days from the three months preceding the intervention to the three months following the intervention. * Increases in self-compassion and mindfulness from week 0 to week 9, will mediate the effects of MBCT-SH (relative to waitlist control) on levels of stress, depression, anxiety, wellbeing and burnout.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Being currently employed by Sussex Partnership NHS Foundation Trust (in the UK) in a role or roles that involve direct delivery of healthcare.
- •Having at least one day per week of direct contact with UK National Health Service service users.
- •Agreeing to refrain from engaging in another form of psychological therapy during the course of the study.
- •Having self-reported sufficient English language reading ability to read and understand the self-help book
Exclusion Criteria
- •Being currently on leave of absence from work.
- •Having previously received a minimum dose (defined as 50% of a course or more) of a mindfulness-based intervention.
Outcomes
Primary Outcomes
Stress
Time Frame: Post-intervention (i.e. 9-weeks after baseline)
Change from baseline at 9-weeks on the Stress sub-scale of the Depression, Anxiety and Stress Scale-21
Secondary Outcomes
- Depression (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Mindfulness(Post-intervention (i.e. 9-weeks after baseline))
- Stress (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Depression(Post-intervention (i.e. 9-weeks after baseline))
- Anxiety(Post-intervention (i.e. 9-weeks after baseline))
- Compassion for others (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Sickness absence(Follow-up (i.e. 21 weeks after baseline))
- Self-compassion (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Burnout(Post-intervention (i.e. 9-weeks after baseline))
- Mental Wellbeing(Post-intervention (i.e. 9-weeks after baseline))
- Compassion for others(Post-intervention (i.e. 9-weeks after baseline))
- Mindfulness (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Burnout (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Mental Wellbeing (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Anxiety (follow-up)(Follow-up (i.e. 21 weeks after baseline))
- Self-compassion(Post-intervention (i.e. 9-weeks after baseline))