The Effects of Mindfulness-Based Stress Reduction Program for Family or Caregivers of Children With Motor Disabilities
The Effects of Mindfulness-Based Stress Reduction Program on the Psychological and Physiological Stress of Family or Caregivers of Children With Motor Disabilities Due to a Neurological Disorder: A Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Lleida, Spain, 25006
- Claudia Arumi
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Not having attended previously a mindfulness course
- A score equal to or greater than 23 points at the PSS.
- >18 years old
- Children <18y with motor/physical disability due to a Neurological disorder.
- Spanish/Catalan speaking
Exclusion Criteria:
- Currently using drugs or any kind of medication related to stress, depression, anxiety or sleeping pills, such as steroid medicines.
- Regular meditation practice (once a week in the past 12 months)
- Diagnose of hypertension stage 2
- Pregnancy in the case of mothers
- Present hyperthyroidism
- Primary adrenal insufficiency syndromes such as Cushing syndrome or Addison disease
- Present any kind of infection or inflammation process, different from the interestingly to the present study that could differ the results
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Usual care
|
|
|
Experimental: Mindfulness-Based Stress reduction arm
|
Participants assigned to the 8-week mindfulness program attended weekly 120-150 minute in-person group sessions for the entire duration.
In these sessions, the instructor progressively will introduce and guide formal mindfulness practices while facilitating the sharing of experiences.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Perceived Stress
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
To measure participants perceived stress, the Perceived Stress Scale 14 item Spanish version will be used (PSS 14).
It consists of 14 items scored from 0 up to 4 (0=never, 1 = rarely 2= sometimes 3= usually 4 =almost always).
The total scores on the scale can range from 0 (no stress) to 56 (extreme stress).
|
baseline, two months (through study completion), and follow-up of one month
|
|
Cortisol levels
Time Frame: baseline and two months (through study completion)
|
The cortisol measurement will be sampled with a serum blood test.
It is recommended to advise the participants to be fasted.
63 Cortisol levels fluctuate throughout the day, being highest in the morning and lowest at night.63,64
The sample will be collected between 8-9 am to get the highest cortisol.
|
baseline and two months (through study completion)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Severity of clinic anxiety
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
To measure the severity of clinic anxiety, the Bech Anxiety Inventory will be used.
It consists of 21 self-administered questions about how the individual has been feeling the last week, expressed in common anxiety symptoms.
It takes up to 5-10 minutes.
Scores 0-7 indicate minimal anxiety, 8-15 mild anxiety, 16-25 moderate anxiety and 26-63 severe anxiety.
Each item on the BAI includes an anxiety symptom and for each of them, the participant must assess the degree to which they have been affected by it during the last week.
Possible answers are: not at all, mildly but it didn't bother me much, moderately it wasn't pleasant at times, severely it bothered me a lot.
(0 to 3 respectively).
|
baseline, two months (through study completion), and follow-up of one month
|
|
Sleep Quality
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
To measure sleep quality, the Pittsburgh Sleep Quality Index (PSQI) will be assessed.
It is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval.
The instrument should require between 5 and 10 min for completion.
The questionnaire consists of a combination of Likert-type and open-ended questions (later converted to scaled scores using provided guidelines).
Respondents are asked to indicate how frequently they have experienced certain sleep difficulties over the past month and to rate their overall sleep quality.
Scores for each question range from 0 to 3, with higher scores indicating more acute sleep disturbances.
Developers have suggested a cutoff score of 5 for the global scale.
The seven component scores are then combined to produce a global PSQI score, which ranges from 0 to 21; higher scores reflect poorer sleep quality
|
baseline, two months (through study completion), and follow-up of one month
|
|
Quality of Life assessment
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
To measure the impact of paediatric chronic health conditions on parents and the family, the last developed PedsQL™ Family Impact Module will be used.
The module measures multidimensions parent self-report; physical, emotional, social, and cognitive functioning, communication, and worry.
It is used to assess health-related QoL in children aged 2-18 years.
It takes up to 5-10 minutes to be completed.It assesses 8 main factors: physical functioning (6 items), emotional functioning (5 items), social functioning (4 items), cognitive functioning (4 items), communication (3 items), worry (5 items), daily activities (3 items) and family relationships (5 items).
The answers are given on a 5-point Likert scale (0 = it is never a problem, 4 = it is almost always a problem) and are reversed scored and linearly transformed to a 0-100 scale (0 = 100, 1 = 75, 2 = 50, 3 = 25, 4 = 0) so that a greater score indicates better functioning
|
baseline, two months (through study completion), and follow-up of one month
|
|
Blood pressure
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
BP will be measured, after 5 min of rest, three times at intervals of 1 minute using a sphygmomanometer.
The clinical BP values used in the analysis will be the averages for the three measurements.
BP measurements will be done pre-intervention, post-intervention and with a follow-up of one mont.
both systolic and diastolic measures.
|
baseline, two months (through study completion), and follow-up of one month
|
|
Resting Heart rate
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
HR will be measured, after 5 min of rest, three times at intervals of 1 minute using a pulsometer on the index finger.
The clinical HR values used in the analysis will be the averages for the three measurements.
|
baseline, two months (through study completion), and follow-up of one month
|
|
Respiratory rate
Time Frame: baseline, two months (through study completion), and follow-up of one month
|
Respiratory rate will be measured after 5 min of rest, three times at intervals of 1 minute using the same sphygmomanometer of the BP.
The clinical RR values used in the analysis will be the averages for the three measurements.
RR measurements will be done pre-intervention, post-intervention and with a follow-up of one month.
|
baseline, two months (through study completion), and follow-up of one month
|
|
Interleukin 6 (IL-6)
Time Frame: baseline and two months (through study completion)
|
The same procedure will be taken for the IL-6 .65
Under homeostatic conditions, IL-6 levels in the circulation are as low as 1-5 pg/ml, but during inflammatory states, these levels can rise more than 1,000-fold
|
baseline and two months (through study completion)
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ULleida2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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