Comparison of Two Brief Mindfulness Intervention for Stress, Anxiety and Burnout in Mental Health Professionals

Study Overview
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Brief Summary
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The aim of this study is to examine the effectiveness of two mindfulness interventions for stress, anxiety and burnout in mental health professionals. Participants will receive the treatments in reverse order: a brief intervention based on body-centered exercises and another brief intervention based on sitting meditation. It is hypothesized that both interventions will decrease stress and anxiety levels and professional burnout, with mindfulness body-centered exercises being at least as effective as mindfulness meditations.

Detailed Description
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The aim of this study is to examine the effectiveness of two mindfulness interventions for stress, anxiety and burnout in mental health professionals. It is a 2-sequence, 2-period, 2-treatment crossover design with sequences AB and BA. Treatment A consists of a block of five sessions of bodyfulness exercises, whereas experimental treatment B consists of a block of five sessions of sitting mindfulness meditation exercises. In the sixth session, the exercise blocks will be exchanged. Each group will be composed of half the sample, with a initial sample of 130. The principal hypothesis is that both interventions will decrease stress and anxiety levels and professional burnout, with body-centered exercises being at least as effective as mindfulness sitting meditations. Secondarily, the personality type will be analyzed as a moderating variable in those variables in which the interventions will be effective. Third, a qualitative study will be conducted in order to analyze the perceptions of change and experiences in Cuban mental health professionals who are beginner meditators. This study will allow to understand the differential effectiveness of bodyfulness and midfulness and what types of personality may benefit most from different types of meditation interventions. Also, it will hell to get a deeper understanding of mindfulness practice in a new cultural context (i.e., Cuba). A previous pilot study will be conduct to investigate the acceptability and effectiveness of a culturally-adapted mindfulness-based intervention in Cuba.

Official Title
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Comparison of Two Brief Mindfulness Intervention for Stress, Anxiety and Burnout in Mental Health Professionals: a Randomized Controlled Trial

Conditions
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Mental Health Wellness 1

Intervention / Treatment
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* Behavioral: Sitting Mindfulness Exercises.
* Behavioral: Body Mindfulness Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be a full time mental health professional To be 18 years or older To be able to attend weekly sessions Exclusion Criteria: To suffer a pathology that discourages participation in the study. Previous training in mindfulness

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: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: It is a 2-sequence, 2-period, 2-treatment crossover design with sequences AB and BA
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Course A<br>Body Mindfulness Exercised followed by Sitting Mindfulness Exercises. Written material and sound recordings will be offered as support elements. | Behavioral: Sitting Mindfulness Exercises.<br>* 5 weekly sessions of 2,5 hours/session of Sitting Mindfulness Meditation<br>Behavioral: Body Mindfulness Exercises<br>* 5 weekly sessions of 2,5 hours/session of Body Scan and Mindful Movements<br>|
| Experimental: Course B<br>Sitting Mindfulness Exercises followed by Body Mindfulness Exercises. Written material and sound recordings will be offered as support elements. | Behavioral: Sitting Mindfulness Exercises.<br>* 5 weekly sessions of 2,5 hours/session of Sitting Mindfulness Meditation<br>Behavioral: Body Mindfulness Exercises<br>* 5 weekly sessions of 2,5 hours/session of Body Scan and Mindful Movements<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Stress at 5 weeks | Stress measured using Seppo Aro Symptomatic Stress Scale | Baseline, Post- treatment 5 weeks from baseline | 
| Change from Baseline Burnout at 5 weeks | Burnout measured using Moreno Short Questionnaire of Burnout. | Baseline, Post- treatment 5 weeks from baseline | 
| Change from Baseline Stress at 10 weeks | Stress measured using Seppo Aro Symptomatic Stress Scale | Baseline, Post- treatment 10 weeks | 
| Change from Baseline Stress at three-months follow-up | Stress measured using Seppo Aro Symptomatic Stress Scale | Baseline, Three-months follow-up | 
| Change from Baseline Burnout at 10 weeks | Burnout measured using Moreno Short Questionnaire of Burnout. | Baseline, Post- treatment 10 weeks | 
| Change from Baseline Burnout at at three-months follow-up | Burnout measured using Moreno Short Questionnaire of Burnout. | Baseline, Three-months follow-up | 
| Change from Baseline State Anxiety at 5 weeks | State anxiety measured using State Anxiety Inventary IDARE | Baseline, Post- treatment 5 weeks from baseline | 
| Change from Baseline State Anxiety at 10 weeks | State anxiety measured using State Anxiety Inventary IDARE | Baseline, Post- treatment 10 weeks | 
| Change from Baseline State Anxiety at three-months follow-up | State anxiety measured using State Anxiety Inventary IDARE | Baseline, Three-months follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sociodemographic data | Gender, age, marital status, professional status, years of mental health work, workplace, previous experience in related techniques. | Baseline | 
| The sixteen personality factor questionnaire | Cattell's 16 personality factors. This test uses a public domain scales from the Internation Personality Item Pool to measure the same traits. | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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meditation, stress, mindfulness, burn-out, personality, randomized controlled trial