The Effect of Mindfulness Compassionate Living Training on Ruminative Thinking and Sleep Quality in Informal Caregivers of Inpatients in Palliative Clinic: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ataturk University
- Enrollment
- 59
- Locations
- 1
- Primary Endpoint
- Introductory Information Form
Study Overview
Brief Summary
This study was planned to evaluate the effects of Mindfulness Compassionate Living training on ruminative thinking and sleep quality in informal caregivers of patients in a palliative clinic in Turkey. The data of the study will be conducted between November 2024 and April 2025 in the Palliative Clinic of Atatürk University Health Research and Application Center located in the city center of Erzurum. The universe of the study will consist of individuals between the ages of 18 and 45 who are caregivers of patients in the palliative clinic during the specified date range. The sample size of the study was calculated using the GPower computer program. In the calculation made with the power analysis at α=0.05 level, the effect size was 150, 153 (d=0.8) and the power of the study was 90%, it was calculated that at least 68 patients should be included in the sample. Patients who meet the research criteria and agree to participate in the study will be randomly assigned to one experimental and one control group.An introductory information form prepared by the researcher in line with the literature, containing the socio-demographic data of patients and their caregivers in the palliative clinic, the Ruminative Thinking Style Scale to assess the general thought tendency of individuals, the Level 2 Sleep Disorder Adult Short Form (PROMIS) to assess sleep quality, the Self-Compassion Scale Short Form (SCI-S) to assess self-compassion, and the Mindful Awareness Scale (MMIS) to assess conscious awareness will be used.
Detailed Description
Research data will be collected face to face by the researcher. The study will be conducted with informal caregivers who meet the inclusion criteria (being a caregiver of the patient in a palliative clinic, being willing to participate in the research, being open to communication and cooperation). Pre-test measurement tools will be applied to the informal caregivers participating in the study. Then, Mindfulness Compassionate Living Training will be applied. Eight After the session application process, the final test data will be applied.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Being a caregiver of a patient in a palliative clinic,
- •Being between the ages of 18 and 45,
- •Being willing to participate in the study
- •Being open to communication and cooperation
Exclusion Criteria
- •Having a psychiatric problem in the caregiver of a patient in a palliative clinic.
- •Not being open to communication and cooperation,
Arms & Interventions
Session 1: How We Evolved - Threat, Impulse, and Soothing Systems
- A "breath break with kindness" is practiced.
- Encourage them to think about how threat, impulse and sedative systems have developed in their own lives.
- A "safe place" application is made.
- "Courtesy meditation" is done.
Intervention: Session 1: How We Evolved - Threat, Impulse, and Soothing Systems (Behavioral)
Session 2: Threat and Self-Compassion
- A "breath break with kindness" is practiced.
- "Building a compassionate relationship with resilience" and "kindness meditation: a benevolent" practices are made.
- "A hand on your heart" and "a compassionate comrade" practices are made.
Intervention: Session 2: Threat and Self-Compassion (Behavioral)
Session 3: Unraveling the Knots of Desire and Patterns Agenda
- Talk about homework.
- A "breath break with kindness" is practiced.
- "Establishing a compassionate relationship with desire", "guided meditation to discover the inner pattern", "courtesy meditation: a good friend" practices are made.
Intervention: Session 3: Unraveling the Knots of Desire and Patterns (Behavioral)
Session 4: Internalizing compassion
- "Pretend-to-pretend" practice is made for participants to observe themselves.
- In addition to the previous practices, the practice of "internalizing compassion" is made in order to increase their expanded mindfulness.
- Courtesy meditation: a neutral person", "kindness towards your body", which is based on mindfulness practices and increases body awareness and mindful movement, is carried out.
During the day, they will be informed that they should do the "walking with kindness" practice on their own.
Intervention: Session 4: Internalizing compassion (Behavioral)
Session 5: Me and others - Expanding the circle
- A "compassionate letter" application is made by asking participants to think about a situation they encountered recently or some time ago and is still causing distress. It is explained that they can gain insight with this application.
- "Courtesy meditation: the 'difficult' person", "compassion and breathing: yourself" and "compassionate breathing: others" practices are made
Intervention: Session 5: Me and others - Expanding the circle (Behavioral)
Session 6: Growing happiness
- "Revisiting the good" practice is carried out to define the five sense organs for the participants.
- "Forgiveness", "Asking for forgiveness", "forgiving others", "gratitude" practices are carried out.
- The practice is expanded as "kindness meditation: groups and all beings".
Intervention: Session 6: Growing happiness (Behavioral)
Session 7: Weaving Wisdom and Compassion into Daily Life
- Participants are made to choose a day in their life and allow a few minutes to pause in a mindful way.
- "A breather for wise and compassionate action", "calmness meditation" and "joy sharing meditation" practices are carried out.
Intervention: Session 7: Weaving Wisdom and Compassion into Daily Life (Behavioral)
Session 8: Living with the Heart
- The participants are told about the applications that they can apply for, where they need help to develop compassion towards self-healing skills, and the whole training is evaluated.
- The "river of life" application, which evaluates mindfulness in depth, is carried out.
- An overall summary of the 8-session study is made and feedback is received.
Intervention: Session 8: Living with the Heart (Behavioral)
Outcomes
Primary Outcomes
Introductory Information Form
Time Frame: up to 1 day
The form consists of 16 questions prepared by the researcher within the scope of the literature, including information about the patient and caregiver in the palliative clinic. The created form includes questions covering the caregiver's age, gender, place of residence, education status, social security, marital status, profession and the process in which he/she provided care to the patient.
Secondary Outcomes
- Ruminative Thinking Style Scale(up to 1 day)
Investigators
Mine CENGİZ
Lecturer Physician
Ataturk University