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Completed

NCT Number: NCT05051969

Mindfulness-Based Stress Reduction for Metro Nashville Public School Employees

Stress, anxiety, and depression are common symptoms among public school teachers. Public school teachers are among the top professions reporting stress, anxiety, and depression. The causes are multifactorial and include work-related demands, challenges with students, limited resources, and compassion fatigue. Because of this, teachers are at risk of burnout and leaving or changing their profession. The COVID-19 pandemic has had a considerable impact on teachers due to disruptions in usual education delivery and ability to support students. Recent reports show poorer mental health and decreases in physical activity in teachers since the onset of the pandemic. Effective and implementable strategies are urgently needed to address poor mental health and to foster positive health characteristics in this population.

Mindfulness programs decrease feelings of stress, anxiety, and emotional exhaustion. Additionally, mindfulness can improve self-compassion, which may be an important mediating factor in a teacher population. Prior work has shown an inverse relationship between self-compassion and burnout. Currently, there are few studies investigating whether building self-compassion can reduce burnout in public school teachers. The investigators will explore therelationship between participation in a Mindfulness-Based Stress Reduction (MBSR) course and changes in burnout, self-compassion, and other whole person health measures in an educator population. The overall objective of this open pilot study is to examine the feasibility and acceptability of an 8-week remote, group-based MBSR program delivered over Zoom for Metro Nashville Public Schools (MNPS) personnel reporting elevated stress, anxiety, and/or depressive symptoms. Our pilot study results will contribute to the evidence on MBSR in a public-school employee population and inform strategies to optimize implementation of our remote MBSR program within the Vanderbilt Health at MNPS system.

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Key information

Conditions

Self-Compassion Anxiety Anxiety Disorders Behavior Behavioral Symptoms Burnout Burnout, Psychological Depression Mental Disorders Stress Stress, Psychological

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Vanderbilt University Medical Center

Nashville, Tennessee, 37203, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Working certificated Metro Nashville Public Schools (MNPS) employees who self-report stress, anxiety, and/or depressive symptoms

Exclusion criteria

  • Unable to commit to the weekly MBSR schedule
  • Have taken the MBSR course previously
  • Participants who do not have reliable home internet

Treatment and study plan

Remote Mindfulness-Based Stress Reduction Program

Behavioral

Enrolled participants will participate in a remote-delivered (online with audio and video) Mindfulness-Based Stress Reduction (MBSR) program. MBSR is a well established behavioral health intervention consisting of 10-sessions lasting 2.5 hours, with one session lasting 7.5 hours in an all-day retreat format over a 2-month period.

Primary outcomes

  1. Feasibility - Recruitment

    Time frame: Baseline

    Feasibility of recruitment will be assessed as the number of inviduals who are screened, eligible and enrolled in the study.

  2. Feasibility- class attendance

    Time frame: Baseline to program completion (8 weeks)

    Percentage of participants that attend each scheduled session and who complete the program.

  3. Feasibility- enrollment retention

    Time frame: Baseline to 12 weeks after enrollment

    Retention will be the number and proportion of indviduals who complete patient reported outcome data collection at 12-weeks.

  4. Acceptability - Overall Helpfulness of the course

    Time frame: Baseline to 8 weeks

    Helpfulness of the course assessed by a one question survey with an 11-point Numeric Rating Scale ranging from 0 ("Not helpful") to 10 ("Most helpful"). Lower scores indicate less helpfulness.

Secondary outcomes

  1. Perceived stress as measured by a Perceived Stress Scale

    Time frame: Baseline, 8 weeks and 12 weeks

    10-item Perceived Stress Scale. Each question is scored ranging from 0 (Never) to 4 (Very Often) Total survey scores range from 0-40. A lower score indicates low stress, a better outcome.

  2. Anxiety as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety short form

    Time frame: Baseline, 8 weeks and 12 weeks

    4-item Anxiety short form. Each question is scored ranging from 1 (Never) to 5 (Always). Total raw scores range from 4-20. A lower score indicates low anxiety, a better outcome.

  3. Depression as measured by the PROMIS Depression short form

    Time frame: Baseline, 8 and 12 weeks after enrollment.

    4-item depression short form. Each question is scored ranging from 1 (Never) to 5 (Always). Total raw scores range from 4-20. A lower score indicates low depression, a better outcome.

  4. Mindfulness as measured by the Five Facet Mindfulness Questionnaire

    Time frame: Baseline, 8 and 12 weeks after enrollment.

    15-item mindfulness questionnaire. Each question is scored from 1 (Never or very rarely true) to 5 (Very often or always true). Total raw scores range from 15-75. A higher score indicates more mindfulness, a better outcome.

  5. Physical health as measured by the 6-item Short Form Health Survey within the (SF-12)

    Time frame: Baseline, 8 and 12 weeks after enrollment.

    6 item health survey. The questions vary in scoring and answers with question 1 scores ranging from 1(Excellent) to 5 (Poor). Questions 2-3 scoring ranges from 1 (Yes, limited a lot) to 3 (No, not limited at all). Questions 4-7 scoring ranges from 1 (Yes) to 2 (No). Question 8 scoring ranges from 1 (Not at all) to 5 (Extremely). Questions 9-11 scoring ranges from 1 (All of the time) to 6 (None of the time). Question 12 scoring ranges from 1 (All of the time) to 5 (None of the time).

    Total raw score range from 0-100. A higher score indicates better physical function, a better outcome.

  6. Mental health as measured by the 6-item Short Form Health Survey (SF-12)

    Time frame: Baseline, 8 and 12 weeks after enrollment.

    6 item health survey. The questions vary in scoring and answers with question 1 scores ranging from 1(Excellent) to 5 (Poor). Questions 2-3 scoring ranges from 1 (Yes, limited a lot) to 3 (No, not limited at all). Questions 4-7 scoring ranges from 1 (Yes) to 2 (No). Question 8 scoring ranges from 1 (Not at all) to 5 (Extremely). Questions 9-11 scoring ranges from 1 (All of the time) to 6 (None of the time). Question 12 scoring ranges from 1 (All of the time) to 5 (None of the time).

    Total raw score range from 0-100. A higher score indicates better mental health, a better outcome.

  7. Self-compassion as measured by the Self-Compassion Scale (SCS)

    Time frame: Baseline, 8 and 12 weeks after enrollment.

    26 item compassion scale. Each question is scored ranging from 1 (Almost never) to 5 Almost always). Scoring encompasses subscale measurements of: self kindness (Total raw scores range from 5-25. A high score indicating more self-kindness, a better outcome.), self judgement ( Total raw scores range from 5-25. A low score indicates low self-judgement, a better outcome.), common humanity items (Total raw score range from 4-20. A higher score indicates more common humanity, a better outcome.), isolation (Total raw score range from 4-20. A lower score indicates low feelings of isolation, a better outcome.), mindfulness (Total raw scores range from 4-20. A higher score indicates more mindfulness, a better outcome.), over-identified (Total raw scores range from 4-20. A low score indicates low over-identifying behaviors, a better outcome.)

  8. Educator burnout as measured by the Maslach Burnout Inventory-Educator's Survey

    Time frame: Baseline, 8 and 12 weeks after enrollment.

    22-item Burnout survey for educators. Each question is scored ranging from 0 (Never) to 6 (Every day). Scoring encompasses subcscale measurements of emotional exhaustion (Total raw score range from 0-54. A lower score indicates lower emotional exertion, a better outcome), depersonalization ( Total raw scores range from 0-30. A lower score indicates lower feelings of depersonalization, a better outcome.), and personal accomplishment (Total raw scores range from 0-48 A higher score indicates higher personal accomplishment, a better outcome.)

  9. Acceptability - Satisfaction

    Time frame: Baseline to 8 weeks

    )pen-ended questions regarding barriers and facilitators of adherence and suggestions for improving the MBSR program experience

Sponsors and collaborators

Lead sponsor

Vanderbilt University Medical Center

Other

Registry information

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Sep 21, 2021
Registry last updated
Feb 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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