N/A
N=39
Certified Nursing Assistants' Wellbeing
Stress and Burnout
Bottom Line
View on ClinicalTrials.gov: NCT03720652 ↗Enrolled (actual)
39
Serious AEs
3.1%
Results posted
Apr 2021
Primary outcome: Primary: Study Participant's Self-Rating of Likelihood to Leave Job in the Coming Year Over Time — 9; 13; 1; 5 Participants — p=0.18
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- 8-Week Mindful Self-Compassion (MSC) (Behavioral); 6-Week Mindful Self-Compassion (MSC) (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of North Carolina, Chapel Hill
- Primary completion
- Jun 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Study Participant's Self-Rating of Likelihood to Leave Job in the Coming Year Over Time |
9; 13; 1; 5; 1; 3 | 0.18 |
| SECONDARY Change in Mean Score Over Time on Job Satisfaction Scale (JSS) |
15.00; 14.71; 15.80; 14.40; 16.20; 14.95 | 0.70 |
| SECONDARY Change in Mean Score Over Time on Approach to Dementia Questionnaire (ADQ) - Recognition of Personhood Subscale |
38.00; 36.86; 39.00; 38.30; 38.70; 37.21 | 0.015 sig |
| SECONDARY Change in Mean Score Over Time on Perceived Stress Scale (PSS) |
11.64; 14.19; 7.90; 12.05; 9.10; 11.53 | 0.022 sig |
| SECONDARY Change in Mean Score Over Time on PROMIS Depression Scale |
10.27; 14.29; 11.70; 11.00; 11.30; 11.79 | 0.051 |
| SECONDARY Change in Mean Score Over Time on Maslach Burnout Inventory (MBI) - Depersonalization Subscale |
0.42; 0.85; 0.28; 0.59; 0.54; 0.72 | 0.023 sig |
| SECONDARY Change in Mean Score Over Time on Maslach Burnout Inventory (MBI) - Emotional Exhaustion Subscale |
1.69; 2.05; 1.08; 1.84; 0.90; 1.91 | 0.15 |
| SECONDARY Change in Mean Score Over Time on Maslach Burnout Inventory (MBI) - Personal Accomplishment Subscale |
4.97; 4.59; 5.07; 4.74; 4.99; 4.35 | 0.33 |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) |
3.72; 2.73; 3.64; 3.77; 3.71; 3.88 | <0.001 sig |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) - Self-kindness Subscale |
4.00; 3.22; 3.50; 3.75; 3.80; 3.84 | 0.17 |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) - Self-judgment Subscale |
2.39; 3.33; 2.43; 2.25; 2.20; 1.95 | 0.013 sig |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) - Common Humanity Subscale |
3.48; 2.56; 3.83; 3.67; 3.37; 3.68 | 0.001 sig |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) - Isolation Subscale |
2.55; 3.41; 2.37; 2.18; 2.20; 1.91 | <0.001 sig |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) - Mindfulness Subscale |
4.24; 2.68; 3.83; 3.77; 3.53; 3.84 | 0.046 sig |
| SECONDARY Change in Mean Score Over Time on Self-compassion Scale-Short Form (SCS-SF) - Over-identification Subscale |
2.45; 3.32; 2.53; 2.15; 2.07; 2.25 | <0.001 sig |
| SECONDARY Percent of Classes Attended by Participating CNAs |
93.75; 95.67 | — |
| SECONDARY Percent of Participants Attending All Intervention Sessions |
50.00; 75.00 | — |
| SECONDARY Percent Intervention Minutes Attended by Participants |
95.35; 98.17 | — |
| SECONDARY Mean Number of Days Per Week Spent in Out-of-Class Informal Exercise |
2.58; 2.60 | — |
| SECONDARY Mean Number of Days Per Week Spent in Out-of-Class Formal Exercise |
2.12; 2.60 | — |
| SECONDARY Study Participant's Self-Rating of Satisfaction With the MSC Course |
0; 0; 0; 0; 0; 0 | — |
Summary
Certified nursing assistants (CNAs), who provide the majority of care to persons with chronic disease and/or cognitive impairment from Alzheimer's disease and related dementias, face tremendous job and home stress, and as a result absenteeism and job turnover are high. This is a preliminary study that will tailor Mindful Self-Compassion (MSC) - a promising new program designed to cultivate greater self-care, and strengthen resilience and coping skills - for the CNA population and study its effectiveness. If results are favorable, MSC could be incorporated into CNA training programs, thereby helping contribute to a more effective and stable long-term care workforce.
Eligibility Criteria
Inclusion Criteria
- Certified Nursing Assistant employed by one of 3 study Nursing Homes
- Aged 18 and over
- Speak English
- Work at least 20 hours as a CNA at one of our proposed Nursing Homes
- Expect to attend at least 75% of the intervention classes
- Expect to stay at least the course of the intervention on the job
- Score in the top 50% on the PSS-10 (Perceived Stress Scale) (if more than 20 participants interested)
Exclusion Criteria
- Younger than 18
- Working fewer than 20 hours a week
- Unable to attend at least 75% of the intervention classes
- Expect to leave their position during the intervention
Data sourced from ClinicalTrials.gov (NCT03720652). 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.