A Feasibility Study of Mindfulness-Based Stress Reduction for Public School Educators

Overview

Stress, anxiety, depression and burnout have been studied extensively in public school personnel. Effective and implementable strategies are urgently needed to address poor mental health and to foster positive health characteristics in this population. Mindfulness based stress reduction (MBSR) is an evidence-based intervention that supports whole person health. Currently, no studies have examined remote MBSR feasibility among public school educators. This study will develop, pilot and evaluate the feasibility and effects of an 10-session (8-week) virtual MBSR program for public school educators.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Other
    • Masking: None (Open Label)
  • Study Primary Completion Date: December 2022

Interventions

  • Behavioral: Remote Mindfulness-Based Stress Reduction Program
    • Enrolled participants will participate in a remote-delivered (online with audio and video) Mindfulness-Based Stress Reduction (MBSR) program. MBSR is a well established behavioral health intervention consisting of 10-sessions lasting 2.5 hours, with one session lasting 7.5 hours in an all-day retreat format over a 2-month period.

Arms, Groups and Cohorts

  • Experimental: Remote Mindfulness-Based Stress Reduction Program
    • Mindfulness- Based Stress Reduction classes

Clinical Trial Outcome Measures

Primary Measures

  • Feasibility – Adherence
    • Time Frame: Baseline to 3 months after enrollment
    • Number of sessions attended and participants who completed the course.
  • Acceptability – Satisfaction
    • Time Frame: Baseline to 8 weeks
    • Satisfaction will be assessed by a one question survey ranging in score from 0 to 5. Lower scores indicate dissatisfaction and higher scores indicate higher satisfaction.
  • Acceptability – Overall Helpfulness of the course
    • Time Frame: Baseline to 8 weeks
    • Helpfulness of the course assessed by a one question survey with an 11-point Numeric Rating Scale ranging from 0 (“Not helpful”) to 10 (“Most helpful”). Lower scores indicate less helpfulness.

Secondary Measures

  • Change in perceived stress as measured by a Perceived Stress Scale
    • Time Frame: Baseline, 8 weeks and 12 weeks
    • 10-item Perceived Stress Scale. Each question is scored ranging from 0 (Never) to 4 (Very Often) Total survey scores range from 0-40. A lower score indicates low stress, a better outcome.
  • Change in anxiety as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety short form
    • Time Frame: Baseline, 8 weeks and 12 weeks
    • 4-item Anxiety short form. Each question is scored ranging from 1 (Never) to 5 (Always). Total raw scores range from 4-20. A lower score indicates low anxiety, a better outcome.
  • Change in depression as measured by the PROMIS Depression short form
    • Time Frame: Baseline, 8 and 12 weeks after enrollment.
    • 4-item depression short form. Each question is scored ranging from 1 (Never) to 5 (Always). Total raw scores range from 4-20. A lower score indicates low depression, a better outcome.
  • Change in educator burnout as measured by the Maslach Burnout Inventory-Educator’s Survey
    • Time Frame: Baseline, 8 and 12 weeks after enrollment.
    • 22-item Burnout survey for educators. Each question is scored ranging from 0 (Never) to 6 (Every day). Scoring encompasses subcscale measurements of emotional exhaustion (Total raw score range from 0-54. A lower score indicates lower emotional exertion, a better outcome), depersonalization ( Total raw scores range from 0-30. A lower score indicates lower feelings of depersonalization, a better outcome.), and personal accomplishment (Total raw scores range from 0-48 A higher score indicates higher personal accomplishment, a better outcome.)
  • Change in mindfulness as measured by the Five Facet Mindfulness Questionnaire
    • Time Frame: Baseline, 8 and 12 weeks after enrollment.
    • 15-item mindfulness questionnaire. Each question is scored from 1 (Never or very rarely true) to 5 (Very often or always true). Total raw scores range from 15-75. A higher score indicates more mindfulness, a better outcome.
  • Change in self-compassion as measured by the Self-Compassion Scale (SCS)
    • Time Frame: Baseline, 8 and 12 weeks after enrollment.
    • 26 item compassion scale. Each question is scored ranging from 1 (Almost never) to 5 Almost always). Scoring encompasses subscale measurements of: self kindness (Total raw scores range from 5-25. A high score indicating more self-kindness, a better outcome.), self judgement ( Total raw scores range from 5-25. A low score indicates low self-judgement, a better outcome.), common humanity items (Total raw score range from 4-20. A higher score indicates more common humanity, a better outcome.), isolation (Total raw score range from 4-20. A lower score indicates low feelings of isolation, a better outcome.), mindfulness (Total raw scores range from 4-20. A higher score indicates more mindfulness, a better outcome.), over-identified (Total raw scores range from 4-20. A low score indicates low over-identifying behaviors, a better outcome.)
  • Change in physical health as measured by the 6-item Short Form Health Survey within the (SF-12)
    • Time Frame: Baseline, 8 and 12 weeks after enrollment.
    • 6 item health survey. The questions vary in scoring and answers with question 1 scores ranging from 1(Excellent) to 5 (Poor). Questions 2-3 scoring ranges from 1 (Yes, limited a lot) to 3 (No, not limited at all). Questions 4-7 scoring ranges from 1 (Yes) to 2 (No). Question 8 scoring ranges from 1 (Not at all) to 5 (Extremely). Questions 9-11 scoring ranges from 1 (All of the time) to 6 (None of the time). Question 12 scoring ranges from 1 (All of the time) to 5 (None of the time). Total raw score range from 0-100. A higher score indicates better physical function, a better outcome.
  • Change in mental health as measured by the 6-item Short Form Health Survey (SF-12)
    • Time Frame: Baseline, 8 and 12 weeks after enrollment.
    • 6 item health survey. The questions vary in scoring and answers with question 1 scores ranging from 1(Excellent) to 5 (Poor). Questions 2-3 scoring ranges from 1 (Yes, limited a lot) to 3 (No, not limited at all). Questions 4-7 scoring ranges from 1 (Yes) to 2 (No). Question 8 scoring ranges from 1 (Not at all) to 5 (Extremely). Questions 9-11 scoring ranges from 1 (All of the time) to 6 (None of the time). Question 12 scoring ranges from 1 (All of the time) to 5 (None of the time). Total raw score range from 0-100. A higher score indicates better mental health, a better outcome.

Participating in This Clinical Trial

Inclusion Criteria

  • Working certificated Metro Nashville Public Schools (MNPS) employees who self-report stress, anxiety, and/or depressive symptoms Exclusion Criteria:

  • Unable to commit to the weekly MBSR schedule – Have taken the MBSR course previously – Participants who do not have reliable home internet

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Vanderbilt University Medical Center
  • Provider of Information About this Clinical Study
    • Principal Investigator: Martha E. Shepherd, Assistant Professor of Clinical Medicine and Pediatrics – Vanderbilt University Medical Center
  • Overall Official(s)
    • Martha E Shepherd, DO, MPH, Principal Investigator, Vanderbilt University Medical Center
  • Overall Contact(s)
    • Martha E Shepherd, DO, MPH, 615-259-8755, martha.shepherd@vumc.org

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