Ignite Creation Date:
2024-05-06 @ 6:19 PM
Last Modification Date:
2024-10-26 @ 2:46 PM
Study NCT ID:
NCT05626543
Status:
COMPLETED
Last Update Posted:
2024-05-14
First Post:
2022-11-09
Brief Title:
The Effect of Mindfulness-based Cognitive Behavior Therapy on Occupational Stress Management
Sponsor:
Tampere University
Organization:
Tampere University
Study Overview
Official Title:
The Effect of Mindfulness-based Cognitive Behavior Therapy on Occupational Stress Management Among Community Secondary School Teachers in Kathmandu
Status:
COMPLETED
Status Verified Date:
2024-05
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:
Occupational stress is one of the leading work-related factors that influence the health of employees and their ability to work Stress at work is unavoidable due to changing and increasing demands and types of work The teaching profession is one of the most stressful jobs with a high level of psychological morbidity globally Stress may occur together with common mental disorders which are one of the leading causes of disability worldwide However very little is known about the occurrence of occupational stress among schoolteachers Several interventions have been designed to help school teachers to cope with stress However lifestyle modification intervention is not well explored therefore this study aims to evaluate the impact of lifestyle modification intervention on occupational stress management among community-level schoolteachers Through effective intervention tools workplace health can be enhanced and the well-being of schoolteachers could be maintained
Detailed Description:
Background
Stress is the feeling of being overwhelmed or unable to cope with mental or emotional pressure which can happen together with mental health problems such as depression In 2019 depressive disorders were the sixth leading contributor to disability-adjusted life years DALYs among 25-49-year-olds Occupational stress is the most common form of stress and the degree of stress varies among different occupations A study from the UK found that teaching was one of the most stressful occupations because of its direct human-oriented nature Likewise a follow-up study in West England reported a higher level of psychological distress among a cohort of teachers than among comparable professionals from the general population
Potential stressors for teachers are low job support student apathy overcrowded and noisy working environments excessive paperwork low wages unsupportive parents and changing curricula Lacking management of chronic workplace stress may result in Burnout syndrome Prolonged stress becomes permanent over time because it is hard to recover and as a result the individual faces chronic fatigue dementia musculoskeletal problems cardiovascular disease and professional burnout syndrome The range of job stress may vary from job to job and profession to profession Largo-Wight Moore and Barr have shown some different roots of job stress pertaining to physical or biological and psychological or behavioral in nature Notwithstanding exploring the level of job stress in the working population and their lifestyle modification practices to reduce the stress level have a significant implication The large number of schoolteachers teaching at different levels may have multifaceted stresses due to various reasons such as less pay high job demands job insecurity lack of professional opportunity and safety An earlier study by Kumar et al stated that occupational stress is increasingly common in the teaching profession due to increased occupational complexities and economic pressure on individuals The reason behind the increased distress among the teachers is the result of the failure of the school to meet the social needs and job demands of the teachers
With most adults spending around half of their waking hours at work the workplace is therefore an important setting to promote health and well-being Various national and international bodies eg ILO WHO are responsible for ensuring the health and safety of employees with a focus on identifying physical chemical and biological hazards in the workplace Increasingly attention is also being paid to the psychosocial work environment with a major focus on work stress Therefore promoting awareness of the link between stress and health among both employers and workers is an important component of workplace health promotion Several interventions are tested to help teachers to reduce their stress levels and to improve their well-being and student outcomes at organizational and individual levels Organizational-level interventions are directed at changing the organizations culture and work practices whereas individual-level interventions are the most common approaches that include psychological relaxation or meditation cognitive behavioral techniques to improve active coping skills and lifestyle modification activities Evidence shows that individual-level intervention improves teachers health and well-being In this regard a study carried out by Naghieh et al concluded that organizational interventions led to improvements in teacher well-being and retention rates However these lifestyle modification knowledge and practices have not been well explored among community-level schoolteachers Therefore this study aims to evaluate the impact of lifestyle modification intervention on occupational stress management among community-level schoolteachers This individual-level intervention may affect teachers own health behaviors inspire others to review their own lifestyle activities and support in developing a positive impact on community health practices
Research aims and objectives
The overarching aim of this project is to investigate the effect of mindfulness-based cognitive behavior therapy on occupational stress management among secondary school teachers in Kathmandu Nepal The study has the following specific objectives
To assess the prevalence of occupational stress and the associated factors among schoolteachers
To evaluate the effect of the intervention on the occupational stress of teachers at post-intervention
To evaluate the effect of the intervention on the occupational stress of teachers in three months of follow-up after the intervention
Subjects and methods
Study population and design This research project plans to utilize an experimental study design focusing on community school settings and the prevailing numbers of teachers Secondary-level teachers teaching at community schools from the Kathmandu district are the study population The list of all schools in Kathmandu district n167 will be prepared and using 40 schools will be selected and 5 teachers from each school totaling 200 teachers from these schools Among them teachers from 20 schools will be selected for the control group and another 20 will be for the intervention
Sample size and power calculation The estimated sample size will be proportional to the prevalence of occupational stress among schoolteachers This study will try to use the power of 80 There is a need for a sample of 90 teachers in each study group and 180 in total and assuming 10 attrition rate the participants per study group will be 100 and in total 200 teachers
Intervention The content of the intervention has developed based on the previous literature Cognitive behavior therapy CBT and Mindfulness-based stress reduction MBSR programs will be used combinedly
Data collection tools
The Maslach Burnout Inventory-Educators Survey MBI-ES will be used to measure the stress level of the teacher as well as the effectiveness of intervention simultaneously Demographic information of the participants will be collected using a separate set of questionnaires The MBI-ES consists of 22 items including three sub-scales viz Emotional Exhaustion EE-9 items Depersonalization DP-5 items and Personal Accomplishment PA-8 items These 22 items have different and unique values The EE-9 and the DP-5 subscales exhibit that the greater value the higher the stress they imply however the PA-8 displays that the greater score the lower stress it indicates The data collection will be carried out in three stages - at the baseline survey T1 immediately after treatment T2 and a follow-up measurement T3 is scheduled for three months after the T2 The PI of the current project has prepared the first draft of the translation of this tool into the Nepali language Two professional experts checked and corrected the translation of the tool Further modifications in the tools will be carried out after using the tools for the pilot study and a final version will be prepared and ready for use
Ethical considerations
The permission to conduct this workplace intervention study has been taken from the concerned authorities and the ethical clearance was obtained from the Nepal Health Research Council NHRC ethical approval number 147 Writtenverbal consent was obtained from the study participants and their schools In addition the privacy and confidentiality of the participants will be maintained in the study according to scientific norms
Stress is the feeling of being overwhelmed or unable to cope with mental or emotional pressure which can happen together with mental health problems such as depression In 2019 depressive disorders were the sixth leading contributor to disability-adjusted life years DALYs among 25-49-year-olds Occupational stress is the most common form of stress and the degree of stress varies among different occupations A study from the UK found that teaching was one of the most stressful occupations because of its direct human-oriented nature Likewise a follow-up study in West England reported a higher level of psychological distress among a cohort of teachers than among comparable professionals from the general population
Potential stressors for teachers are low job support student apathy overcrowded and noisy working environments excessive paperwork low wages unsupportive parents and changing curricula Lacking management of chronic workplace stress may result in Burnout syndrome Prolonged stress becomes permanent over time because it is hard to recover and as a result the individual faces chronic fatigue dementia musculoskeletal problems cardiovascular disease and professional burnout syndrome The range of job stress may vary from job to job and profession to profession Largo-Wight Moore and Barr have shown some different roots of job stress pertaining to physical or biological and psychological or behavioral in nature Notwithstanding exploring the level of job stress in the working population and their lifestyle modification practices to reduce the stress level have a significant implication The large number of schoolteachers teaching at different levels may have multifaceted stresses due to various reasons such as less pay high job demands job insecurity lack of professional opportunity and safety An earlier study by Kumar et al stated that occupational stress is increasingly common in the teaching profession due to increased occupational complexities and economic pressure on individuals The reason behind the increased distress among the teachers is the result of the failure of the school to meet the social needs and job demands of the teachers
With most adults spending around half of their waking hours at work the workplace is therefore an important setting to promote health and well-being Various national and international bodies eg ILO WHO are responsible for ensuring the health and safety of employees with a focus on identifying physical chemical and biological hazards in the workplace Increasingly attention is also being paid to the psychosocial work environment with a major focus on work stress Therefore promoting awareness of the link between stress and health among both employers and workers is an important component of workplace health promotion Several interventions are tested to help teachers to reduce their stress levels and to improve their well-being and student outcomes at organizational and individual levels Organizational-level interventions are directed at changing the organizations culture and work practices whereas individual-level interventions are the most common approaches that include psychological relaxation or meditation cognitive behavioral techniques to improve active coping skills and lifestyle modification activities Evidence shows that individual-level intervention improves teachers health and well-being In this regard a study carried out by Naghieh et al concluded that organizational interventions led to improvements in teacher well-being and retention rates However these lifestyle modification knowledge and practices have not been well explored among community-level schoolteachers Therefore this study aims to evaluate the impact of lifestyle modification intervention on occupational stress management among community-level schoolteachers This individual-level intervention may affect teachers own health behaviors inspire others to review their own lifestyle activities and support in developing a positive impact on community health practices
Research aims and objectives
The overarching aim of this project is to investigate the effect of mindfulness-based cognitive behavior therapy on occupational stress management among secondary school teachers in Kathmandu Nepal The study has the following specific objectives
To assess the prevalence of occupational stress and the associated factors among schoolteachers
To evaluate the effect of the intervention on the occupational stress of teachers at post-intervention
To evaluate the effect of the intervention on the occupational stress of teachers in three months of follow-up after the intervention
Subjects and methods
Study population and design This research project plans to utilize an experimental study design focusing on community school settings and the prevailing numbers of teachers Secondary-level teachers teaching at community schools from the Kathmandu district are the study population The list of all schools in Kathmandu district n167 will be prepared and using 40 schools will be selected and 5 teachers from each school totaling 200 teachers from these schools Among them teachers from 20 schools will be selected for the control group and another 20 will be for the intervention
Sample size and power calculation The estimated sample size will be proportional to the prevalence of occupational stress among schoolteachers This study will try to use the power of 80 There is a need for a sample of 90 teachers in each study group and 180 in total and assuming 10 attrition rate the participants per study group will be 100 and in total 200 teachers
Intervention The content of the intervention has developed based on the previous literature Cognitive behavior therapy CBT and Mindfulness-based stress reduction MBSR programs will be used combinedly
Data collection tools
The Maslach Burnout Inventory-Educators Survey MBI-ES will be used to measure the stress level of the teacher as well as the effectiveness of intervention simultaneously Demographic information of the participants will be collected using a separate set of questionnaires The MBI-ES consists of 22 items including three sub-scales viz Emotional Exhaustion EE-9 items Depersonalization DP-5 items and Personal Accomplishment PA-8 items These 22 items have different and unique values The EE-9 and the DP-5 subscales exhibit that the greater value the higher the stress they imply however the PA-8 displays that the greater score the lower stress it indicates The data collection will be carried out in three stages - at the baseline survey T1 immediately after treatment T2 and a follow-up measurement T3 is scheduled for three months after the T2 The PI of the current project has prepared the first draft of the translation of this tool into the Nepali language Two professional experts checked and corrected the translation of the tool Further modifications in the tools will be carried out after using the tools for the pilot study and a final version will be prepared and ready for use
Ethical considerations
The permission to conduct this workplace intervention study has been taken from the concerned authorities and the ethical clearance was obtained from the Nepal Health Research Council NHRC ethical approval number 147 Writtenverbal consent was obtained from the study participants and their schools In addition the privacy and confidentiality of the participants will be maintained in the study according to scientific norms
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