Effects of mindfulness-based interventions on mindfulness and perceived stress for nursing students before clinical practicum
| ISRCTN | ISRCTN13821133 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN13821133 |
- Submission date
- 19/05/2024
- Registration date
- 24/05/2024
- Last edited
- 17/07/2024
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English Summary
Background and study aims
University nursing students have been shown to experience psychological stress. A mindfulness-based intervention (MBI) may be a helpful tool for stress management. This study aims to look at the effects of an MBI on improving mindfulness and reducing perceived stress in nursing students.
Who can participate?
Adult third-year nursing students aged between 18 and 18.5 years old enrolled in the 5-year nursing program at a university, in southern Taiwan.
What does the study involve?
The intervention group participated in an 8-week mindfulness awareness course, which included 50 minutes of training and practice in mindfulness meditation techniques each week. Over the same eight weeks, the control group watched a 50-minute film each week.
What are the possible benefits and risks of participating?
Benefits: enhancing mindfulness and reducing stress. No risks.
Where is the study run from?
Meiho University
When is the study starting and how long is it expected to run for?
March 2021 and February 2022
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
Dr Yi-Ling LIU, x00011388@meiho.edu.tw
Contact information
Scientific
No. 23, Pingguang Rd., Neipu Township
Pingtung City
912009
Taiwan
| Phone | +886972277508 |
|---|---|
| x00011388@meiho.edu.tw |
Scientific, Principal Investigator
No. 100, Ziyou 1st Road, Sanmin District, Kaohsiung
Kaohsiung City
807
Taiwan
 ORCID ID |
0000-0002-0184-9116 |
|---|---|
| Phone | +886937327587 |
| painting@kmu.edu.tw |
Public, Scientific
No. 23, Pingguang Rd., Neipu Township, Pingtung
Pingtung City
912009
Taiwan
| ORCID ID |
0000-0001-9316-5098 |
|---|---|
| Phone | +886913325576 |
| x00002167@meiho.edu.tw |
Study information
| Study design | Longitudinal cluster-randomized quasi‐experimental study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Cluster randomised trial |
| Study setting(s) | University/medical school/dental school |
| Study type | Other |
| Participant information sheet | No participant information sheet available |
| Scientific title | A mindfulness-based intervention improves perceived stress and mindfulness in University Nursing Students: a quasi-experimental study |
| Study hypothesis | This study examines the effects of a mindfulness-based intervention on improving mindfulness and reducing perceived stress in nursing students. After receiving an 8-week mindfulness-based intervention, nursing students in the experimental group will increase their mindfulness and decrease their perceived-stress over time. |
| Ethics approval(s) |
Approved 15/07/2021, Antai Medical Care Cooperation Antai- Tian-Sheng memorial Hospital Institutional Review Board Chairman (No.210, Sec. 1, Jhongjheng Rd.,Tong Gang City, Pingtung City, 928, Taiwan; +886 08-8329966#5529; tsmhirb2018@gmail.com), ref: 21-045-B |
| Condition | Workplace perceived stress and mindfulness |
| Intervention | This study has a longitudinal quasi‐experimental design, with repeated measures performed with a 6-month follow-up period to investigate the effects of an 8-week mindfulness awareness course on the mindfulness and perceived stress of nursing students before their clinical practice. Cluster randomization was employed to assign two classes to the experimental and control groups, mitigating the risk of contamination, as participants within clusters are likely to share experiences and similar learning environments. Participants in the experimental group will take an 8-week mindfulness awareness course that includes training and practice in mindfulness meditation techniques for 50 minutes/week. Those in the control group will watch a 50-minute film once a week for 8 weeks. The participants are taught by the first author who was trained to use mindfulness meditation techniques such as the body scan, a 30-minute exercise in which the individual, while sitting in a relaxed position with the eyes closed, sequentially directs his or her attention to specific areas of the body and carefully observes how each area feels. Participants were instructed in meditation, with the direction of their attention to the sensations of breathing, tension, and relaxation. They will also learn an exercise in which they focus on the feeling of rolling two wooden balls in the palm of the dominant hand for 15 minutes, repeating the movement dozens of times. They will be taught to practice mindfulness skills in daily activities such as walking, standing, and eating. The participants are asked to practice the skills and techniques for 45 minutes/day, with a final 5-minute period to return to the perception of all bodily sensations. The total duration of observation and the total duration of follow-up. Outcome measure assessments Mindful Attention Awareness Scale (MAAS): The 15-item MAAS will be used to determine the degree of individuals’ mindfulness. Respondents score items about inattentive states on a Likert scale ranging from 1 (almost always) to 6 (almost never). Perceived Stress Scale (PSS): The 14-item PSS will be used to measure the level of unpredictable, uncontrollable and overloaded stress experienced by the respondents in the past month. Responses are structured by a 5-point Likert scale (0 = never, 4 = always). |
| Intervention type | Other |
| Primary outcome measure | Mindfulness awareness measured using a Mindful Attention Awareness Scale (MAAS) Scale and the Perceived Stress Scale (PSS) before the intervention (T0), immediately following the intervention (T1), two months after the intervention (T2), and six months after the intervention (T3) |
| Secondary outcome measures | There are no secondary outcome measures |
| Overall study start date | 30/03/2021 |
| Overall study end date | 28/02/2022 |
Eligibility
| Participant type(s) | Learner/student |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 18.5 Years |
| Sex | Both |
| Target number of participants | There are four classrooms (clusters) with a total of 220 students, each accommodating an average of 55 participants. |
| Total final enrolment | 94 |
| Participant inclusion criteria | 1. Third-year nursing students enrolled in the 5-year nursing program at a University, in Southern Taiwan 2. Aged between 18 to 18.5 years old |
| Participant exclusion criteria | Not giving consent to participate in the study |
| Recruitment start date | 16/07/2021 |
| Recruitment end date | 17/07/2021 |
Locations
Countries of recruitment
- Taiwan
Study participating centre
Pingtung City
912009
Taiwan
Sponsor information
University/education
Dean of the School of Nursing, No. 23, Pingguang Rd., Neipu Township
Pingtung City
912009
Taiwan
| Phone | +886 8-7799821 #6400 |
|---|---|
| x00012221@meiho.edu.tw | |
| Website | https://www.meiho.edu.tw/var/file/0/1000/mobilehomepage/69/index.html |
"ROR" |
https://ror.org/04cjpzj07 |
Funders
Funder type
Other
No information available
Results and Publications
| Intention to publish date | 30/07/2024 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | Planned publication in a peer-reviewed journal |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are not expected to be made available because of potential participant identification. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | 08/06/2024 | 17/07/2024 | Yes | No |
Editorial Notes
17/07/2024: Publication reference added.
04/06/2024: Internal review.
24/05/2024: Study's existence confirmed by the Antai Medical Care Cooperation Antai- Tian-Sheng Memorial Hospital Institutional Review Board.
