Clinical trial NCT06331065: Promoting Mental Health At Work Among Hospital Professionals
Official title: Promoting Mental Health At Work Among Hospital Professionals: Implementation and Evaluation of the Effects of an Intervention Based on Mindfulness Meditation in the Workplace - PROMIND Study
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Mental Health Issue
Keywords: mindfulness
prevention
psychological fulfilment
realistic assessment
occupational health promotion
mental health at work
pilot study
healthcare workers
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2024-03-26
Enrollment: 120
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Mental health is a state of well-being in which a person can realize his/her potential, cope with the normal stresses of life, work productively and contribute to his/her community. It refers to a continuum that extends from the promotion of well-being and the prevention of mental disorders to the treatment and rehabilitation of people suffering from these disorders.

Healthcare professionals face major mental health challenges, due to the demands of their profession, which is characterized by heavy workloads and confrontation with human distress. The frequency of mental health problems among hospital staff is high, at all stages (malaise, distress, pathologies). A meta-analysis found that caregivers suffer from around 30% anxiety, 30% depression, 30% psychotrauma and 45% sleep disorders.

According to the French Labor Code, employers are responsible for the physical and mental health of their employees. The Hospices Civils de Lyon establishment project includes a section on the prevention of psycho-social risks, quality of working life and management.

Healthcare professionals, like the general population, have high expectations of non-medication treatments. These non-medication interventions aim to prevent, treat, or cure a health problem. They are non-invasive and non-pharmacological, with certain observable impacts supported by scientific evidence.

Mindfulness meditation is one of the most extensively studied non-medication interventions in mental health. Declined in different modalities, its effects focus on improving resilience with efficacy on physical and mental well-being (stress, anxiety, burnout, affect), and their physiological corollary (cardiac and respiratory rhythms), acceptance of reality in stressful situations, reduced interpersonal conflict in emergencies and, more broadly, impact on relational behaviours (anti- and pro-social), teamwork. Managers also benefit, with a strengthening of the aspiration to lead, in a vision fully at the disposal of others.

Mindfulness meditation appears to be a practice that promotes mental well-being and could contribute to fulfilment at work.

The challenge is to offer a mindfulness meditation program in a hospital department for individual and collective benefit.

The main objective is to evaluate the evolution of psychological fulfilment in the workplace of hospital healthcare professionals in a 5-month meditation program between the baseline and the end of the program, in comparison with the evolution over the same period of a control group.

The expected outcome is to show that it is possible to implement a mindfulness meditation intervention for hospital staff in care departments, whatever their status or profession, with individual and collective benefits for mental health, psycho-social risks (stress, violence, etc.) and work organization. If it proves to be effective and acceptable, this intervention could be offered more widely within the institution and beyond.


Eligibility criteria: Inclusion Criteria:

* Being a Hospices Civils de Lyon professional working in a department participating in the project
* Being of legal age
* Having given written consent including voice recording for focus groups and semi-structured interviews

Exclusion Criteria:

* Self-reported neuro-psychiatric pathology with current severe clinical instability
* Adults under legal protection (guardianship, curators)
* Persons not affiliated to a social security scheme or beneficiaries of a similar scheme
* Persons unable to understand or write in French
* Pregnant and nursing mothers

Primary outcomes:
measure: Psychological fulfilment at work
timeFrame: Baseline: before the intervention and immediately after the intervention
Secondary outcomes:
measure: Psychological fulfilment at work
timeFrame: 3 months immediately after the end of the intervention
measure: Mindful state
timeFrame: Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention
measure: Aggressiveness
timeFrame: Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention
measure: Impulsivity, experience of being disturbed by conflict, and psychological safety.
timeFrame: Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention
measure: Occupational stress
timeFrame: Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention
measure: Collective activity
timeFrame: Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention
measure: Organizational leeway
timeFrame: Baseline: before the intervention, immediately after the intervention and 3 months immediately after the intervention
measure: Evolution of participants' representation of mindfulness meditation
timeFrame: Before and after the information session on mindfulness meditation, immediately after the first experimental session, immediately after the program and 3 months after the program
measure: The representation of mindfulness meditation among professionals
timeFrame: Before the program, up to 12 months , 1 and 3 months after the end of the intervention
measure: The representation of mindfulness meditation among professionals
timeFrame: 1 and 3 months after the end of the intervention
measure: The representation of mindfulness meditation among professionals
timeFrame: up to 12 months
measure: Fidelity and adherence to the mindfulness meditation intervention
timeFrame: At study completion, an average of 15 months
measure: Fidelity and adherence to the mindfulness meditation intervention
timeFrame: At study completion, an average of 15 months
measure: Barriers and facilitators to the implementation
timeFrame: At study completion, an average of 15 months
measure: Barriers and facilitators to the implementation
timeFrame: At study completion, an average of 15 months
measure: Mechanisms of the intervention effects
timeFrame: At study completion, an average of 15 months
measure: Mechanisms of the intervention effects
timeFrame: At study completion, an average of 15 months
measure: Mechanisms of the intervention effects
timeFrame: At study completion, an average of 15 months
Other outcomes:
Locations:
city: Bron
country: France
facility: Neurology Department, Pierre Wertheimer Hospital (Hospices Civils de Lyon)
city: Bron
country: France
facility: Pediatric Intensive Care Unit - Continuous Monitoring, Femme Mère Enfant Hospital (Hospices Civils de Lyon)
city: Lyon
country: France
facility: Department of Geriatrics, Edouard Herriot Hospital (Hospices Civils de Lyon)
city: Lyon
country: France
facility: Neonatology and neonatal intensive care unit, Croix-Rousse Hospital (Hospices Civils de Lyon)
city: Lyon
country: France
facility: Department of Anesthesia and Intensive Care, Edouard Herriot Hospital (Hospices Civils de Lyon)
city: Pierre-Bénite
country: France
facility: Anaesthesia - Intensive Care and Perioperative Medicine Department, Lyon South Hospital (Hospices Civils de Lyon)
city: Saint-Genis Laval
country: France
facility: Department of Physical Medicine and Neurological Rehabilitation, Henry Gabrielle Hospital (Hospices Civils de Lyon)
city: Villeurbanne
country: France
facility: Department of Geriatrics, Charpennes Hospital (Hospices Civils de Lyon)
Study officials:
affiliation: Hospices Civils de Lyon
name: Ludivine NOHALES
role: STUDY_CHAIR
References: