Psychological StressMindSHINE2NCT03030040
A Randomised Controlled Trial of Self-help Mindfulness-based Cognitive Therapy for Health Workers
A study testing The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus. in people with Psychological Stress, run by Canterbury Christ Church University at 2 sites in United Kingdom.
Trial summary
This study examines whether a mindfulness-based self-help book is effective at reducing healthcare workers' levels of stress and improving their wellbeing. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Psychological Stress
- What is being tested?
- The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus.
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 102 participants
- Where
- 2 sitesUnited Kingdom
- Study dates
- 26 Jan 2017to 22 Jun 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Being currently employed by Sussex Partnership NHS Foundation Trust (in the UK) in a role or roles that involve direct delivery of healthcare.
- Having at least one day per week of direct contact with UK National Health Service service users.
- Agreeing to refrain from engaging in another form of psychological therapy during the course of the study.
- Having self-reported sufficient English language reading ability to read and understand the self-help book
Who cannot join
- Being currently on leave of absence from work.
- Having previously received a minimum dose (defined as 50% of a course or more) of a mindfulness-based intervention.
Trial locations and contacts
2 sites in 1 country.
United Kingdom2 sites
Oxleas NHS Foundation Trust
Dartford, Kent, DA2 7WG
Sussex Partnership NHS Foundation Trust
Hove, Sussex, BN3 7HZ
About this study
Official title: A Randomised Controlled Trial of a Mindfulness-based Cognitive Therapy Self-help Intervention for UK National Health Service Employees
This study examines whether a mindfulness-based self-help book is effective at reducing healthcare workers' levels of stress and improving their wellbeing.
Read the detailed description
This study is a randomised controlled trial (RCT) examining the efficacy of a mindfulness-based cognitive therapy self-help book ('Mindfulness: A practice guide to finding peace in a frantic world') relative to a wait-list control, in healthcare staff. It builds on a previous pilot RCT (http://www.isrctn.com/ISRCTN16486066). A battery of measures will be administered at baseline (week 0), post-intervention (week 9) and follow-up (week 21). This trial is designed to test the following hypotheses.
Primary Hypothesis
-Mindfulness-based cognitive therapy self-help (MBCT-SH) participants, in comparison to waitlist control participants, will show a reduction in symptoms of stress by the end of MBCT-SH (week 9).
Secondary Hypotheses
- The improvement detailed in the primary hypothesis will be maintained at a follow-up 12 weeks after the end of the MBCT-SH (week 21).
- MBCT-SH participants, in comparison to waitlist control participants, will show improvements in mindfulness, other-compassion, self-compassion, anxiety, depression, burnout and mental well-being by the end of MBCT-SH (week 9), and these improvements will be maintained at a follow-up 12 weeks after the end of the MBCT-SH (week 21).
- MBCT-SH participants, in comparison to waitlist control participants, will show a reduction in the number of sickness absence days from the three months preceding the intervention to the three months following the intervention.
- Increases in self-compassion and mindfulness from week 0 to week 9, will mediate the effects of MBCT-SH (relative to waitlist control) on levels of stress, depression, anxiety, wellbeing and burnout.
- Conditions
- Psychological Stress
- Being tested
- The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus.
- Keywords
- mindfulness-based cognitive therapy, self-help, healthcare staff
- Medical subject headings
- Stress, Psychological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus.Behavioural
Participants will be provided with a copy of the self-help book, and asked to read it and follow the activities outlined in it, over eight weeks. They will receive weekly standardized emails, to provide information about mindfulness and encouragement to engage with the self-help book.
| Study group | Role | What they receive |
|---|---|---|
| MBCT-SH | Experimental | MBCT-SH will be an unguided, mindfulness-based cognitive therapy, book-based self-help intervention. Receives: Behavioral: The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus. |
| Control | No intervention | A wait list control group who will receive no intervention during the 21 weeks of the study. Control participants will be provided with the self-help book that the MBCT-SH group received after week 21. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Stress
Change from baseline at 9-weeks on the Stress sub-scale of the Depression, Anxiety and Stress Scale-21
Measured: Post-intervention (i.e. 9-weeks after baseline)
Secondary outcomes (16)
Stress (follow-up)
Change from baseline at 21-weeks on the Stress sub-scale of the Depression, Anxiety and Stress Scale-21
Measured: Follow-up (i.e. 21 weeks after baseline)
Depression
Change from baseline at 9-weeks on the Depression sub-scale of the Depression, Anxiety and Stress Scale-21
Measured: Post-intervention (i.e. 9-weeks after baseline)
Depression (follow-up)
Change from baseline at 21-weeks on the Depression sub-scale of the Depression, Anxiety and Stress Scale-21
Measured: Follow-up (i.e. 21 weeks after baseline)
Anxiety
Change from baseline at 9-weeks on the Anxiety sub-scale of the Depression, Anxiety and Stress Scale-21
Measured: Post-intervention (i.e. 9-weeks after baseline)
Anxiety (follow-up)
Change from baseline at 21-weeks on the Anxiety sub-scale of the Depression, Anxiety and Stress Scale-21
Measured: Follow-up (i.e. 21 weeks after baseline)
Compassion for others
Change from baseline at 9-weeks on the Compassion Scale
Measured: Post-intervention (i.e. 9-weeks after baseline)
Compassion for others (follow-up)
Change from baseline at 21-weeks on the Compassion Scale
Measured: Follow-up (i.e. 21 weeks after baseline)
Self-compassion
Change from baseline at 9-weeks on the Self-compassion Scale - Short Form
Measured: Post-intervention (i.e. 9-weeks after baseline)
Self-compassion (follow-up)
Change from baseline at 21-weeks on the Self-compassion Scale - Short Form
Measured: Follow-up (i.e. 21 weeks after baseline)
Mindfulness
Change from baseline at 9-weeks on the Five-Facet Mindfulness Questionnaire - Short Form
Measured: Post-intervention (i.e. 9-weeks after baseline)
Mindfulness (follow-up)
Change from baseline at 21-weeks on the Five-Facet Mindfulness Questionnaire - Short Form
Measured: Follow-up (i.e. 21 weeks after baseline)
Burnout
Change from baseline at 9-weeks on the Maslach Burnout Inventory
Measured: Post-intervention (i.e. 9-weeks after baseline)
Burnout (follow-up)
Change from baseline at 21-weeks on the Maslach Burnout Inventory
Measured: Follow-up (i.e. 21 weeks after baseline)
Mental Wellbeing
Change from baseline at 9-weeks on the Short Warwick-Edinburgh Mental Well-being Scale
Measured: Post-intervention (i.e. 9-weeks after baseline)
Mental Wellbeing (follow-up)
Change from baseline at 21-weeks on the Short Warwick-Edinburgh Mental Well-being Scale
Measured: Follow-up (i.e. 21 weeks after baseline)
Sickness absence
Change from baseline in the number of days of sickness absence over the previous 12 weeks at 21 weeks.
Measured: Follow-up (i.e. 21 weeks after baseline)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2017 (estimated)
- Study start26 Jan 2017
- Primary completion22 Jun 2018
- Study completion22 Jun 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Psychological StressStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 102 participants (actual)
Sponsor and investigators
- Lead sponsor
- Canterbury Christ Church University
- Sponsor type
- University, hospital or other
- Collaborators
- Sussex Partnership NHS Foundation Trust, University of Sussex
- Responsible party
- Sponsor
- Investigators
- Emily C Ironmonger, MSc, Principal investigator, Canterbury Christ Church UniversityClara Strauss, PhD, Study director, Sussex Partnership NHS Foundation Trust & University of SussexKate Cavanagh, PhD, Study director, University of SussexFergal Jones, PhD, Study director, Canterbury Christ Church University & Sussex Partnership NHS Foundation Trust
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03030040
- Sponsor's protocol ID
- EmilyIronmongerMRP2016
- Other IDs
- IRAS ID: 215054
- Acronym
- MindSHINE2
- Status last verified
- Mar 2019
- First submitted
- 20 Jan 2017
- Last updated
- 22 Mar 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Mar 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised Controlled Trial of a Mindfulness-based Cognitive Therapy Self-help Intervention for UK National Health Service Employees
- ClinicalTrials.gov ID
- NCT03030040
- Acronym / sponsor ID
- MindSHINE2 / EmilyIronmongerMRP2016
- Conditions
- Psychological Stress
- Keywords
- mindfulness-based cognitive therapy, self-help, healthcare staff
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 102 participants (actual)
- Lead sponsor
- Canterbury Christ Church UniversityUniversity, hospital or other
- Collaborators
- Sussex Partnership NHS Foundation Trust, University of Sussex
- Study start
- 26 Jan 2017 (actual)
- Primary completion
- 22 Jun 2018 (actual)
- Study completion
- 22 Jun 2018 (actual)
- First posted
- 24 Jan 2017 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study examines whether a mindfulness-based self-help book is effective at reducing healthcare workers' levels of stress and improving their wellbeing.
Detailed description
This study is a randomised controlled trial (RCT) examining the efficacy of a mindfulness-based cognitive therapy self-help book ('Mindfulness: A practice guide to finding peace in a frantic world') relative to a wait-list control, in healthcare staff. It builds on a previous pilot RCT (http://www.isrctn.com/ISRCTN16486066). A battery of measures will be administered at baseline (week 0), post-intervention (week 9) and follow-up (week 21). This trial is designed to test the following hypotheses.
Primary Hypothesis
-Mindfulness-based cognitive therapy self-help (MBCT-SH) participants, in comparison to waitlist control participants, will show a reduction in symptoms of stress by the end of MBCT-SH (week 9).
Secondary Hypotheses
- The improvement detailed in the primary hypothesis will be maintained at a follow-up 12 weeks after the end of the MBCT-SH (week 21).
- MBCT-SH participants, in comparison to waitlist control participants, will show improvements in mindfulness, other-compassion, self-compassion, anxiety, depression, burnout and mental well-being by the end of MBCT-SH (week 9), and these improvements will be maintained at a follow-up 12 weeks after the end of the MBCT-SH (week 21).
- MBCT-SH participants, in comparison to waitlist control participants, will show a reduction in the number of sickness absence days from the three months preceding the intervention to the three months following the intervention.
- Increases in self-compassion and mindfulness from week 0 to week 9, will mediate the effects of MBCT-SH (relative to waitlist control) on levels of stress, depression, anxiety, wellbeing and burnout.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MBCT-SH | Experimental | Behavioral: The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus.MBCT-SH will be an unguided, mindfulness-based cognitive therapy, book-based self-help intervention. |
| Control | No intervention | –A wait list control group who will receive no intervention during the 21 weeks of the study. Control participants will be provided with the self-help book that the MBCT-SH group received after week 21. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Being currently employed by Sussex Partnership NHS Foundation Trust (in the UK) in a role or roles that involve direct delivery of healthcare.
- Having at least one day per week of direct contact with UK National Health Service service users.
- Agreeing to refrain from engaging in another form of psychological therapy during the course of the study.
- Having self-reported sufficient English language reading ability to read and understand the self-help book
Key exclusion criteria (2 listed)
- Being currently on leave of absence from work.
- Having previously received a minimum dose (defined as 50% of a course or more) of a mindfulness-based intervention.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus.Participants will be provided with a copy of the self-help book, and asked to read it and follow the activities outlined in it, over eight weeks. They will receive weekly standardized emails, to provide information about mindfulness and encouragement to engage with the self-help book. | Behavioural | MBCT-SH |
Primary outcome
Stress
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Change from baseline at 9-weeks on the Stress sub-scale of the Depression, Anxiety and Stress Scale-21
16 secondary outcomes
Stress (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Depression
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Depression (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Anxiety
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Anxiety (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Compassion for others
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Compassion for others (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Self-compassion
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Self-compassion (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Mindfulness
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Mindfulness (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Burnout
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Burnout (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Mental Wellbeing
Time frame: Post-intervention (i.e. 9-weeks after baseline)
Mental Wellbeing (follow-up)
Time frame: Follow-up (i.e. 21 weeks after baseline)
Sickness absence
Time frame: Follow-up (i.e. 21 weeks after baseline)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Mar 2019.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Emily C Ironmonger, MSc principal investigator
Canterbury Christ Church University
Clara Strauss, PhD study director
Sussex Partnership NHS Foundation Trust & University of Sussex
Kate Cavanagh, PhD study director
University of Sussex
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The self-help book: Williams, M. & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Piatkus. in people with Psychological Stress, run by Canterbury Christ Church University at 2 sites in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Stress (time frame: Post-intervention (i.e. 9-weeks after baseline)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Mar 2019.