N/A
N=131
A Mindfulness Based Cognitive Therapy (MBCT) Resiliency Program for Critical Care Nurses
Burn-Out Syndrome · Work-Related Stress Disorder
Bottom Line
View on ClinicalTrials.gov: NCT03132220 ↗Enrolled (actual)
131
Serious AEs
0.0%
Results posted
Dec 2019
Primary outcome: Primary: Change From Baseline in Connor Davidson Resiliency Scale (CD-RISC) Scores — 66.9; 67.6; 73.6; 72.3 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Mindfulness-Based Cognitive Therapy (Behavioral); Book Club Active Control Intervention (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Colorado, Denver
- Primary completion
- Aug 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Connor Davidson Resiliency Scale (CD-RISC) Scores |
66.9; 67.6; 73.6; 72.3 | — |
| SECONDARY Changes in Acceptability of the Sessions, on the Client Satisfaction Questionnaire (CSQ-8) |
25.5; 26.2; 25.4; 27.0; 24.9; 28.2 | — |
| SECONDARY Change From Baseline in Maslach Burnout Inventory (MBI) - Emotional Exhaustion Score |
26.4; 29.2; 24.9; 29.0 | — |
| SECONDARY Qualitative Interviews |
— | — |
| SECONDARY Change From Baseline in Post-traumatic Diagnostic Scale (PDS-5) - Intrusion Score |
3.9; 4.3; 3.7; 4.5 | — |
| SECONDARY Change From Baseline in HADS Anxiety Score |
9.6; 9.0; 8.0; 8.6 | — |
| SECONDARY Changes From Baseline in the MBI-Depersonalization Score |
10.8; 11.8; 10.5; 12.7 | — |
| SECONDARY Change From Baseline in MBI- Personal Accomplishment Score |
29.9; 30.8; 34.1; 34.0 | — |
| SECONDARY Change From Baseline in PDS-5 Avoidance Score |
2.0; 1.9; 1.5; 2.0 | — |
| SECONDARY Change From Baseline in PDS-5 Arousal Scores |
5.1; 4.6; 4.3; 5.0 | — |
| SECONDARY Change From Baseline in HADS-Depression Score |
5.7; 5.8; 4.5; 4.7 | — |
Summary
Developed over 10 years ago, Mindfulness Based Cognitive Therapy (MBCT) synergistically combines mindfulness training and cognitive behavioral therapy and can increase resiliency. In this study, the investigators proposed two aims: Aim #1: To adapt and optimize a MBCT resiliency program specifically for ICU nurses. For this aim, the investigators will engage multiple stakeholder groups to assist the protocol adaptation. Aim # 2: To conduct a pilot clinical trial to determine acceptability of the MBCT resiliency program and the control intervention. In this aim, the investigators will also identify the most feasible randomization level to minimize contamination between the control and intervention groups. Collectively, this proposal will pave the way for a properly designed large multi-center trial of a MBCT resiliency program (MBCT-ICU) to determine its ability to decrease BOS symptoms; and allow nurses to more effectively care for patients in the challenging ICU environment.
Eligibility Criteria
Inclusion Criteria
- Adults ages 18 years or older
- Employed as a critical care nurse and work at least 20 hours per week as an ICU
- Baseline score of 17,
- depersonalization score of >7, or
- a personal accomplishment score of < 31.
Exclusion Criteria
- A self-reported diagnosis of:
- bipolar or psychotic disorder,
- active substance dependence, or
- immediate risk of self-harm or need for hospitalization
- Unwillingness to participate in the entire study protocol
- Employment on a time limited contract (i.e. a traveling nurse)
Data sourced from ClinicalTrials.gov (NCT03132220). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.