Mindfulness-Based Health Promotion Program for Educators (MBHP - Educa).
- Conditions
- Burnout SyndromeCognitive ImpairmentStress
- Interventions
- Other: MBHP-Educa
- Registration Number
- NCT03839030
- Lead Sponsor
- Marcelo Demarzo, MD, PhD
- Brief Summary
In the last few decades, the world has seen a significant increase in the occurrence of occupational diseases related to Burnout Syndrome (professional exhaustion) and stress in educators. These disorders affect mental health and teaching activity. In this way, they need to develop socio-emotional skills to cope with the psychosocial stressors related to the school environment. Currently, mindfulness-based therapies have been recommended to help educators acquire emotional self-control, and to improve self-esteem, metacognition, attention, resilience and affectivity, in addition to better the social skills needed in the school milieu. The main objective of the proposed research project is to elaborate a program of Mindfulness-Based Health Promotion - educators (MBHP - educa) to be applied to a population of Brazilian public school educators. The efficacy of the program will be evaluated by cognitive testing. Blood tests for the above-mentioned stress-related molecules will be performed. The goal of developing the MBHP - educa Program is to promote and ameliorate the health care of public school teachers. Developing such a research proposal will contribute to debate and implement public health policies focussed on promoting the health of public school teachers in Brazil.
- Detailed Description
In the last few decades, the world has seen a significant increase in the occurrence of occupational diseases related to Burnout Syndrome (professional exhaustion) and stress in educators. These disorders affect mental health and teaching activity. In this way, they need to develop socio-emotional skills to cope with the psychosocial stressors related to the school environment. Currently, mindfulness-based therapies have been recommended to help educators acquire emotional self-control, and to improve self-esteem, metacognition, attention, resilience and affectivity, in addition to better the social skills needed in the school milieu. A few published studies indicate that mindfulness practices also reduce some inflammation- and stress- related molecules such as cortisol, receptor-interacting serine/threonine kinase 2 (RIPK2), cyclooxygenase 2 (COX2), interleukin 6 (IL-6), tumor necrosis factor-α (TNF-α) and epigenetic-regulation related histone deacetilases (HDAC). These indicator molecules can be measured in blood. The World Health Organisation (WHO-2013) recommends the worldwide implementation of strategies for the promotion of mental health, which are particularly aimed at preventing occupational diseases. The main objective of the proposed research project is to elaborate a program of Mindfulness-Based Health Promotion - educators (MBHP - educa) to be applied to a population of Brazilian public school educators. The efficacy of the program will be evaluated by cognitive testing. Blood tests for the above-mentioned stress-related molecules will be performed. The goal of developing the MBHP - educa Program is to promote and ameliorate the health care of public school teachers. Developing such a research proposal will contribute to debate and implement public health policies focussed on promoting the health of public school teachers in Brazil.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 146
1)Brazilian male or female aged between 23 and 65 years and (2) currently working in the classroom
(1) the presence of medical conditions or medications use that might affect inflammatory pathways; (2) report of an infectious condition in the last 15 days before collecting a blood sample; (3) active psychiatric and/or clinical comorbidities potentially life-threatening such as psychosis or suicidal ideation; and (4) had previously practiced or currently practicing meditation, yoga or Tai-Chi
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description MBHP-Educa MBHP-Educa Experimental: Intervention Group A novel Mindfulness-based Health Promotion program for Educators for active teachers will be employed. The intervention will be held once a week for 8-weeks, two-hour meetings (16.0-h total). Participants will be encouraged to meditate for 10-30 min/day via audio recording.
- Primary Outcome Measures
Name Time Method Morningness-eveningness questionnaire - sum *Range 16 to 86 *higher scorer - more morningness type Pre-test, Post-test and follow-up (12 months) To evaluate person's circadian rhythm (biological clock) (sum of all responses)
World Health Organization Quality of Life-BREF (WHOQOL-BREF) Pre-test, Post-test and follow-up (12 months) To evaluate quality of life through five subscales:
physical domain - mean of responses psychological domain - mean of responses relationships domain - mean of responses environment domain - mean of responses quality of life and perception of life - mean of responses
\*each question response range one to five points Higher scores - Better Quality of LifePittsburgh Sleep Quality Index Pre-test, Post-test and follow-up (12 months) To evaluate the Sleep Quality - sum of responses score
\*each questions have a specific conversion to range zero to six
Higher scores - better sleep quality
- Secondary Outcome Measures
Name Time Method Glutathione metabolism from blood samples Pre-test, Post-test and follow-up (12 months) GSH plasma levels, Cysteine and homocisteine serum levels
Connor-Davidson Resilience Rating Scale Pre-test, Post-test and follow-up (12 months) The CD-RISC is a 25-item measure of resilience.
Perceived Stress Scale (PSS-10) Pre-test, Post-test and follow-up (12 months) to evaluate the level of subjectively noticed stress, composed of 10 items
Determination of cytokine levels in serum samples. Pre-test, Post-test and follow-up (12 months) To evaluate the interleukin-8 (IL-8), interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor (TNF) e interleukin-12p70 (IL-12p70)
\*Concentration in micromol per liter. (mean and standard deviation, median and quartile per groups)Positive and Negative Affect Schedule (PANAS) Pre-test, Post-test and follow-up (12 months) To evaluate positive and negative Affect through two subscales:
positive affect - sum negative affect - sum
* each question range one to five
* higher score - more frequent
Trial Locations
- Locations (1)
Centro Mente Aberta de Mindfulness e Promoção de Saúde
🇧🇷São Paulo, SP, Brazil