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首页> 外文期刊>Trials >A study protocol for a cluster randomised controlled trial on mindfulness-based stress reduction: studying effects of mindfulness-based stress reduction and an additional organisational health intervention on mental health and work-related perceptions of teachers in Dutch secondary vocational schools
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A study protocol for a cluster randomised controlled trial on mindfulness-based stress reduction: studying effects of mindfulness-based stress reduction and an additional organisational health intervention on mental health and work-related perceptions of teachers in Dutch secondary vocational schools

机译:基于心灵的压力减压的集群随机对照试验的研究议定书:荷兰中等职业学校的心态压力减少和额外组织健康干预的研究额外的组织健康干预

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BACKGROUND:Dutch teachers in secondary vocational schools suffer from stress and burnout complaints that can cause considerable problems at work. This paper presents a study design that can be used to evaluate the short-term and long-term effectiveness of mindfulness-based stress reduction (MBSR), a person-focused intervention, both within and outside of the context of an additional organisational health intervention.METHODS:The proposed study comprises a cluster randomised controlled trial that will be conducted in at least three secondary vocational schools, to which teachers will be recruited from three types of courses: Care, Technology, and Economy. The allocation of the intervention programme to the participating schools will be randomised. The teachers from each school will be assigned to intervention group 1 (IG 1), intervention group 2 (IG 2), or the waiting list group (WG). IG 1 will receive MBSR training and IG 2 will receive MBSR training combined with an additional organisational health intervention. WG, that is the control group, will receive MBSR training one year later. The primary outcome variable of the proposed study is mindfulness, which will be measured using the Dutch version of the Five Facet Mindfulness Questionnaire (FFMQ-NL). In the conceptual model, the effects of teachers' mindfulness resulting from the intervention programmes (MBSR training and MBSR training combined with an additional organisational health intervention) will be related to salient (secondary outcome) variables: mental health outcomes (e.g., burnout, work engagement), work performance, work-related perceptions (job demands and job resources), and personal competencies (e.g., occupational self-efficacy). Data will be collected before (Tsub0/sub) and immediately after the MBSR training (Tsub1/sub), and 3 (Tsub2/sub) and 9 months (Tsub3/sub) after the training. The power analysis revealed a required sample size of 66 teachers (22 in each group).DISCUSSION:The proposed study aims to provide insight into (1) the short-term and long-term effects of MBSR on teachers' mental health, (2) the possible enhancing effects of the additional organisational health intervention, and (3) the teachers' experiences with the interventions (working mechanisms, steps in the mindfulness change process). Strengths of this study design are the use of both positive and negative outcomes, the wide range of outcomes, both outcome and process measures, longitudinal data, mixed methods, and an integral approach. Although the proposed study protocol may not address all weaknesses of current studies (e.g., self-selection bias, self-reporting of data, the Hawthorne effect), it is innovative in many ways and can be expected to make important contributions to both the scientific and practical debate on how to beat work-related stress and occupational burnout, and on how to enhance work engagement and work performance.TRIAL REGISTRATION:Dutch Trial Register (www.trialregister.nl): NL5581. Registered on 6 July 2016.
机译:背景:中等职业学校的荷兰教师遭受压力和倦怠投诉,可能会在工作中造成相当大的问题。本文提出了一项研究设计,可用于评估额外组织健康干预的内部和外部的基于谨慎的压力减少(MBSR)的短期和长期效力.Methods:拟议的研究包括一个集群随机对照试验,将在至少三所中等职业校进行,教师将从三种类型的课程中招募:护理,技术和经济。干预计划的分配将随机化。来自每所学校的教师将分配到干预组1(IG1),干预组2(IG 2)或等候名单组(WG)。 IG 1将获得MBSR培训,IG 2将收到MBSR培训,并加上额外的组织健康干预。 WG,即对照组,将在一年后获得MBSR培训。拟议研究的主要结果变量是介绍,它将使用荷兰版的五个小平面态度调查问卷(FFMQ-NL)来衡量。在概念模型中,教师思想由干预计划(MBSR培训和MBSR培训相结合的额外组织健康干预)的影响将与突出(次要结果)变量有关:心理健康结果(例如,倦怠,工作参与),工作表现,与工作相关的看法(工作需求和工作资源)以及个人能力(例如,职业自我效能)。数据将在(T 0 )之前,并在MBSR训练(T 1 )之后,3(t 2 )和9个月之后(T 3 )训练后。权力分析揭示了66名教师所需的样本大小(每组22个)。拟议的研究旨在提供洞察(1)MBSR对教师心理健康的短期和长期影响(2 )额外组织健康干预的可能提高效果,以及(3)教师与干预措施的经历(工作机制,心灵变革过程中的步骤)。本研究设计的优势是使用正面和负面结果,各种结果,结果和过程措施,纵向数据,混合方法和一体的方法。虽然拟议的研究协议可能无法解决当前研究的所有弱点(例如,自我选择偏见,数据的自我报告,霍桑效应),但它在许多方面是创新的,可以预期对科学的重要贡献关于如何击败与工作相关的压力和职业倦怠的实践辩论,以及如何加强工作参与和工作业绩.Tiral注册:荷兰试验登记(www.trialregister.nl):nl5581。 2016年7月6日注册。

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