Influence of Meditation on Stress and Rumination Following Objective Structured Clinical Examination (OSCE)

Study Overview
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Brief Summary
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Stress and rumination are linked with the development of many mental disorders. The ECOSTRESS study has shown that poor OSCE performance has a positive effect on the occurence of state-rumination among 4th year medicine students in the context of mock exams. The goal of IMSR study is to assess the effectiveness of a post-OSCE meditation intervention to decrease psychological stress and rumination.

Detailed Description
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This randomized, controlled and monocentric study will be conducted during the OSCE tests contributing towards the final exam grades for 4th year medicine students at the Claude Bernard Lyon 1 university. Before the test (OSCE), all the students will receive information about the study and formalize their consent. The students' OSCE performance will be evaluated by an independent examiner as part of the students' exams. Upon finishing the OSCE, the students will be divided into two groups: one subjected to post-OSCE meditation and the other one subjected to a control intervention (neutral content video). Before both interventions, all the students will be submitted to short questionnaires regarding their feelings. During the 6-min intervention they will be get equipped with an ear pulse sensor. Following both interventions, all the students will be submitted to short questionnaires regarding their stress and rumination levels. The main objective is to assess the effectiveness of meditation intervention to diminish post-OSCE rumination level. The second objective is to have a deeper understanding of the cause of rumination following the OSCE..

Official Title
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Influence of Meditation on Stress and Rumination Following Objective Structured Clinical Examination (OSCE)

Conditions
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Stress, Psychological, Stress, Physiological, Rumination, Exam Stress

Intervention / Treatment
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* Other: Meditation
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult person Registered as medical student at the university Participating at OSCE examination Have signed an informed consent form. Exclusion Criteria: None

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 2 parallels groups
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Meditation Post-OSCE<br>One half of the students will watch a 6 minutes auto-guided video of meditation, just after the OSCE. | Other: Meditation<br>* After the circuit, a 6 minutes long meditation auto-guided video.<br>|
| Sham Comparator: Control<br>One half of the students will watch a 6 minutes control video, just after the OSCE | Other: Control<br>* After the circuit, a 6 minutes long emotionally neutral video.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in rumination | BSRI - Brief State Rumination Inventory, assessing state-rumination | Between before and after the intervention measured just 2 minutes before and 2 minutes after interventions (during one hour after inclusion) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physiological stress | Heart rate variability collected by emWave® devices | During the 6 minutes long intervention (during one hour after inclusion) | 
| Change in psychological stress level | Chraracterisation of the impact of meditation on numerical Visual analog scales (VAS) on perceived stress from zero to maximum: 100mm | Between before and after the intervention measured just 2 minutes before and 2 minutes after interventions (during one hour after inclusion) | 
| Change in characterisation of stress | Chraracterisation of the impact of meditation on numerical VAS on characterisation of stress perceived from 0mm (negative stress) to 100mm (positive stress) | Between before and after the intervention measured just 2 minutes before and 2 minutes after interventions (during one hour after inclusion) | 
| Change in self confidence | Chraracterisation of the impact of meditation on numerical VAS on self confidence perceived from zero to maximum : 100mm | Between before and after the intervention measured just 2 minutes before and 2 minutes after interventions (during one hour after inclusion) | 
| Rumination | Momentary Ruminative Self-focused Inventory (MRSI), 4 items long questionnaire assessing state-rumination. The goal of this outcome is to confront the french version of the MRSI (validated and published), and the newly translated BMRSI (B momentary ruminative self-focus inventory). | One time : After intervention (during one hour after inclusion) | 
| Feelings about the intervention | Chraracterisation of the impact of meditation on a 5 items Likert Scale (from 0: Not at all, to maximum: very high intensity) assessing feelings about the intervention: Pleasure, Interest, Enthusiasm, Boredom, Frustration, Discouragement, Fun | One time : After intervention (during one hour after inclusion) | 
| Change in Activation-Deactivation Adjective Check List (Thayer) | Chraracterisation of the impact of meditation on activation-deactivation among students. The AD-ACL is a multidimensional test of various transitory arousal states, including energetic and tense arousal. Within the wider dimensions of energetic and tense arousal are four sub-scales-Energy (General Activation), Tiredness (Deactivation-Sleep), Tension (High Activation), and Calmness (General Deactivation), from 5 to maximum: 20 points for each dimension. | Between before and after the intervention measured just 2 minutes before and 2 minutes after interventions (during one hour after inclusion) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stress, Performance and ruminations, Coping, Rumination, Meditation, Exam, health-student