Clinical trial NCT05538650: RCT: Mindfulness for Social Work and Self-care
Official title: Mindfulness-based Social Work and Self-care Study: A Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burnout, Professional
Mindfulness
Stress, Psychological
Behaviour
Lead sponsor: Queen's University, Belfast
Sponsor class: OTHER
First posted: 2022-09-14
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Social work is a stressful occupation with social workers at high risk of job-related stress and burnout. Mindfulness has been evidenced as a promising approach for improving: recovery from stress; behavioural responses to stress; and resilience.

The Mindfulness-based social work and self-care programme, a bespoke and innovative online mindfulness programme developed for frontline social workers, have been shown to be effective in improving aspects of psychological and general wellbeing among a social work population.

The main aim of the study is to confirm the efficacy of this bespoke, innovative, 6-session Mindfulness Intervention for social workers (MBSWSC) in reducing social worker stress, feelings of burnout, anxiety, low mood and improving well-being. The study will also compare outcomes from the MBSWSC with a briefer, condensed 3 session mindfulness programme (MBSC). The findings of this study will serve to complement and confirm the findings of an initial RCT, but in a post-covid environment.

Detailed description: Background: Social work is a stressful occupation with social workers at high risk of burnout. Existing studies have focused on the impact of working conditions and work-related stress in this population. However, despite this focus stress and burnout among this population remains high, as a result the average working life of social workers considerably shorter than that of counterparts in healthcare.

Interventions to address the impact of job-related stress, and burnout, on frontline social workers have been developed, however there is a lack of evidence on the implementation and effectiveness of these interventions. Robust evidence on effective social work interventions to improve psychosocial outcomes among this population is needed.

Mindfulness is an approach which has been linked to positive outcomes among health and social care professionals, such as improved wellbeing, increased levels of self-compassion, reduced stress and burnout. Self-care or self-compassion has been identified as a promoter of positive health related outcomes among social workers.

However, evidence to support the use of mindfulness interventions among social workers remains scant. There has been a lack of information relating to mindfulness programmes tailored to specific professions; with mindfulness research to date having more of a focus on healthcare or student populations. More information is required on the effectiveness of mindfulness among social workers. An evidence gap also exists around the effectiveness of briefer mindfulness programmes; with recognised programmes such as MBSR and MBCT requiring significant time commitments from participants which may not be suitable for practicing social workers. In light of this evidence it is clear more high quality RCTs are needed to add to the evidence base in this area and to inform future provision for social work.

With this in mind, this study looks to confirm the efficacy of a bespoke, innovative, 6-session Mindfulness Intervention for social workers (MBSWSC); and to explore the mechanisms through which the MBSWSC may mitigate the impact of stress in social work. It also looks to compare the outcomes from the MBSWSC programme with a modified, condensed 3 session mindfulness programme (MBSC) to confirm the impact of briefer mindfulness programmes.

This RCT looks to build on findings of an earlier RCT exploring the effects on MBSWSC. More explicitly, this RCT aims to:

Confirm the efficacy of the MBSWSC programme at improving social worker: - Stress, feelings of burnout, anxiety, low mood and well-being (primary outcomes);

* Mindfulness, attention regulation, acceptance, self-compassion, non-attachment and aversion, worry and rumination (secondary outcomes).
* Explore the mechanisms through which mindfulness may improve outcomes, more specifically the mechanisms through which mindfulness mitigates the effects of stress on burnout.
* Confirm any differences between MBSWSC outcomes and outcomes on the MBSC Methods: A minimum of 70 participants, providing consent to participate in the study will be recruited to the study. On completion of baseline measures, participants will be randomised to either the experimental (MBSWSC) or active control (MBSC) groups. Participants in both groups will complete a range of psychosocial measures at baseline (1 week pre-intervention), post-intervention, and at three month follow-up.

The primary outcome of the study is the efficacy of MBSWSC on social worker stress, feelings of burnout, anxiety, low mood and well-being and secondary outcomes; and the mechanisms through which this occurs.

The secondary outcome of the study is the differences in outcomes for MBSWSC participants and participants on the modified, condensed (briefer) MBSC.

Eligibility criteria: Inclusion Criteria:

* Frontline social work practitioner
* Working in Northern Ireland
* Aged 18 years and over

Exclusion Criteria:

* Social workers in strategic social work roles with no contact with clients

Primary outcomes:
measure: Change in Stress measured on the Perceived Stress Scale (PSS)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Burnout measured on the Maslach Burnout Inventory (MBI)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Anxiety measured on the Hospital Anxiety and Depression Scale (HADS-A)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Depression measured on the Hospital Anxiety and Depression Scale (HADS-D)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Wellbeing measured on the Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
Secondary outcomes:
measure: Change in Mindfulness measured by on the Southampton Mindfulness Questionnaire (SMQ)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Self-compassion measured by on the Self-Compassion Scale (SCS)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Worry measured on the Penn State Worry Questionnaire (PSWQ)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Attention Regulation (Decentering) measured on the Experiences Questionnaire - Decentring (EQ-D)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Acceptance measured on the The Philadelphia Mindfulness - Acceptance Subscale (PHLMS-A)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Non-attachment measured by the Southampton Mindfulness Questionnaire Non Attachment subscale (SMQ-LG)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Aversion measured by the Southampton Mindfulness Questionnaire Aversion subscale (SMQ-Av)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
measure: Change in Rumination measured on the Rumination Reflection Questionnaire Rumination subscale (RRQ-R)
timeFrame: Pre-intervention (week 1); Post-intervention (week 8); 3-month follow-up (week 20)
Other outcomes:
Locations:
city: Belfast
country: United Kingdom
facility: Queen's University Belfast
state: Northern Ireland
Study officials:
affiliation: University College Dublin
name: Alan Maddock, Dr
role: PRINCIPAL_INVESTIGATOR
References: