Promoting Mental Health At Work Among Hospital Professionals

Not Applicable

Active, not recruiting

• Conditions: Mental Health Issue
• Interventions: Other: Information session on mindfulness meditation and questionnaires; Device: Mindfulness meditation experimentation, practice program, questionnaires, individual interview and focus group

• Registration Number: NCT06331065
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

Mental health is a state of well-being in which a person can realize his/her potential, cope with the normal stresses of life, work productively and contribute to his/her community. It refers to a continuum that extends from the promotion of well-being and the prevention of mental disorders to the treatment and rehabilitation of people suffering from these disorders.

Healthcare professionals face major mental health challenges, due to the demands of their profession, which is characterized by heavy workloads and confrontation with human distress. The frequency of mental health problems among hospital staff is high, at all stages (malaise, distress, pathologies). A meta-analysis found that caregivers suffer from around 30% anxiety, 30% depression, 30% psychotrauma and 45% sleep disorders.

According to the French Labor Code, employers are responsible for the physical and mental health of their employees. The Hospices Civils de Lyon establishment project includes a section on the prevention of psycho-social risks, quality of working life and management.

Healthcare professionals, like the general population, have high expectations of non-medication treatments. These non-medication interventions aim to prevent, treat, or cure a health problem. They are non-invasive and non-pharmacological, with certain observable impacts supported by scientific evidence.

Mindfulness meditation is one of the most extensively studied non-medication interventions in mental health. Declined in different modalities, its effects focus on improving resilience with efficacy on physical and mental well-being (stress, anxiety, burnout, affect), and their physiological corollary (cardiac and respiratory rhythms), acceptance of reality in stressful situations, reduced interpersonal conflict in emergencies and, more broadly, impact on relational behaviours (anti- and pro-social), teamwork. Managers also benefit, with a strengthening of the aspiration to lead, in a vision fully at the disposal of others.

Mindfulness meditation appears to be a practice that promotes mental well-being and could contribute to fulfilment at work.

The challenge is to offer a mindfulness meditation program in a hospital department for individual and collective benefit.

The main objective is to evaluate the evolution of psychological fulfilment in the workplace of hospital healthcare professionals in a 5-month meditation program between the baseline and the end of the program, in comparison with the evolution over the same period of a control group.

The expected outcome is to show that it is possible to implement a mindfulness meditation intervention for hospital staff in care departments, whatever their status or profession, with individual and collective benefits for mental health, psycho-social risks (stress, violence, etc.) and work organization. If it proves to be effective and acceptable, this intervention could be offered more widely within the institution and beyond.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-02-21
• Study First Submitted QC: 2024-03-21
• Study First Posted: 2024-03-26
• Study Start: 2024-05-30
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-28
• Last Update Posted: 2025-03-03
• Primary Completion: 2025-08-30
• Study Completion: 2025-08-30

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• Being a Hospices Civils de Lyon professional working in a department participating in the project
• Being of legal age
• Having given written consent including voice recording for focus groups and semi-structured interviews

Exclusion Criteria

• Self-reported neuro-psychiatric pathology with current severe clinical instability
• Adults under legal protection (guardianship, curators)
• Persons not affiliated to a social security scheme or beneficiaries of a similar scheme
• Persons unable to understand or write in French
• Pregnant and nursing mothers

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group without mindfulness meditation practice	Information session on mindfulness meditation and questionnaires	Group informed about mindfulness meditation and without experimentation of mindfulness meditation practice (control group).
Mindfulness meditation practice group	Information session on mindfulness meditation and questionnaires	Group informed about mindfulness meditation and experimenting with an adapted program based on mindfulness meditation (intervention group).
Mindfulness meditation practice group	Mindfulness meditation experimentation, practice program, questionnaires, individual interview and focus group	Group informed about mindfulness meditation and experimenting with an adapted program based on mindfulness meditation (intervention group).

Primary Outcome Measures

Name	Time	Method
Psychological fulfilment at work	Baseline: before the intervention and immediately after the intervention	Self-reported psychological fulfilment at work questionnaire for the intervention and control groups.; 13-item questionnaire validated in French. Each item is scored 1-7 (1 = strong disagreement; 7 = strongly agree), yielding a total between 13 and 91 (a high score indicating a high level of psychological fulfillment at work).

Secondary Outcome Measures

Name	Time	Method
Mindful state	Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention	Intervention's impact on the mindful state measured by the Five Facet Mindfulness Questionnaire (15 items) (FFMQ-15).; Each item is scored on a 5-point Likert scale (1 = never or very rarely true; 2 = rarely true; 3 = sometimes true; 4 = often true; 5 = very often or always true).; Higher scores mean a more mindful state.
Occupational stress	Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention	Intervention's impact on occupational stress measured by the Job content questionnaire (26 items) Each item is scored from 1 to 4 on a 4-point Likert scale (1 = strongly disagree; 2 = disagree; 3 = agree; 4 = strongly agree).; The higher the scores, the higher the levels of occupational stress.
The representation of mindfulness meditation among professionals	up to 12 months	Description of the representation of mindfulness meditation measured from verbatim from observation reports.
Fidelity and adherence to the mindfulness meditation intervention	At study completion, an average of 15 months	Assessing the duration of the sessions
Psychological fulfilment at work	3 months immediately after the end of the intervention	Self-reported psychological fulfilment at work questionnaire for the intervention and control groups.; 13-item questionnaire validated in French. Each item is scored 1-7 (1 = strong disagreement; 7 = strongly agree), yielding a total between 13 and 91 (a high score indicating a high level of psychological fulfillment at work).
Aggressiveness	Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention	Intervention's impact on aggressiveness measured by the 12-item Aggression Questionnaire (AQ12).; Each item is scored from 1 to 6 (1 = not me at all; 6 = quite me). Higher scores mean a higher level of aggressiveness.
Barriers and facilitators to the implementation	At study completion, an average of 15 months	Assessing barriers and facilitators to the implementation through verbatim from semi-structured interviews.
Mechanisms of the intervention effects	At study completion, an average of 15 months	Qualitative exploration and description of intervention effects and the mechanisms by which they are produced.; It is based on a triangulation of three complementary methods: 3- semi-structured individual interviews.
Impulsivity, experience of being disturbed by conflict, and psychological safety.	Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention	Intervention's impact on impulsivity, experience of being disturbed by conflict, patient support, and psychological safety measured by a visual analog scale (VAS).; The VAS ranges from "not at all" (0) to "completely" (10). Higher scores mean a greater impulsivity, a greater experience of being disturbed by conflict and a greater psychological safety.
Collective activity	Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention	Intervention's impact on collective activity ameasured with 4 items by self-assessment using a visual analog scale (VAS).; Each item is scored from 0 to 10 (0 = strongly disagree; 10 = strongly agree). A higher score indicating greater collective activity.
Evolution of participants' representation of mindfulness meditation	Before and after the information session on mindfulness meditation, immediately after the first experimental session, immediately after the program and 3 months after the program	The evolution of participants' representation of mindfulness meditation is measured by Devilly and Borkovec's adapted credibility and expectations questionnaire (6 items).; Items 1 (I), 2 (I), 3 (I) and 1 (II) are scored from 1 to 9 (1 = not at all consistent /helpful /confident; 9 = very consistent /helpful /confident) and items 4 (I) and 2 (II) are scored from 0% to 100%. An expectancy score is provided by items 4 (I), 1 (II) and 2 (II). A credibility score is provided by items 1 (I), 2 (I), and 3 (I). Higher scores indicate higher levels of expectancy and credibility.
Organizational leeway	Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention	Intervention's impact on organizational leeway measured by a a visual analog scale (VAS).; Item 1 is scored with a 5-point VAS (always; most of the time; sometimes; rarely; never). Item 2 is score with a 4-point VAS (never; sometimes; often; always). Items 3 and 4 are scored from 0 to 5 (0 = strongly disagree; 5 = strongly agree).; A high frequency on item 1, a low frequency on item 2, a low score on item 3 and a high score on item 4 each indicate higher organizational leeway.

Trial Locations

Locations (8)

Department of Anesthesia and Intensive Care, Edouard Herriot Hospital (Hospices Civils de Lyon); 🇫🇷 Lyon, France

Neurology Department, Pierre Wertheimer Hospital (Hospices Civils de Lyon); 🇫🇷 Bron, France

Pediatric Intensive Care Unit - Continuous Monitoring, Femme Mère Enfant Hospital (Hospices Civils de Lyon); 🇫🇷 Bron, France

Department of Geriatrics, Edouard Herriot Hospital (Hospices Civils de Lyon); 🇫🇷 Lyon, France

Neonatology and neonatal intensive care unit, Croix-Rousse Hospital (Hospices Civils de Lyon); 🇫🇷 Lyon, France

Anaesthesia - Intensive Care and Perioperative Medicine Department, Lyon South Hospital (Hospices Civils de Lyon); 🇫🇷 Pierre-Bénite, France

Department of Physical Medicine and Neurological Rehabilitation, Henry Gabrielle Hospital (Hospices Civils de Lyon); 🇫🇷 Saint-Genis Laval, France

Department of Geriatrics, Charpennes Hospital (Hospices Civils de Lyon); 🇫🇷 Villeurbanne, France