A study protocol for a cluster randomised controlled trial on mindfulness-based stress reduction: studying effects of mindfulness-based stress reduction and an additional organisational health intervention on mental health and work-related perceptions of teachers in Dutch secondary vocational schools

Abstract

Background: Dutch teachers in secondary vocational schools suffer from stress and burnout complaints that can cause considerable problems at work. This paper presents a study design that can be used to evaluate the shortterm and long-term effectiveness of mindfulness-based stress reduction (MBSR), a person-focused intervention, both within and outside of the context of an additional organisational health intervention. Methods: The proposed study comprises a cluster randomised controlled trial that will be conducted in at least three secondary vocational schools, to which teachers will be recruited from three types of courses: Care, Technology, and Economy. The allocation of the intervention programme to the participating schools will be randomised. The teachers from each school will be assigned to intervention group 1 (IG 1), intervention group 2 (IG 2), or the waiting list group (WG). IG 1 will receive MBSR training and IG 2 will receive MBSR training combined with an additional organisational health intervention. WG, that is the control group, will receive MBSR training one year later. The primary outcome variable of the proposed study is mindfulness, which will be measured using the Dutch version of the Five Facet Mindfulness Questionnaire (FFMQ-NL). In the conceptual model, the effects of teachers'

Effects of Mindfulness-Based Stress Reduction Training on Healthcare Professionals’ Mental Health: Results from a Pilot Study Testing Its Predictive Validity in a Specialized Hospital Setting

“…To address most of these limitations, a larger-scale RCT [ 57 ] should assess the short- and long-term effects on a diversity of outcomes: negative and positive symptom-focused measures of mental health; work performance; process-focused outcome measures, and outcomes on work-related perceptions. Moreover, a larger, homogeneous sample or stratification is needed to be able to detect specific, statistically significant, demands and challenges of these groups with respect to the outcomes of MBSR training.…”

Defining and evaluating the Hawthorne effect in primary care, a systematic review and meta-analysis

“…Of the 74 selected reports in the definition branch, 15 were randomized controlled trials (RCTs) ( 25 – 39 ), two were not randomized controlled trials ( 40 , 41 ), three were studies nested in RCTs ( 42 – 44 ), seven were retrospective reanalysis or discussions of RCTs ( 23 , 24 , 45 – 49 ), three were pilot studies prior to an RCT ( 50 – 52 ), and one was an RCT protocol ( 53 ). Further, there were 18 observational studies ( 54 – 71 ), 18 pre–post intervention studies or audits ( 21 , 22 , 72 – 87 ), one diagnostic accuracy study ( 88 ), four qualitative or mixed-method studies ( 89 – 92 ), one mixed-method study protocol ( 93 ), and finally one methodology protocol to build up research quality guidelines ( 13 ) ( Supplementary Table 1 ).…”

“…According to the Cochrane tool ( 19 ), in the definition branch, six studies had a low risk of bias ( 27 – 29 , 31 , 32 , 39 ), 18 studies had a moderate risk of bias ( 24 , 26 , 30 , 33 – 36 , 38 , 43 – 46 , 48 , 50 , 52 , 58 , 69 , 79 ), 38 had an important risk of bias ( 21 , 22 , 37 , 40 – 42 , 49 , 51 , 54 , 56 , 57 , 59 – 68 , 70 – 72 , 74 – 78 , 80 – 88 ), and two studies had a very important risk of bias ( 23 , 73 ). Nine studies were not assessable with the tool (protocols or qualitative/mixed methods studies) ( 13 , 25 , 47 , 53 , 89 – 93 ).…”

“…Of the 74 selected reports in the definition branch, 15 were randomized controlled trials (RCTs) (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39), two were not randomized controlled trials (40,41), three were studies nested in RCTs (42)(43)(44), seven were retrospective reanalysis or discussions of RCTs (23,24,(45)(46)(47)(48)(49), three were pilot studies prior to an RCT (50)(51)(52), and one was an RCT protocol (53). Further, there were 18 observational studies (54-71), 18 pre-post intervention studies or audits (21,22,(72)(73)(74)(75)(76)(77)(78)(79)(80)(81)(82)(83)(84)(85)(86)…”

Intervenções em Mindfulness para Síndrome de Burnout em Professores: uma revisão integrativa

“…Observa-se a demanda de implementação das modalidades interventivas em atenção plena para promoção e prevenção da síndrome de burnout, em educadores no Brasil, país sem Contextos estudo identificado nesta área de pesquisa. Quanto ao desenho dos estudos, verificouse que um estudo (Janssen et al, 2020), uma proposta em andamento, foi longitudinal, apontando para a necessidade de estudos mais robustos e de longo prazo que mensurem os impactos da participação dos professores em estratégias em mindfulness, na prevenção e/ou redução dos sintomas de esgotamento de profissional (Emerson et al, 2017;Luken & Sammons, 2016).…”