Mindfulness-based Intervention in Police Officers - the POLICE Study

Study Overview
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Brief Summary
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The physical, emotional, economic and social damage of stress in the police corporation indicates an urgent call for preventive programs to approach stress reduction, burnout symptoms and promotion of quality of life and well-being. The aim of the POLICE study is to evaluate the effectiveness of a Mindfulness-based intervention (MBI), compare to a waiting list (WL), in promoting quality of life and mental health in police officers.

Detailed Description
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Police officers are submitted to a high burden of chronic stress. It is no surprise to find that this occupation ranks highest on diseases and accidents rates among all professions. These professionals presents a very high incidence of depression, anxiety disorders, alcohol dependence and suicidal behavior. In addition to mental health suffering, evidence suggests an increase risk of sudden cardiac death, diabetes, obesity and metabolic syndrome. Mindfulness-based interventions have been tested and incorporated for several clinical and non-clinical conditions for more than three decades, with emphasis on stress reduction, promotion of quality of life, chronic pain, anxiety, depression and eating disorders. The main hypothesis is that mindfulness training will improve their quality of life and reduce burnout symptoms. The investigators expect that individuals allocated in the MBI group will report, besides showing a better quality of life, mental health and less burnout, lower levels of stress, anxiety and depression symptoms. With regard to the working mechanism of the MBI, investigators will examine if the changes in mindfulness trait, self-compassion, spirituality, decentering and resilience skills will mediate the main hypothesis. The study will be conducted in Porto Alegre-RS and São Paulo-SP.

Official Title
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imPact Of a mindfuLness-based Intervention on Quality of Life and reduCtion of Burnout Symptoms in policE Officers - the POLICE Study

Conditions
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Mindfulness, Police, Quality of Life, Burnout Syndrome

Intervention / Treatment
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* Behavioral: Mindfulness-based Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Active Police Officers Availability to attend 8 sessions Willingness to voluntarily participation Exclusion Criteria: Manic or hypomanic episode (current) Psychotic syndrome (current or past) Substance Use Disorder (past 12 months, except tobacco) Risk of suicide Previously completed Mindfulness-Based Intervention

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 65 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mindfulness<br>Mindfulness-based Intervention (8 sessions - 2 hours each- 1 session/week) | Behavioral: Mindfulness-based Intervention<br> <br> |
| No Intervention: Control<br>Waiting List | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline quality of Life | A mindfulness intervention increase quality of life (measured by change in Whoqol-Bref scale). | 8 weeks and 6 months | 
| Change from baseline burnout symptoms | A mindfulness intervention decrease burnout symptoms (measured by change in MBI-GS scale) | 8 weeks and 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline stress levels | A mindfulness intervention decreases stress levels (measured by change in PSQ scale) | 8 weeks and 6 months | 
| Change from baseline anxiety and depression symptoms | A mindfulness intervention reduces anxiety and depression symptoms (measured by change in HADS scale) | 8 weeks and 6 months | 
| Change from baseline Mental health | A mindfulness intervention increases mental health (measured by change in GHQ-12 scale) | 8 weeks and 6 months | 
| Change from baseline decentering skills | A mindfulness intervention increases decentering skills (measured by change in EQ scale) | 8 weeks and 6 months | 
| Change from baseline resilience | A mindfulness intervention increases resilience capacity (measured by change in CD-RISC-25 scale) | 8 weeks and 6 months | 
| Change from baseline spirituality, religiosity, personal beliefs | A mindfulness intervention increases spirituality, religiosity and personal beliefs (measured by change in WHOQOL-SRPB-BREF scale) | 8 weeks and 6 months | 
| Change from baseline religiosity | A mindfulness intervention increases religiosity (measured by change in DUREL scale) | 8 weeks and 6 months | 
| Change from baseline mindfulness trait | A mindfulness intervention increases mindfulness trait (measured by change in MAAS scale) | 8 weeks and 6 months | 
| Change from baseline self-compassion | A mindfulness intervention increases self-compassion (measured by change in SCS scale) | 8 weeks and 6 months | 
| Change from baseline Burnout subtypes | A mindfulness intervention decrease burnout symptoms according to burnout subtypes (measured by change in BCSQ-12 scale) | 8 weeks and 6 months | 
| Mindfulness mechanisms | Self-compassion (SCS scale) will mediate quality of life enhancement and burnout symptoms reduction in police officers | 6 months | 
| Mindfulness mechanisms | Resilience capacity (CD-RISC-25 scale) will mediate quality of life enhancement and burnout symptoms reduction in police officers | 6 months | 
| Mindfulness mechanisms | Decentering skills (EQ scale) will mediate quality of life enhancement and burnout symptoms reduction in police officers | 6 months | 
| Mindfulness mechanisms | Spirituality (WHOQOL-SRPB-BREF scale) will mediate quality of life enhancement and burnout symptoms reduction in police officers | 6 months | 
| Mindfulness mechanisms | Religiosity (DUREL scale) will mediate quality of life enhancement and burnout symptoms reduction in police officers | 6 months | 
| Mindfulness mechanisms | Mindfulness trait (MAAS scale) will mediate quality of life enhancement and burnout symptoms reduction in police officers | 6 months |