Burnout, Professional
Conditions
Keywords
Mindfulness-based, Self-care, Health workers, Epigenetics
Brief summary
Burnout Syndrome is one of the major challenges for health systems worldwide. This study strives to evaluate the feasibility and effectiveness of an 8- versus 2-week mindfulness-based self-care program on burnout symptoms and psychological and biological variables.
Detailed description
The development of stepped-care interventions allows for the development of new strategies within mindfulness-based approaches, classically described as a weekly two-hour commitment which lasts eight weeks. Such approaches might reach larger and stratified groups, more suitable for usage in Brazilian health-system context. For such evaluations, the investigators will use a 3-arms randomized clinical trial design, with Sociodemographic and Labor variables, such as age, sex, number of offspring, adherence to the program, adherence to the mindfulness practices, Burnout Clinical Subtype Questionnaire -(BCSQ-36), Maslach Burnout Inventory (MBI-GS), Mindfulness Attention Awareness Scale (MAAS), Freiburg Mindfulness Inventory adapted for Brazil (FMI-Br-13), Five-Facet Mindfulness Questionnaire (FFMQ-Br). DNA methylation will be measured by Methylase-reaction, and BDNF (brain-derived neurotrophic factor) will be quantified by ELISA-sandwich. The primary outcome will be the effectiveness of such programs on different clinical subtypes of Burnout symptoms (frenetic, under challenged and worn-out). The secondary outcome will be mindfulness levels, and adherence to the program and to the mindfulness practice, and on inflammation and epigenetic variables.
Interventions
BEHAVIORALMindfulness 8 weeks
8 sessions of mindfulness
BEHAVIORALMindfulness 2 weeks
2 sessions of mindfulness
Sponsors
Centro Mente Aberta de Mindfulness
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Active Primary Care Providers
Exclusion criteria
* Acute disease (physical or mental) * Schizophrenia or other psychotic symptoms * Concomitant use of medication causing attentional, cognitive or concentration impairments * Having practiced mindfulness or other contemplative techniques in the previous 12 months of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| A mindfulness intervention decreases Burnout | up to 2 months of follow-up | Evaluation of Burnout symptoms through the MBI-GS scale |
| A mindfulness intervention increases Happiness | up to 2 months of follow-up | Evaluation of Happiness levels through the PHI (Pemberton) scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| A mindfulness intervention improves Epigenetic (II) | up to 2 months of follow-up | Evaluation of epigenetic-related activity through Cysteine levels (Pfeiffer, 1999) |
| A mindfulness intervention increases Mindfulness | up to 2 months of follow-up | Evaluation of Mindfulness levels through the MAAS scale |
| A mindfulness intervention improves Inflammation | up to 2 months of follow-up | Evaluation of inflammation-related activity through seric Brain-Derived Neurotrophic Factor - BDNF- (ELISA-Sandwich) |
| A mindfulness intervention improves Epigenetic (III) | up to 2 months of follow-up | Evaluation of epigenetic-related activity through Methylase Reaction (Radiomarking of methyl groups) |
| A mindfulness intervention improves Epigenetic | up to 2 months of follow-up | Evaluation of epigenetic-related activity through Homocysteine levels (Pfeiffer, 1999) |
Outcome results
None listed