- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03384771
Predictors of Outcomes in MBSR Participants From Teacher Factors (Prompt-F)
Study Overview
Detailed Description
Objectives. The primary objective of the current proposal is to identify teacher-related factors that can be feasibly measured and shown to predict mindfulness-based intervention (MBI) participant outcomes. The secondary objective of this R34 proposal is to lay the groundwork for a large-scale R01-funded study in which the investigators anticipate studying participants in Mindfulness-Based Stress reduction (MBSR) courses provided by 50 or more teachers in a range of university- and community-based settings. Design and Outcomes. This is an observational study of MBSR participants, teachers, and raters. Student participants will receive recruitment videos of different lengths and varying compensation schedules; The study will examine these to optimize participation and retention in the future R01 study.
Interventions and Duration. There is no study intervention per se, but participants will be teaching or enrolled in public 8-week MBSR classes. Outcome data will be collected from participants using internet-administered questionnaires at baseline, 2 months (immediate post-MBSR) and 4 months (post-MBSR follow-up). Rater study: The investigators will invite experience meditation teachers to be trained to use a the Mindfulness-Based Interventions Teaching Assessment Criteria (MBI-TAC) tool as a standardized approach to rating MBSR teacher competency. As part of the training, the study will be collecting data on how the training works. Thus, those who join the training will be asked to sign a consent form and complete a brief questionnaire about their teaching and meditation experience, as well as demographics; the study will also collect data on the ratings they do as part of the training. The goal of this part of the study is to assess the rater-training process.
Sample Size and Population. The study aims to enroll about 19 MBSR teachers and 200 MBSR participants, along with about 30 raters to be trained in the MBI-TAC system.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
-
California
-
San Francisco, California, United States, 94143-1726
- Osher Center for Integrative Medicine
-
-
Massachusetts
-
Boston, Massachusetts, United States, 01545
- Center for Mindfulness at University of Massachussets
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Teachers
Inclusion Criteria:
- teaching MBSR in one of the study recruitment sites during the study period
- choose to participate
Exclusion:
• none
MBSR Participants
Inclusion Criteria:
- enrolled in MBSR class taught by an enrolled teacher
- choose to participate
- age 18 years or older
Exclusion:
• none
Raters
Inclusion Criteria:
- Certified to teach MBSR through the CFM's OASIS (or equivalent) training program.
- 3+ years of MBSR teaching experience, having taught 10 MBSR classes.
- 10+ years of personal mindfulness practice with daily practice and yearly retreat experience (on average 5+ days).
- Have the interest and time available to complete web-based rater training and subsequent teacher ratings using an online interface, including in the Testing Phase.
- Ideally will be able to attend at least 7/8 training dates.
Exclusion:
• none
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
MBSR Students
community-dwelling adults who register for relevant MBSR courses at UMass CFM, UCSF, or participating community sites
|
There is no study intervention per se, but participants will be teaching or enrolled in public 8-week MBSR classes.
Other Names:
|
MBSR Teachers
those teaching MBSR courses at UMass CFM, UCSF, or participating community sites
|
|
Raters
experience mindfulness teachers, recruited by invitation, who will participate in MBI-TAC training
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
MBI-TAC inter-observer variability
Time Frame: 2 months
|
The key metric to be used to evaluate inter-observer variability is intraclass-correlation (ICC). 1 ICC provides a measure of how strongly ratings of the same item by different raters resemble each other, with values ranging from 0 (only random agreement) to 1 (perfect agreement).
ICC will be calculated for each of the six domains in MBI:TAC, as well as the summary score.
|
2 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rater agreement
Time Frame: 4 months
|
Rater agreement
|
4 months
|
Rater test-retest reliability
Time Frame: 4 months
|
Rater test-retest reliability
|
4 months
|
Distinguishing novice from experienced MBSR teachers
Time Frame: 2 months
|
The difference in ratings of novice and experienced teachers with raters blinded to teacher experience will be examined.
Comparison of mean scores will be performed using t-tests to compare mean scores between dichotomously grouped teachers (novice vs. experienced), and regression to test associations with ratings using experience as an ordinal variable (by grouped years of experience).
|
2 months
|
Participant rating of teachers
Time Frame: 2 months
|
Iinternal consistency of the multiple items meant to measure each domain of teacher quality (e.g.
coverage and pacing) using Cronbach's alpha.
Scores on questions for each domain will be averaged to provide an overall score for the domain.
ICC will be tested for each domain in a similar fashion to that described for the MBI:TAC; note that lower ICC values are anticipated on this instrument than the MBI:TAC, given the varied perspectives of different participants.
Finally, the correlation of participant ratings of each domain (averaging ratings across participants) to ratings from the MBI:TAC.blinded to teacher experience will be tested.
Comparison of mean scores will be performed using t-tests to compare mean scores between dichotomously grouped teachers (novice vs. experienced), and regression to test associations with ratings using experience as an ordinal variable (by grouped years of experience).
|
2 months
|
Patient Reported Outcome Measurement Information System (PROMIS-29) Fatigue scale
Time Frame: 2 months
|
Higher scores indicate more fatigue (worse outcome).
PROMIS-29 scales use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.
On the T-score metric, a score of 40 is one SD lower than the mean of the reference population, while score of 60 is one SD higher than the mean of the reference population.
Scores 0.5 - 1.0 SD worse than the mean = mild symptoms/impairment.
Scores 1.0 - 2.0 SD worse than the mean = moderate symptoms/impairment.
Scores 2.0 SD or more worse than the mean = severe symptoms/impairment
|
2 months
|
Patient Reported Outcome Measurement Information System (PROMIS-29) Depression scale
Time Frame: 2 months
|
Higher scores indicate more depression (worse outcome).
PROMIS-29 scales use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.
On the T-score metric, a score of 40 is one SD lower than the mean of the reference population, while score of 60 is one SD higher than the mean of the reference population.
Scores 0.5 - 1.0 SD worse than the mean = mild symptoms/impairment.
Scores 1.0 - 2.0 SD worse than the mean = moderate symptoms/impairment.
Scores 2.0 SD or more worse than the mean = severe symptoms/impairment
|
2 months
|
Patient Reported Outcome Measurement Information System (PROMIS-29) Sleep Disturbance scale
Time Frame: 2 months
|
Higher scores indicate more Sleep Disturbance (worse outcome).
PROMIS-29 scales use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.
On the T-score metric, a score of 40 is one SD lower than the mean of the reference population, while score of 60 is one SD higher than the mean of the reference population.
Scores 0.5 - 1.0 SD worse than the mean = mild symptoms/impairment.
Scores 1.0 - 2.0 SD worse than the mean = moderate symptoms/impairment.
Scores 2.0 SD or more worse than the mean = severe symptoms/impairment
|
2 months
|
Patient Reported Outcome Measurement Information System (PROMIS-29) Physical Function scale
Time Frame: 2 months
|
Higher scores indicate more Physical Function (better outcome).
PROMIS-29 scales use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.
On the T-score metric, a score of 40 is one SD lower than the mean of the reference population, while score of 60 is one SD higher than the mean of the reference population.
Scores 0.5 - 1.0 SD worse than the mean = mild symptoms/impairment.
Scores 1.0 - 2.0 SD worse than the mean = moderate symptoms/impairment.
Scores 2.0 SD or more worse than the mean = severe symptoms/impairment
|
2 months
|
Patient Reported Outcome Measurement Information System (PROMIS-29) Pain Interference scale
Time Frame: 2 months
|
Higher scores indicate more Pain Interference (worse outcome).
PROMIS-29 scales use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.
On the T-score metric, a score of 40 is one SD lower than the mean of the reference population, while score of 60 is one SD higher than the mean of the reference population.
Scores 0.5 - 1.0 SD worse than the mean = mild symptoms/impairment.
Scores 1.0 - 2.0 SD worse than the mean = moderate symptoms/impairment.
Scores 2.0 SD or more worse than the mean = severe symptoms/impairment
|
2 months
|
Patient Reported Outcome Measurement Information System (PROMIS-29) Pain Intensity scale
Time Frame: 2 months
|
Higher scores indicate more Pain Intensity (worse outcome).
PROMIS-29 scales use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.
On the T-score metric, a score of 40 is one SD lower than the mean of the reference population, while score of 60 is one SD higher than the mean of the reference population.
Scores 0.5 - 1.0 SD worse than the mean = mild symptoms/impairment.
Scores 1.0 - 2.0 SD worse than the mean = moderate symptoms/impairment.
Scores 2.0 SD or more worse than the mean = severe symptoms/impairment
|
2 months
|
Perceived Stress Scale-short
Time Frame: 2 months
|
Stress appraisal, 4 items.
Range: 0-16, higher scores indicate greater perceived stress (worse outcome).
|
2 months
|
Five Facet Mindfulness Questionnaire-short form (FFMQ-SF)
Time Frame: 2 months
|
Mindfulness in five domains: observing, describing, acting with awareness, not judging inner experience, and not reacting to inner experience, 24 items Total score Range: 24-120, with higher scores indicating greater mindfulness (better outcome). Subscale Ranges: For describe, act with awareness, and non-judge, and non-react (all 5-item subscale): 5-25. For observe (4-items): 4-20. Higher scores indicate greater mindfulness (better outcome). |
2 months
|
Positive Affect from the Positive and Negative Affect Scale (PANAS)
Time Frame: 2 months
|
Intensity of positive emotions, 10 items.Range: 10-50, higher scores represent higher levels of positive affect (better outcome)
|
2 months
|
Negative Affect from the Positive and Negative Affect Scale (PANAS)
Time Frame: 2 months
|
Intensity of negative emotions, 10 items.
Range: 10-50, higher scores represent higher levels of negative affect (worse outcome)
|
2 months
|
Self-Compassion Scale (SCS-SF)
Time Frame: 2 months
|
12 items.
Range: 12-60, higher scores indicate greater self-compassion (better outcome).
|
2 months
|
Expected and Perceived benefit of MBSR
Time Frame: 2 months
|
Participant expectations of and perceived benefit of the MBSR course, 5 items--Benefit overall, handling stress, managing mood/emotions, relationships, and physical health problems.
Items can be summed to create total benefit score.
Range: 0-50, with higher scores indicating greater benefits.
Range for the individual items: 0-10, with higher scores indicating greater benefits (better outcome).
|
2 months
|
Study retention
Time Frame: 2 months
|
Effects of video length and compensation factors on student retention in the study
|
2 months
|
Study enrollment
Time Frame: 0 months
|
Effects of video length and compensation factors on enrollment into the study
|
0 months
|
Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 1R34AT008948 (U.S. NIH Grant/Contract)
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
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Healthy
-
Prevent Age Resort "Pervaya Liniya"RecruitingHealthy Aging | Healthy Diet | Healthy LifestyleRussian Federation
-
Maastricht University Medical CenterCompletedHealthy Volunteers | Healthy Subjects | Healthy AdultsNetherlands
-
Yale UniversityNot yet recruitingHealth-related Benefits of Introducing Table Olives Into the Diet of Young Adults: Olives For HealthHealthy Diet | Healthy Lifestyle | Healthy Nutrition | CholesterolUnited States
-
Hasselt UniversityRecruitingHealthy | Healthy AgingBelgium
-
Galera Therapeutics, Inc.Syneos HealthCompleted
-
Galera Therapeutics, Inc.Syneos HealthCompletedHealthy | Healthy VolunteersAustralia
-
University of PennsylvaniaActive, not recruitingHealthy | Healthy AgingUnited States
-
Chalmers University of TechnologyGöteborg UniversityCompletedHealthy | Nutrition, HealthySweden
-
University of ManitobaNot yet recruitingHealthy | Healthy Diet
Clinical Trials on MBSR
-
Indiana UniversityIndiana University HealthCompletedChest Pain | Anxiety | MindfulnessUnited States
-
Ottawa Hospital Research InstituteCanadian Cancer Society (CCS)CompletedCancer | Chronic Pain | Painful Neuropathy | Worries; Pain or DisabilityCanada
-
University of AarhusCopenhagen University Hospital, HvidovreCompletedAn Adapted Mindfulness-based Stress Reduction Program for Psycho-socially Vulnerable Pregnant Women.Pregnancy, High RiskDenmark
-
Cecile LengacherCompletedBreast CancerUnited States
-
Emory UniversityNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); Georgia...CompletedDiabetes Mellitus, Type 2 | DiabetesUnited States
-
California Pacific Medical Center Research InstituteNational Center for Complementary and Integrative Health (NCCIH); Kaiser Permanente and other collaboratorsCompleted
-
University of AarhusUnknown
-
Yale UniversityCompleted
-
Henry M. Jackson Foundation for the Advancement...UnknownTBI (Traumatic Brain Injury) | Chronic InsomniaUnited States
-
University of Dublin, Trinity CollegeFamily Carers IrelandTerminated