This research will examine whether an Internet-based mindfulness program for stress management produced positive outcomes for participants and is technologically feasible
Chronic, severe stress, a risk factor for premature aging and myocardial infarction, affects 35% of North Americans. Stress management programs, while effective, may be prohibitively resource intensive or difficult to access by broad populations. This research is examining whether an online stress management program - Stress Free Now© (SFN) - can achieve meaningful improvements in measures of stress and wellbeing. We are also examining whether improvements in wellbeing and stress can be enhanced through an online, internet based support group which share experiences as they go through the Stress Free Now program. This program is modeled after an intensive group program, called Mindfulness Based Stress Reduction (MBSR), which has shown benefits across a broad array of medical issues in addition to more specific stress related problems. This is a three arm randomized controlled trial which will last for 12 weeks. Participants will be randomized into one of the study arms: Non intervention Control, Stress Free Now and Stress Free Now + Message Board. We aim at enrolling 600 participants, with the expectation that 50% will complete the study (100 per group). A series of questionnaires will be collected at baseline, at the end of the 8-week program and at follow up at week 12. Outcome measured are stress, mindfulness, vitality, physical, social and emotional health, transcendence and self-acceptance. We will also ask participants to complete a weekly log to measure program adherence and usage.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
684
8 week mindfulness online program with the following content: 8 Weekly lesson of the week (audio), 8 Weekly mindfulness practice (audio), Daily articles on concepts and information about stress, relaxation and mindfulness, Daily motivational quotes and tips, Biweekly email reminder to participate in the program.
Cleveland Clinic
Cleveland, Ohio, United States
Effect of SFN on stress
Assess whether SFN reduces stress as measured by the Perceived Stress Scale (PSS)
Time frame: End of intervention at week 8
Effect of SFN on mindfulness
Assess whether SFN improves mindfulness as measured by the Mindfulness Attention Awareness Scale (MAAS)
Time frame: End of intervention at week 8
Effect of SFN on self acceptance
Assess whether SFN improves self-acceptance as measured by the Psychological Well-being - Self-Acceptance Subscale (PWb-SA)
Time frame: End of intervention at week 8
Effect of SFN on vitality
Assess whether SFN improves vitality as measured by the Subjective Vitality Scale (SVS)
Time frame: End of intervention at week 8
Effect of SFN on spirituality
Assess whether SFN improves transcendence as measured by the Adult Self-Transcendence Inventory (ASTI)
Time frame: End of intervention at week 8
SFN effect on physical and mental health
Assess whether psycho-emotional improvement was accompanied with physical and mental health improvement as measured by SF36
Time frame: End of intervention at week 8
Effect maintained at week 12 follow up
To assess whether outcome improvements are maintained at week 12
Time frame: Week 12
Assess whether adding Social Media to SFN improves engagement and outcome
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To explore whether adding a message board component would enhance the effectiveness and experience of the program for participants
Time frame: Week 8 and 12
Assess program engagement and adherence
Assess program engagement and adherence by collecting Stress Free Now and Social Media self report weekly practice data and Website usage
Time frame: Through the 8-week program