The Effect of Mindfulness-Based Compassionate Living Training Given to Caregivers of Inpatients in Palliative Clinic
Condition: Informal Caregiver
Study type: Interventional

Summary: 
      In this study, it was aimed to determine the effect of "Mindfulness-Based Compassionate Life
      Training" given to the relatives of patients in the palliative care clinic on burnout and
      care burden. According to the experimental design with pretest and posttest control groups,
      participants selected from the universe were assigned to the experimental and control groups
      in an unbiased manner.

      In this study, a priori power analysis was performed to determine the sample size, and
      Cohen's standard effect sizes were taken as reference. It was determined that the effects of
      "Mindfulness-Based Compassionate Life Training" on burnout and care burden in the relatives
      of the patients in the palliative care clinic would be compared for the independent groups,
      and it was determined that 80% power would be obtained at the 0.05 significance level at the
      95% confidence interval. Considering the data losses and including a 30% backup sample, the
      research was started with a total of 68 participants. Participants included in the study were
      numbered from 1 to 68, and 34 experimental and 34 control groups were created at
      www.random.org. During the application process, 8 people from the experimental group and 6
      people from the control group were separated. The research continues with 26 experimental and
      28 control groups. Pre-test data were collected before the participants in the experimental
      group and control group were applied. Participants in the experimental group are given 8
      sessions of Mindfulness-Based Compassionate Life training. The trainings are carried out face
      to face in the busy room of the palliative care clinic. Each session is held between 3 days
      and 7 days for its effectiveness and continuity. One week after the Awareness-Based
      Compassionate Life training (after 8 sessions are completed), the relatives of the patients
      hospitalized in the palliative care clinic will be filled with a face-to-face interview with
      the "Maslach Burnout Scale, Caregiver Burden Scale, Self-Compassion Scale Short Form"
      posttest. Post-test data will be taken simultaneously from the experimental and control
      groups.
    

Detailed description: 
      Research data will be collected face to face by the researcher. The study continues with
      caregivers of patients in 54 palliative clinics who meet the inclusion criteria (being a
      caregiver of the patient in the palliative clinic, being willing to participate in the
      research, being open to communication and cooperation). The descriptive characteristics form
      consisting of 10 questions, "Maslach burnout scale (BBL), Caregiver Burden Scale,
      Self-Compassion Scale Short Form" was used to collect data. The pre-test data of the research
      data have been collected and the training process continues. One week after the end of the
      training, post-test data will be collected simultaneously from the experimental and control
      groups. The research continues with 54 participants, 26 in the experimental group and 28 in
      the control group.
    

Intervention name(s): Session 1: How We Evolved - Threat, Impulse, and Soothing Systems; Session 2: Threat and Self-Compassion; Session 3: Unraveling the Knots of Desire and Patterns; Session 4: Internalizing compassion; Session 5: Me and others - Expanding the circle; Session 6: Growing happiness; Session 7: Weaving Wisdom and Compassion into Daily Life; Session 8: Living with the Heart
Intervention type(s): Other; Other; Other; Other; Other; Other; Other; Other
Intervention description(s): The practice of "Breath break with kindness" will be applied for 5 minutes. Afterwards, 15 minutes of information on threats, impulses and soothing systems, "A safe place" application for 11 minutes, "Courtesy meditation" for 10 minutes. After each application, 10 minutes of feedback will be received from the participants.; The practice of "breathing with kindness" will be done for 7 minutes. The practice of "Building a compassionate relationship with resilience" will be held for 12 minutes, and the practice of "Kindness meditation: a benevolent" will take place for 11 minutes. "A hand over your heart" application will be made for 3 minutes and "A compassionate comrade" application will be done for 10 minutes. After each application, 3 minutes of feedback will be received from the participants.; The practice of "breathing with kindness" will be done for 7 minutes. "Building a compassionate relationship with desire" 12 minutes, "Guided meditation to discover the inner pattern" 10 minutes and "Courtesy meditation: a good friend" 11 minutes. Except for the "breath break with kindness" application, 3 minutes of feedback will be received from the participants after each application; The "pretend-to-be" practice for the participants to observe themselves will be made for 10 minutes. The practice of "internalizing compassion" will be done for 7 minutes, "kindness meditation: a neutral person" practice for 10 minutes, and "kindness towards your body" for 10 minutes. After each application, 3 minutes of feedback will be received from the participants.; The "a compassionate letter" practice with the participants will continue for 15 minutes. "meditation: the 'difficult' person" 8 minutes, "compassion and breathing: yourself" 10 minutes and "compassionate breathing: others" 7 minutes. A "compassionate break" application is performed for 7 minutes.; The practice of "Revisiting the good" is carried out for 10 minutes with the participants. "Forgive yourself", "wish for forgiveness", "forgive others", "gratitude" practices will be held for 5 minutes each and will take 20 minutes in total. "Courtesy meditation: groups and all beings" will be practiced for 10 minutes. After each application, 3 minutes of feedback will be received from the participants.; Participants will be given 10 minutes to choose a day in their life and allow a few minutes to pause mindfully. The practice of "a breather for wise and compassionate action" is 10 minutes, the practice of "calmness meditation" is 8 minutes, and the practice of "sharing the joy meditation" is 8 minutes. After each application, 3 minutes of feedback will be received from the participants.; The participants are told about the applications they can apply for, where they need help to develop compassion towards self-healing skills, and the entire training will be evaluated for 20 minutes. The "river of life" application is carried out for 20 minutes. 10 minutes of feedback will be received after the application.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Caregiving burden; Mindfulness; Palliative care; Informal Caregiver; Burnout