Effects of Mindfulness Training on Burnout and Mood in Hospital Employees

Stanford University52 enrolled

Overview

The primary aims of the study are to 1) provide a hospital employee population with a mindfulness based stress reduction workshop and 2) evaluate the impact of this clinically validated group mindfulness intervention on burnout in health care employees. Secondary outcomes will be anxiety, depression, quality of life and self compassion.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Anxiety Depression Burnout

Interventions

Mindfulness sessionBEHAVIORAL

1.5 hour weekly session with health educator

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * English speaking * Employees of Stanford Health Care * Ability to attend a minimum of 4 out of 6 sessions Exclusion Criteria: * Non-English speaking * Employees with severe medical or psychiatric conditions that prevent them from participating in the group format

Locations (1)

Stanford Health Care

Palo Alto, California, United States

Outcomes

Primary Outcomes

Change in Burnout

1\. Differences in Burnout scale between time points The Burnout Scale has been validated by Trockel et al. (2018).It is composed of two subscales (emotional exhaustion containing 4 questions and interpersonal disengagement containing 6 questions.) Both scales are scored on a Likert scale of 0 to 4 ("not at all" to "extremely"). For total Burnout score, the scores of the combined scale (10 total) are averaged. The higher scores indicate higher levels of overall burnout. Individual subscale means will also be computed (with higher scores indicating higher amounts of emotional exhaustion and interpersonal disengagement. Difference in overall burnout measured at four time points (week 1 and 6 of the intervention and 3 \& 6 months post intervention) will be reported and compared. The composite scales take approximately 2 minutes to complete.

Time frame: Four time points (week 1 and 6 of intervention, and 3 & 6 month post intervention)

Secondary Outcomes

Change in Anxiety

1\. Differences in GAD-7 between time points. The Generalized Anxiety Disorder-7 is a well validated seven-item self-administered questionnaire used to measure anxiety. It has 7 questions with Likert scores ranging from "not at all" (score 0), "several days" (score 1), "more than half the days" (score 2), and "nearly every day (score 3). Scores range from 0 to 21 with higher scores indicating higher levels of anxiety, and a cutoff of or above 10 representing high likelihood of generalized anxiety disorder. Differences in GAD-7 measured at four time points (week 1 and 6 of the intervention and 3 \& 6 months post intervention) will be reported and compared. The scale takes approximately 2 minutes.

Time frame: Four time points (week 1 and 6 of intervention, and 3 & 6 month post intervention)

Change in Depression

1\. Differences in CES-D between time points. The Center for Epidemiological Studies - Depression scale is a well validated self-administered questionnaire used to measure depression. The 20 item scale has Likert scores ranging from "rarely or none of the time" (score 0), "some or little of the time" (score 1), "moderate or much of the time" (score 2), and "most or almost all the time" (score 3). Scores range from 0 to 60 with higher scores indicated greater depressive symptoms. A cut off at or above 20 has sensitivity 79% and specificity of 80% for major depression. Difference in CES-D in 2019 measured at four time points (week 1 and 6 of the intervention and 3 \& 6 month post intervention) will be reported and compared. The scale takes approximately 5 minutes to complete.

Data from ClinicalTrials.gov

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Change in compassion

1\. Differences in compassion scores between time points. The 12 item Self-Compassion Scale - Short Form is strongly validated scale to measure self-compassion or "the ability to hold one's feelings of suffering with a sense of warmth, connection and concern". Higher levels of self-compassion are associated with less depression and anxiety. Five-point Likert score are from 1 ("Almost Never") to 5 ("Almost Always"). Total score is computed by reverse scoring negative items of self-judgement, isolation and over-identification (ie 1=5, 2=4, 3=3, 4=2, 5=1) and computing total mean. Difference in Compassion measured at four time points (week 1 and 6 of the intervention, and 3 \& 6 month post intervention) will be reported and compared. The scale takes approximately 5-10 minutes to complete.

Time frame: Four time points (week 1 and 6 of intervention, and 3 & 6 months post intervention)