Ignite Creation Date:
2024-05-06 @ 11:10 AM
Last Modification Date:
2024-10-26 @ 12:40 PM
Study NCT ID:
NCT03440606
Status:
UNKNOWN
Last Update Posted:
2019-02-05
First Post:
2018-02-14
Brief Title:
A Novel Mindful-Compassion Art Therapy MCAT Supervision
Sponsor:
Nanyang Technological University
Organization:
Nanyang Technological University
Study Overview
Official Title:
Development and Evaluation of a Novel Mindful-Compassion Art Therapy MCAT Supervision for Self-Care and Collegial Support Among End-of-Life Care Professionals in Singapore
Status:
UNKNOWN
Status Verified Date:
2019-02
Last Known Status:
ENROLLING_BY_INVITATION
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
MCAT
Brief Summary:
Background The need for empathy and the difficulties of coping with morality when caring for the dying and the bereaved pose great psychological and spiritual strains End-of-Life EoL care professionals including doctors nurses and social workers are particularly prone to burnout given the intense emotional and existential nature of their work Supervision is one important way to provide adequate support that focuses on both professional and personal competencies in working with death and loss Previous research has provided strong evidence that support the inclusion of art therapy within supervision for it had effectively reduced burnout and enhanced emotional regulation Combining the practice of mindfulness in art-therapy based supervision has immense potential to create a dynamic platform for self-care and collegial support of which could ultimately cultivate sustained resilience compassion and growth among those immersed the fields of hospice and palliative care
MethodsDesign A randomized wait-list control trial design 60 EoL care professionals were randomly allocated into one of two groups i Intervention group MCAT Supervision and ii Control group MCAT Supervision will be provided after the intervention group completed all supervision sessions Both quantitative and qualitative outcomes were assessed at baseline immediately after intervention and four weeks post intervention Primary outcome measure included level of burnout Secondary outcomes included death attitude and fear of death emotional awareness and regulation resilience compassion and overall quality of life Qualitative data were analyzed using Framework method
Discussion The integration of art and mindfulness practice to process the needs of professional EoL caregivers for self-care is a scarcely explored area in the field of hospice and palliative care in Singapore and in the international context This pilot study proposes to develop and test a novel Mindful-Compassion Art Therapy MCAT Supervision for professional EoL caregivers The expected outcome would generate new knowledge contributing to advancements in both theories and practice in hospice and palliative care for Singapore and across the globe
MethodsDesign A randomized wait-list control trial design 60 EoL care professionals were randomly allocated into one of two groups i Intervention group MCAT Supervision and ii Control group MCAT Supervision will be provided after the intervention group completed all supervision sessions Both quantitative and qualitative outcomes were assessed at baseline immediately after intervention and four weeks post intervention Primary outcome measure included level of burnout Secondary outcomes included death attitude and fear of death emotional awareness and regulation resilience compassion and overall quality of life Qualitative data were analyzed using Framework method
Discussion The integration of art and mindfulness practice to process the needs of professional EoL caregivers for self-care is a scarcely explored area in the field of hospice and palliative care in Singapore and in the international context This pilot study proposes to develop and test a novel Mindful-Compassion Art Therapy MCAT Supervision for professional EoL caregivers The expected outcome would generate new knowledge contributing to advancements in both theories and practice in hospice and palliative care for Singapore and across the globe
Detailed Description:
Study Design
Building on the established protocol of Art-Therapy based supervision together with the additional elements of mindfulness practice this study will adopt an randomized wait-list control trial design comprising of two groups i Intervention group MCAT Supervision and ii Control group MCAT Supervision will be provided after the intervention group completed all supervision sessions
Study Site
Participants will be recruited from a community-based collaborating partner Hospice Care Association HCA Singapores largest home hospice care provider Deputy Medical Director and Programme Director of HCA Star PALs together with his appointed staffs will provide assistance in recruitment as well as tracking of participants allowing for timely intervention and efficient data collection
Participants
The sample will comprise of 60 frontline EoL caregivers including doctors nurses social workers and allied health professionals currently working in field of hospice and palliative care N60
Allowing for an attrition rate of 15 at follow-up a sample of 60 will provide 80 power to detect an effect size of 080 standard deviation units in the primary outcome measure of Maslach Burnout Inventory-General Survey between the intervention and control group at the two-tailed test 5 level of significance
Recruitment assessment intervention and follow up procedures
Upon informed consent and baseline assessment T1 conducted via paper or electronic online questionnaires participants will be randomly assigned to either the intervention or waitlist control group Those assigned to in the intervention group will attend 6 weekly Mindful-Compassion Art Therapy supervision led by a credentialed art therapist and an experienced mindfulness practitioner at the training facilities of HCA Each session will last for 3 hours and each group will consists of 15 participants Outcome assessments will be conducted at two-time-points immediately after intervention T2 and four weeks post intervention T3 Those assigned to the waitlist control group will receive no intervention until approximately three month later equivalent intervention and assessment procedures will be administered The 6-week 3-hour MCAT supervision will include elements of brief psycho-education weekly mindful mediation that serve as a foundation to foster art making reflective writing group sharing and discussion
Between and within participants comparisons of quantitative outcomes will be conducted and the appropriate effect size estimates reported The intervention group and control group will be compared on the main outcome ie burnout and secondary outcomes ie fear and negative attitudes of death emotional awareness and regulation resilience compassion and overall quality life T2 and T3 assessments will be compared with baseline assessment The intervention and control groups will also be compared on demographic characteristics with baseline measures if necessary they variables will be controlled in the analyses The SPSS statistical software package will be used to manage the data
The Framework method of analysis will be used to analyze qualitative data 28 Analyses will be both deductive from pre-set aims and objectives and inductive arising from participants view This method tends to be more structured than some other methods of qualitative analysis and the process more explicit and more informed by a priori questions It is designed so that it can be more easily understood and assessed by people other than the analyst such as funding bodies policy makers and participants Throughout the analytical process we will use strategies to maximize credibility criticality and authenticity The QSR NVIVO software package will be used to manage the data
Building on the established protocol of Art-Therapy based supervision together with the additional elements of mindfulness practice this study will adopt an randomized wait-list control trial design comprising of two groups i Intervention group MCAT Supervision and ii Control group MCAT Supervision will be provided after the intervention group completed all supervision sessions
Study Site
Participants will be recruited from a community-based collaborating partner Hospice Care Association HCA Singapores largest home hospice care provider Deputy Medical Director and Programme Director of HCA Star PALs together with his appointed staffs will provide assistance in recruitment as well as tracking of participants allowing for timely intervention and efficient data collection
Participants
The sample will comprise of 60 frontline EoL caregivers including doctors nurses social workers and allied health professionals currently working in field of hospice and palliative care N60
Allowing for an attrition rate of 15 at follow-up a sample of 60 will provide 80 power to detect an effect size of 080 standard deviation units in the primary outcome measure of Maslach Burnout Inventory-General Survey between the intervention and control group at the two-tailed test 5 level of significance
Recruitment assessment intervention and follow up procedures
Upon informed consent and baseline assessment T1 conducted via paper or electronic online questionnaires participants will be randomly assigned to either the intervention or waitlist control group Those assigned to in the intervention group will attend 6 weekly Mindful-Compassion Art Therapy supervision led by a credentialed art therapist and an experienced mindfulness practitioner at the training facilities of HCA Each session will last for 3 hours and each group will consists of 15 participants Outcome assessments will be conducted at two-time-points immediately after intervention T2 and four weeks post intervention T3 Those assigned to the waitlist control group will receive no intervention until approximately three month later equivalent intervention and assessment procedures will be administered The 6-week 3-hour MCAT supervision will include elements of brief psycho-education weekly mindful mediation that serve as a foundation to foster art making reflective writing group sharing and discussion
Between and within participants comparisons of quantitative outcomes will be conducted and the appropriate effect size estimates reported The intervention group and control group will be compared on the main outcome ie burnout and secondary outcomes ie fear and negative attitudes of death emotional awareness and regulation resilience compassion and overall quality life T2 and T3 assessments will be compared with baseline assessment The intervention and control groups will also be compared on demographic characteristics with baseline measures if necessary they variables will be controlled in the analyses The SPSS statistical software package will be used to manage the data
The Framework method of analysis will be used to analyze qualitative data 28 Analyses will be both deductive from pre-set aims and objectives and inductive arising from participants view This method tends to be more structured than some other methods of qualitative analysis and the process more explicit and more informed by a priori questions It is designed so that it can be more easily understood and assessed by people other than the analyst such as funding bodies policy makers and participants Throughout the analytical process we will use strategies to maximize credibility criticality and authenticity The QSR NVIVO software package will be used to manage the data
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None