Ignite Creation Date:
2024-05-06 @ 12:32 PM
Last Modification Date:
2024-10-26 @ 1:00 PM
Study NCT ID:
NCT03781336
Status:
COMPLETED
Last Update Posted:
2021-05-12
First Post:
2018-12-18
Brief Title:
Brief Mindfulness Meditation Course to Reduce Stress in Healthcare Professionals
Sponsor:
National Institutes of Health Clinical Center CC
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Brief Mindfulness Meditation Course to Reduce Stress in Healthcare Professionals and Trainees A Randomized Clinical Trial
Status:
COMPLETED
Status Verified Date:
2021-04
Last Known Status:
None
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:
None
Brief Summary:
Stress among healthcare professionals is well documented Untreated stress can lead to anxiety depression substance use and suicide The use of mindfulness-based programs to reduce stress and enhance wellbeing among health care professionals has increased with promising results Typical mindfulness-based programs are 30 hours in length across 9 sessions The purpose of this study is to assess the effectiveness of a shorter and more practical program that could be offered during work hours to health care professionals at the NIH Clinical Center The program will be delivered in five weekly 15 hour sessions
Detailed Description:
This abridged program was designed by Dr Rezvan Ameli who is an expert in mindfulness-based practicestherapies and was in response to the expressed needs of the NIH clinical staff and the NIH fellowship training program
Participants completed all primary and secondary outcome measure questionnaires at week -1 5 and 13 The life as usual control group completed all primary and secondary outcome measures at week -1 and 5
The program is described below
The program consisted of 5 sessions A class binder was prepared for the participants and included information about mindfulness and its practice practices covered in each session Practice Plan work sheets to design home practices pertinent reference list guide to online services programs and apps selected poetry and information regarding recorded instructions for body scan and mindful breathing by the instructor which was made available on the institutions website and could be downloaded by the participants Each session was 15 hours in length and was offered on Fridays from 3-430 pm Classes were instructed by Rezvan Ameli PhD clinical psychologist an experienced mindfulness practitioner since 2003 and teacher since 2008 In addition to her background as a licensed clinical psychologist mindfulness practitioner teacher and writer Ameli 2013 RA is a certified yoga teacher and is registered with the Yoga Alliance RYT-200
Common Elements of the Sessions
The first 4 classes began with 20-25 minutes of mindful movement light yoga TNH sounds true ITP kata We did not include movements in the 5th last session due to time constraints The emphasis during mindful movements was on the coordination of movement and the breath with the instruction that when the mind wandered away to gently bring it back and refocus on the breath and movements Participants were encouraged to only engage in movements that felt comfortable but not straining painful or felt unsafe Each class had a period of check in During the first check in participants shared their names a brief statement about the reason for their participation and their current self-care practices if any Class guidelines including confidentiality were reviewed at this time In subsequent check-ins the participants addressed their questions regarding mindfulness practices and class teachings described their practice with a focus on self-care their existing self-care practices and new learnings from the class and any obstacles to their practice and to their self-care during the preceding week Other common elements of the sessions included a period of inquiry ie question and answer after each new practice was introduced planning a week of practice based on class learnings post class ratings and concluding the class with a relevant poem Home practice planning was done in dyads of participants who were then encouraged to stay in touch become a buddy to their class partner and communicate during the week about their practice Every session included a period of mindful breathing The length of mindful breathing sitting meditation was gradually increased from 10 minutes in the 1st session to 30 minutes in the 5th session
Session Specific Practices
In addition to these common elements each session included a theme and other specific mindfulness practices as follows
Session 1- Theme Introduction to mindfulness This session included definition of mindfulness and its foundations Kabat-Zin 1992 mindful breathing and body scan
Session 2- Theme Enhancing Awareness Focused Attention This session included mindfulness of sounds a short body scan mindful breathing and mindful eating ie the raisin exercise ref In addition a discussion of mindful consumption and its relevance to self-care was explored Ameli 2013
Session 3 -Theme Awareness of pleasurable experiences This session included mindfulness of the breath briefly incorporating sounds body sensation thoughts feelings and then focusing on the breath and mindful walking The importance of awareness of pleasurable experiences were discussed and an exercise to enhance attention to pleasurable experiences was performed in dyads Ameli 2013
Session 4- Theme Transformation of difficult emotions through mindfulness In this session the concept of transforming difficult emotions through the practice of mindfulness was discussed explored and practiced The acronym RAIN recognize acceptallow investigate and non-identification was utilized to facilitate this practice
Session 5- Theme Compassion This session mindful breathing and a general discussion of compassion compassion towards self and other and the practice of loving kindness Ameli 2013 The class was concluded with a check-out where participants briefly shared their overall experiences and learnings and their goalsvision for future self-care activities and practices
Participants completed all primary and secondary outcome measure questionnaires at week -1 5 and 13 The life as usual control group completed all primary and secondary outcome measures at week -1 and 5
The program is described below
The program consisted of 5 sessions A class binder was prepared for the participants and included information about mindfulness and its practice practices covered in each session Practice Plan work sheets to design home practices pertinent reference list guide to online services programs and apps selected poetry and information regarding recorded instructions for body scan and mindful breathing by the instructor which was made available on the institutions website and could be downloaded by the participants Each session was 15 hours in length and was offered on Fridays from 3-430 pm Classes were instructed by Rezvan Ameli PhD clinical psychologist an experienced mindfulness practitioner since 2003 and teacher since 2008 In addition to her background as a licensed clinical psychologist mindfulness practitioner teacher and writer Ameli 2013 RA is a certified yoga teacher and is registered with the Yoga Alliance RYT-200
Common Elements of the Sessions
The first 4 classes began with 20-25 minutes of mindful movement light yoga TNH sounds true ITP kata We did not include movements in the 5th last session due to time constraints The emphasis during mindful movements was on the coordination of movement and the breath with the instruction that when the mind wandered away to gently bring it back and refocus on the breath and movements Participants were encouraged to only engage in movements that felt comfortable but not straining painful or felt unsafe Each class had a period of check in During the first check in participants shared their names a brief statement about the reason for their participation and their current self-care practices if any Class guidelines including confidentiality were reviewed at this time In subsequent check-ins the participants addressed their questions regarding mindfulness practices and class teachings described their practice with a focus on self-care their existing self-care practices and new learnings from the class and any obstacles to their practice and to their self-care during the preceding week Other common elements of the sessions included a period of inquiry ie question and answer after each new practice was introduced planning a week of practice based on class learnings post class ratings and concluding the class with a relevant poem Home practice planning was done in dyads of participants who were then encouraged to stay in touch become a buddy to their class partner and communicate during the week about their practice Every session included a period of mindful breathing The length of mindful breathing sitting meditation was gradually increased from 10 minutes in the 1st session to 30 minutes in the 5th session
Session Specific Practices
In addition to these common elements each session included a theme and other specific mindfulness practices as follows
Session 1- Theme Introduction to mindfulness This session included definition of mindfulness and its foundations Kabat-Zin 1992 mindful breathing and body scan
Session 2- Theme Enhancing Awareness Focused Attention This session included mindfulness of sounds a short body scan mindful breathing and mindful eating ie the raisin exercise ref In addition a discussion of mindful consumption and its relevance to self-care was explored Ameli 2013
Session 3 -Theme Awareness of pleasurable experiences This session included mindfulness of the breath briefly incorporating sounds body sensation thoughts feelings and then focusing on the breath and mindful walking The importance of awareness of pleasurable experiences were discussed and an exercise to enhance attention to pleasurable experiences was performed in dyads Ameli 2013
Session 4- Theme Transformation of difficult emotions through mindfulness In this session the concept of transforming difficult emotions through the practice of mindfulness was discussed explored and practiced The acronym RAIN recognize acceptallow investigate and non-identification was utilized to facilitate this practice
Session 5- Theme Compassion This session mindful breathing and a general discussion of compassion compassion towards self and other and the practice of loving kindness Ameli 2013 The class was concluded with a check-out where participants briefly shared their overall experiences and learnings and their goalsvision for future self-care activities and practices
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