Efficacy of a Mindfulness Program to Reduce Stress and Burnout in Professionals of Medicine and Nursing (MINDUUDD)
- Conditions
- StressBurnout Syndrome
- Interventions
- Behavioral: Mindfulness and Mindful Self-Compassion
- Registration Number
- NCT03629457
- Lead Sponsor
- Luis A Perula
- Brief Summary
The objective is to check whether a training program in mindfulness and self-pity based on a 4-session intervention (abbreviated program) is as effective as the standard 8-session MBSR program in reducing work stress and burnout in tutors and residents of Medicine and Family and Community Nursing.
It is a controlled clinical trial, randomized by cluster, of three parallel arms, multicentric. Six teaching units (ratio 1: 1: 1) will be randomized to one of the three study groups: 1) Experimental Group-8 (EG8); 2) Experimental Group-4 (EG4); 3) Control group (CG).
At least 132 subjects will participate, 44 in the EG8, 44 in the EG4 and 44 in the CG.
The interventions will be based on the MBSR (Mindfulness Based Stress Reduction) program, to which some of the practices of the MSC (Mindful Self-Compassion) program will be added.
The EG8 intervention will be carried out during 8 weekly sessions of 2.5 hours, while the EG4 intervention will be of 4 sessions of 2.5 hours. The participants will have to practice at home for 30 minutes / day in the EG8 and 15 minutes / day in the EG4.
In the 3 groups the questionnaires FFMQ (mindfulness), SCS (self-pity), ordinal scale (0-10) and questionnaire PSQ (perceived stress) and MBI (burnout) will be passed. Empathy will also be measured, through the EEMJ, anxiety and depression disorders (EADG) and self-perceived health status.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 132
- Health professionals (doctors and nurses tutors and residents) assigned to 6 teaching units of family and community care, which are active.
- That you have previously done a training course or workshop in mindfulness of at least 4 weeks.
- That during the field work they are in a situation of prolonged or long-term sick leave.
- Have mental disorders that discourage the intervention.
- That they do not give their informed consent to participate
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group 8s (mindfulness) Mindfulness and Mindful Self-Compassion Program of 8 weeks: The format will be 8 weekly sessions of 2 hours. Participants must practice at home for 30 minutes a day Intervention group 4s (mindfulness) Mindfulness and Mindful Self-Compassion Abbreviated program of 4 weeks: will consist of 4 weekly sessions of 2 hours. Participants must practice at home for 15 minutes a day
- Primary Outcome Measures
Name Time Method Degree of burnout Change from baseline at 4 weeks (EG4) or 8 weeks (EG8 or CG) Maslach Burnout Inventory-General Survey (MBI). Spanish version of the MBI-HSS25. It consists of 22 scoring items from 0 to 6 that measure the three dimensions of the syndrome: emotional fatigue (CE), 9 items and a maximum score of 54 points; depersonalization (DP), 5 items and maximum score of 30 points; personal fulfillment (RP), 8 items and maximum score of 48 points. The cut points used were: emotional fatigue under \<19, moderate 19-26, high\> 26. Depersonalization under \<6, moderate 6-9, high\> 9. Personal performance under\> 39, moderate 39-34, high \<34 .
Degree of occupational stress Change from baseline at 4 weeks (EG4) or 8 weeks (EG8 or CG) PSQ questionnaire (Perceived Stress Questionnaire). It consists of 30 items that can be scored using a Likert scale (1 to 4). Higher total values indicate more stress.
Degree of Self-Compassion Change from baseline at 4 weeks (EG4) or 8 weeks (EG8 or CG) Self-compassion questionnaire. The short scale of the Spanish version, validated by García-Campayo et al, will be used, with 12 items scored using a Likert scale (1 to 5) that measures how the subject usually acts towards himself in difficult moments. It consists of six subscales: self-friendliness, common humanity, mindfulness, and their opposites: self-judgment, isolation and over-identification. Higher total values indicate more self-pity.
- Secondary Outcome Measures
Name Time Method Degree of empathy Change from baseline at 4 weeks (EG4) or 8 weeks (EG8 or CG) Jefferson Medical Empathy Scale (EEMJ), HP version. Defines empathy based on three factors: "perspective taking", "compassionate care" and the ability to "put yourself in the patient's shoes". It has a minimum score of 20, maximum of 140 and does not establish a cut-off point, it contains 20 Likert-type items on a 7-point scale. There are 10 items written in the positive sense and 10 in the negative sense.
Trial Locations
- Locations (1)
Family Medicine Teaching Unit and Community
🇪🇸Córdoba, Spain