Anxiety, Burnout, Professional, Depression, Emotion Regulation
Conditions
Brief summary
This feasibility clinical trial aims to assess the feasibility of implementing a 1-month app-based meditation program with officers in the juvenile legal system and other professionals working directly with legal-involved youth.
Detailed description
Professionals working with legal-involved youth experience high levels of depression, anxiety, and workplace burnout. Mindfulness meditation targets emotion regulation-which appears to be a common mechanism underlying depression, anxiety, and burnout-and it can be effectively delivered via smartphone app. This project will assess the feasibility of implementing a 1-month app-based meditation program with officers and other professionals working with legal-involved youth. The findings are intended to inform the development of a future, fully-powered hybrid effectiveness-implementation randomized controlled trial (RCT).
Interventions
AIM+ is a smartphone-based app that teaches mindfulness meditation to professionals working with legal-involved youth over a 30-day "path." Each day of the path consists of a brief (approximately 5- to 10-minute) audio-guided meditation practice, with brief videos interspersed to illustrate key concepts and promote engagement. In addition to the 30 daily path files, users have access to a menu of "to go" audio-guided meditation practices that they can use as relevant to their workday (e.g., for professionals to listen to before attending a meeting). AIM+ also includes a menu of audio-guided meditation practices that officers can share with the youth on their caseloads (e.g., for youth to listen to before attending court).
Resource+ is a 30-day smartphone-based program that includes information on local and national resources that professionals can use to learn about organizations and services available to youth with whom they work.
Sponsors
Study design
Intervention model description
Participants will be individually randomized at a 1:1 ratio to 1 of 2 smartphone conditions: (1) AIM+, a 30-day mindfulness meditation app, or (2) Resource+, a 30-day program that provides information on resources relevant to youth.
Eligibility
Inclusion criteria
* Currently working with youth in the juvenile legal system or related juvenile services and programming * English speaking * Able to understand and provide consent * At least 18 years old * Have an Android or Apple smartphone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| App adherence (binary) | 1 month | Percentage of participants who play at least one file on their study app after app setup at baseline |
| App adherence (continuous) | 1 month | Average number of daily app files played over the 1-month intervention period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment | Baseline | Number of participants enrolled |
| Randomization | Baseline | Percentage of participants randomized to each arm |
| Retention | 1 month, 6 months | Percentage of participants who attend (yes/no) each follow-up visit |
| Percentage of Participants Who Complete Remote Questionnaire Batteries | Baseline, 1 month, 6 months | Percentage of participants who complete the entire health questionnaire battery at each assessment time point. This outcome captures the feasibility of remotely administering an in-depth battery probing sensitive behavioral health domains (e.g., mental health symptoms and substance use). Outcome values are binary (yes/no to completion of full battery). |
| Acceptability of Intervention Measure (AIM) | 1 month | Four-item scale assessing perceived acceptability of the intervention. Items are rated on a 5-point Likert scale and averaged to produce a total score ranging from 1 to 5; with higher scores indicating greater acceptability. |
| Intervention Appropriateness Measure (IAM) | 1 month | Four-item scale assessing perceived appropriateness of the intervention. Items are rated on a 5-point Likert scale and averaged to produce a total score ranging from 1 to 5; with higher scores indicating greater appropriateness. |
| Feasibility of Intervention Measure (FIM) | 1 month | Four-item scale assessing perceived feasibility of the intervention. Items are rated on a 5-point Likert scale and averaged to produce a total score ranging from 1 to 5; with higher scores indicating greater feasibility. |
| System Usability Scale (SUS) | 1 month | Ten-item scale assessing perceived usability of the intervention. Items are rated on a 5-point Likert scale and scored to produce a total score ranging from 0 to 100, with higher scores indicating greater usability. |
| Client Satisfaction Questionnaire (CSQ-8) | 1 month | Eight-item scale assessing participant satisfaction with the intervention. Items are rated on a 4-point Likert scale and summed to produce a total score ranging from 8 to 32, with higher scores indicating greater satisfaction. |
| Ecological momentary assessment (EMA) completion | Baseline, 1 month | Percentage of EMA reports made out of total EMA prompts sent at each week long EMA burst (i.e., measures of current positive and negative affect \[International Positive Affect and Negative Affect Schedule Short Form (I-PANAS-SF)\] and current attentional control). |
Countries
United States