Effects of Relaxing Breathing With Biofeedback or Meditative Stimulation on Performances During OSCE of Medical Students (ECOSTRESS)
Effects of Two Stress Management Procedures on Performances During Objective Structured Clinical Examination (OSCE) for Medical Students : Relaxing Breathing Combined With Biofeedback or Meditative Stimulation : ECOSTRESS Study
Objective Structured Clinical Examination (OSCE) is a newly implemented evaluation standard for medical student and is a determinant part of the national competition they have to undergo.
Medical studies, especially during examen period, are significantly associated with risk of developping depressions or anxious trouble, wich led to lesser performance, impaired memorization and impaired workload capacities.
Relaxation breathing techniques coupled with heart rate variability (HRV) biofeedback and meditation are procedures used to reduce the stress level.
There is currently no study on the effect of stress management procedures on the performance during OSCE for medical student.
Tutkimuksen yleiskatsaus
Tila
Yksityiskohtainen kuvaus
This randomized, controlled, monocentric study will take place during mandatory rehearsal of Objective Structured Clinical Examination for third year medical student. For examination purpose, the students will be divided in four groups that will undergo identical exam in the same time in four parallels circuits.
Before entering the circuit, all the students will received information for the study and sign consent.
All the students will be equipped with emWAve® devices that allows us to collect heart rate variability as physiological stress marker during the time of the intervention. Participants will undergo short questionnaires regarding perceived stress.
Then the groups of students will be randomized in four interventions groups for receiving a combination of intervention before and/or after the examination circuit. All the interventions last six minutes long. The randomisation groups are :
- Relaxing breathing exercise coupled with biofeedback before the circuit, no intervention after
- Meditative stimulation audio tape before the circuit, no intervention after
- Standardised video as controlled group before the circuit and a relaxing breathing exercise coupled with biofeedback after
- Standardised video as controlled group before and not intervention after
At the end of the examination circuit, all the students will undergo short questionnaires regarding stress, participants will get equipped with emWAve ® devices again and participants will get the second intervention depending on the randomisation group.
Main objective is to show that relaxing breathing exercise coupled with biofeedback or meditative stimulation is better than an standardised video on performance during OSCE.
The main outcome is student grade at the exam, as determined by university evaluator who is blind to the intervention and with no links to the study.
Secondary objectives are to compare the effects of the interventions on measured physiological stress, psychological stress, and negative rumination.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
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Lyon, Ranska, 69003
- Marc lilot
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Adult person
- Registered as medical student at the university
- Participating at OSCE examination
- Have signed an informed consent form.
Exclusion Criteria:
- None
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Muut
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Kaksinkertainen
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
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Kokeellinen: Biofeedback
Relaxing breathing exercise coupled with biofeedback before the circuit, no intervention after
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6 minutes of relaxing breathing exercise coupled with hert rate variability biofeedback guided on eMWave Pro software on a computer just before entering the examination circuit. After the circuit, 6 minutes of free activity where the participants will not be given any instruction.
Muut nimet:
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Kokeellinen: Meditation
Meditative stimulation audio tape before the circuit, no intervention after
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6 minutes of listening an audio tape made for the study that inspire mindfulness like meditation associated with psychological stimulation (positive encouragement) just before entering the examination circuit. After the circuit, 6 minutes of free activity where the participants will not be given any instructions.
Muut nimet:
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Kokeellinen: Control and biofeedback post OSCE
Standardised video before the circuit, Relaxing breathing exercise coupled with biofeedback after the OSCE
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6 minutes of standardised neutral video on general topics that generates no modification of affects just before entering the examination circuit. After the circuit, 6 minutes of relaxing breathing exercise coupled with hert rate variability biofeedback guided on eMWave Pro software on a computer
Muut nimet:
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Huijausvertailija: Control and control post OSCE
Standardised video before the circuit, no intervention after
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6 minutes of standardised neutral video on general topics that generates no modification of affects just before entering the examination circuit. After the circuit, 6 minutes of of free activity where the participants will not be given any instruction.
Muut nimet:
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Differences in Performance
Aikaikkuna: During the first 2 hours of the inclusion
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The performance is student grade at the exam, as determined by university evaluator
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During the first 2 hours of the inclusion
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Differences of Physiological stress
Aikaikkuna: During the first 2 hours of the inclusion
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Heart rate variation collected by emWave® devices
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During the first 2 hours of the inclusion
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Differences of Psychological stress
Aikaikkuna: Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Numerical Visual analog scales (VAS) on perceived stress from zero to 100: maximum Numerical VAS on resourcefulness nedeed an avalaible perceived from zero to maximum
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Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Difference of Resourcefulness
Aikaikkuna: Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Numerical VAS on resourcefulness needeed an available perceived from zero to 100: maximum
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Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Characterisation of stress
Aikaikkuna: Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Numerical VAS on characterisation of stress perceived from negative to positive
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Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Differences of Self confidence
Aikaikkuna: Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Numerical VAS on self confidence perceived from zero to 100: maximum
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Four times : before first intervention, before OSCE circuit, just after OSCE circuit, just after second intervention
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Differences of Psychological stress consequences
Aikaikkuna: Three times : before first intervention, before OSCE circuit, just after second intervention
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Activation-Deactivation Adjective Check List: for the four subscales: Energy, Tiredness, Tension , and Calmness
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Three times : before first intervention, before OSCE circuit, just after second intervention
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Differences of Ruminations
Aikaikkuna: Just after second intervention at the end of the OSCE
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Brief rumination scale questionnaire
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Just after second intervention at the end of the OSCE
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Individual psychological characteristics
Aikaikkuna: Just after second intervention at the end of the OSCE
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Personality traits (Big-5)
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Just after second intervention at the end of the OSCE
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Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojen puheenjohtaja: Gilles Rode, M.D., Ph.D., Claude Bernard University
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- ECOSTRESS
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