Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Feb 6;20(1):24.
doi: 10.1186/s12875-019-0913-z.

Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol

Affiliations

Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol

Luis-Angel Pérula-de Torres et al. BMC Fam Pract. .

Abstract

Background: Health personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. This paper describes the rationale and design of the MINDUUDD study, the aim of which is to evaluate the effectiveness of a mindfulness and self-compassion 4-session programme versus the standard 8-session programme to reduce work stress and burnout in Family and Community Medicine and Nursing tutors and residents.

Methods: The MINDUDD study is a multicentre cluster randomised controlled trial with three parallel arms. Six Teaching Units will be randomised to one of the three study groups: 1) Experimental Group-8 (EG8); 2) Experimental Group-4 (EG4) Control group (CG). At least 132 subjects will participate (66 tutors/66 residents), 44 in the EG8, 44 in the EG4, and 44 in the CG. Interventions will be based on the Mindfulness-Based Stress Reduction (MBSR) program, including some self-compassion practices of the Mindful Self-Compassion (MSC) programme. The EG8 intervention will be implemented during 8 weekly face-to-face sessions of 2.5 h each, while the EG4 intervention will consist of 4 sessions of 2.5 h each. The participants will have to practice at home for 30 min/day in the EG8 and 15 min/day in the EG4. The Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS), Perceived Stress Questionnaire (PSQ), Maslach Burnout Inventory (MBI), Jefferson Scale of Physician Empathy (JSPE), and Goldberg Anxiety-Depression Scale (GADS) will be administered. Measurements will be taken at baseline, at the end of the programs, and at three months after completion. The effect of the interventions will be evaluated by bivariate and multivariate analyses (Multiple Linear Regression).

Discussion: If the abbreviated mindfulness programme is at least as effective as the standard program, its incorporation into the curriculum and training plans will be easier and more appropriate. It will also be more easily applied and accepted by primary care professionals because of the reduced resources and means required for its implementation, and it may also extend beyond care settings to academic and teaching environments as well.

Trial registration: The study has been registered at ClinicalTrials.gov ( NCT03629457 ; date of registration: 13.08.2018).

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

The project has been approved by the Ethics and Clinical Research Committee of the Reina Sofía Hospital in Córdoba (ref. 3845). The written informed consent of the participants will be requested.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Cluster-randomised trial intervention scheme

References

    1. Vilà M, Cruzate C, Orfila F, Creixell J, González MP, Davins J. Burnout y trabajo en equipo en los profesionales sanitarios de Atención Primaria. [Burnout and teamwork in Primary Care health professionals] Aten Primaria. 2015;47:25–31. doi: 10.1016/j.aprim.2014.01.008. - DOI - PMC - PubMed
    1. Prieto Albino L, Robles Agüero E, Salazar Martínez LM, Daniel VE. Burnout en médicos de Atención Primaria de la provincia de Cáceres. [Burnout in Primary Care physicians in the province of Caceres] Aten Primaria. 2002;29:294–302. doi: 10.1016/S0212-6567(02)70567-2. - DOI - PMC - PubMed
    1. Matía Cubillo AC, Cordero Guevara J, Mediavilla Bravo J, Pereda Riguera MJ, González Castro ML, González Sanz A. Evolución del burnout y variables asociadas en los médicos de Atención Primaria. [Evolution of burnout and associated variables in Primary Care physicians.] Aten Primaria 2012; 44: 532–539. - PMC - PubMed
    1. Benito E, Arranz P, Cancio H. Herramientas para el autocuidado del profesional que atiende a personas que sufren. FMC. 2011;18:59–65.
    1. Grossman P, Niemann L, Schmidt S, et al. Mindfulness-based stress reduction and health benefits. A metaanalysis. J Psychosom Res. 2004;57:35–43. doi: 10.1016/S0022-3999(03)00573-7. - DOI - PubMed

Publication types

Associated data