Mindfulness Based Resilience Training

Study Overview
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Brief Summary
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The investigators aim to evaluate the Mindfulness Based Resilience Training (MBRT) intervention for Mayo Clinic employees in order to provide evidence for improved ability to cope with stress and decreased work-related burnout and stress-related symptoms as a result of MBRT training. In addition, the investigators aim to compare the effects of MBRT + smartphone sleep feedback, a smartphone resilience intervention + smartphone sleep feedback, or waitlist control +smartphone sleep feedback in a randomized clinical trial in a sample of 75 Mayo Clinic employees.

Detailed Description
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The investigators aim to compare the effects of MBRT + smartphone sleep feedback, a smartphone resilience intervention + smartphone sleep feedback, or waitlist control +smartphone sleep feedback in a randomized clinical trial in a sample of 75 Mayo Clinic employees. Specific self-report outcomes include: well-being, stress, anxiety, depression, fatigue, resilience, self-compassion, and burn-out, assessed at pre-, post- and 3-month followup. Objective outcomes, derived from smartphone-driven self-monitoring, include sleep quality and emotional experiencing, assessed throughout the six-week intervention period. The investigators will explore whether changes in objectively measured sleep quality and emotional experiencing will mediate treatment effects on self-report outcomes. The investigators will also explore whether treatment effects are more robust in self-selected versus randomized groups by drawing on the investigators' existing data.

Official Title
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Mindfulness Based Resilience Training for Employees at Mayo Clinic

Conditions
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Stress, Psychological

Intervention / Treatment
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* Behavioral: MBRT ClassRoom and Phone Application
* Behavioral: Phone application only
* Behavioral: Questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion: Stress subscale of the DASS-21 needs to be a score 5 or greater and Must have a smart Phone, and Ability to attend at least 5 complete sessions. Exclusion : Stress subscale of the DASS-21 less than 5. Must have a smart Phone.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: MBRT ClassRoom and Phone Application<br>MBRT ClassRoom and Phone Application | Behavioral: MBRT ClassRoom and Phone Application<br>* 2 hours/week for 6 week, in classroom intervention involving mindfulness based resilience training.focused on mindfulness and self-compassion training, including body awareness, breath awareness, mindful movement, awareness of thoughts, and awareness of emotion. Core concepts included: normalizing experience of stress and changing one's relationship with an experience; learning to be a compassionate observer of self in order to appreciate the moment; recognizing undue efforts to control something that has already happened; shifting attention to felt body sense and away from the narrative; and redirecting attention to a value as a way of evoking positive states that enhance the present moment experience. Participants also use the smartphone to track their sleep and subjective well-being.<br>|
| Active Comparator: Phone application only<br>Phone application only | Behavioral: Phone application only<br>* Participants will track their sleep and subjective well-being and also choose one of the following weekly challenges, which is completed via smartphone interactions: Joys of Life Count your blessings Think differenc, feel better Exercising --> Happier + Exercising --> Sleep Pre-Sleep routine Eat that frog Mindful Meditation<br>|
| Active Comparator: Questionnaires<br>Questionnaires | Behavioral: Questionnaires<br>* At baseline, immediately after the last MBRT session (6 weeks) and again at 3 and 6 months, all participants will complete questionnaires, including: 1) WHO-5 Well-Being Index; 2) DASS-21; 3) VAS-Fatigue; 4) MBI-Human Services version; 5) Self-Compassion Scale; 6) Connor-Davidson 2-item resilience scale; 7) Compassion to others scale.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in scores using the DASS-21(Depression Anxiety and Stress Scales) questionnaire |  | Baseline to 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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well-being, stress, resilience, self-compassion