Brief mindfulness-based intervention of 'STOP (Stop, Take a Breath, Observe, Proceed) touching your face': a study protocol of a randomised controlled trial

Yanhui Liao, Ling Wang, Tao Luo, Shiyou Wu, Zhenzhen Wu, Jianhua Chen, Chen Pan, Yunfei Wang, Yueheng Liu, Qinghua Luo, Xin Guo, Liqin Xie, Jun Zhou, Wei Chen, Jinsong Tang, Yanhui Liao, Ling Wang, Tao Luo, Shiyou Wu, Zhenzhen Wu, Jianhua Chen, Chen Pan, Yunfei Wang, Yueheng Liu, Qinghua Luo, Xin Guo, Liqin Xie, Jun Zhou, Wei Chen, Jinsong Tang

Abstract

Introduction: Face-touching behaviour often happens frequently and automatically, and poses potential risk for spreading infectious disease. Mindfulness-based interventions (MBIs) have shown its efficacy in the treatment of behaviour disorders. This study aims to evaluate an online mindfulness-based brief intervention skill named 'STOP (Stop, Take a Breath, Observe, Proceed) touching your face' in reducing face-touching behaviour.

Methods and analysis: This will be an online-based, randomised, controlled, trial. We will recruit 1000 participants, and will randomise and allocate participants 1:1 to the 'STOP touching your face' (both 750-word text and 5 min audio description by online) intervention group (n=500) and the wait-list control group (n=500). All participants will be asked to monitor and record their face-touching behaviour during a 60 min period before and after the intervention. Primary outcome will be the efficacy of short-term mindfulness-based 'STOP touching your face' intervention for reducing the frequency of face-touching. The secondary outcomes will be percentage of participants touching their faces; the correlation between the psychological traits of mindfulness and face-touching behaviour; and the differences of face-touching behaviour between left-handers and right-handers. Analysis of covariance, regression analysis, χ2 test, t-test, Pearson's correlations will be applied in data analysis. We will recruit 1000 participants from April to July 2020 or until the recruitment process is complete. The follow-up will be completed in July 2020. We expect all trial results to be available by the end of July 2020.

Ethics and dissemination: The study protocol has been approved by the Ethics Committee of Sir Run Run Shaw Hospital, an affiliate of Zhejiang University, Medical College (No. 20200401-32). Study results will be disseminated via social media and peer-reviewed publications.

Trial registration number: NCT04330352.

Keywords: education & training (see medical education & training); health & safety; mental health; public health.

Conflict of interest statement

Competing interests: YLiao developed the ‘STOP touching your face’ training programme.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1
Figure 1
Study flow diagram. Participants from the ‘control’ intervention will receive ‘STOP (Stop, Take a Breath, Observe, Proceed) touching your face’ intervention (both text and audio description) immediately after completing the second self-monitoring face-touching behaviour. But they will not be required to practice it or to practice it at least 15 min.

References

    1. Harrigan JA, Kues JR, Weber JG. Impressions of hand movements: Self-touching and gestures. Percept Mot Skills 1986;63:503–16. 10.2466/pms.1986.63.2.503
    1. Krout MH. Autistic gestures: an experimental study in symbolic movement. Psychol Monogr 1935;46:i–126. 10.1037/h0093363
    1. Nicas M, Best D. A study quantifying the hand-to-face contact rate and its potential application to predicting respiratory tract infection. J Occup Environ Hyg 2008;5:347–52. 10.1080/15459620802003896
    1. Kwok YLA, Gralton J, McLaws M-L. Face touching: a frequent habit that has implications for hand hygiene. Am J Infect Control 2015;43:112–4. 10.1016/j.ajic.2014.10.015
    1. Dimond S, Harries R. Face touching in monkeys, apes and man evolutionary origins and cerebral asymmetry. Neuropsychologia 1984;22:227–33. 10.1016/0028-3932(84)90065-4
    1. Measurement of Face-touching frequency in a simulated train. E3s web of conferences; 2019. EDP sciences.
    1. Elder NC, Sawyer W, Pallerla H, et al. . Hand hygiene and face touching in family medicine offices: a Cincinnati area research and improvement group (caring) network study. J Am Board Fam Med 2014;27:339–46. 10.3122/jabfm.2014.03.130242
    1. Huang C, Wang Y, Li X, et al. . Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet 2020;395:497–506. 10.1016/S0140-6736(20)30183-5
    1. SWX O, Tan YK, Chia PY, et al. . Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. Jama 2020.
    1. Mueller SM, Martin S, Grunwald M. Self-touch: contact durations and point of touch of spontaneous facial self-touches differ depending on cognitive and emotional load. PLoS One 2019;14:e0213677. 10.1371/journal.pone.0213677
    1. Grunwald M, Weiss T, Mueller S, et al. . Eeg changes caused by spontaneous facial self-touch may represent emotion regulating processes and working memory maintenance. Brain Res 2014;1557:111–26. 10.1016/j.brainres.2014.02.002
    1. Harrigan JA. Self-touching as an indicator of underlying affect and language processes. Soc Sci Med 1985;20:1161–8. 10.1016/0277-9536(85)90193-5
    1. Kabat‐Zinn J. Mindfulness‐based interventions in context: past, present, and future. Clinical psychology: Science and practice 2003;10:144–56.
    1. Cavicchioli M, Movalli M, Maffei C. The clinical efficacy of Mindfulness-Based treatments for alcohol and drugs use disorders: a meta-analytic review of randomized and nonrandomized controlled trials. Eur Addict Res 2018;24:137–62. 10.1159/000490762
    1. Sancho M, De Gracia M, Rodríguez RC, et al. . Mindfulness-based interventions for the treatment of substance and behavioral addictions: a systematic review. Front Psychiatry 2018;9:95. 10.3389/fpsyt.2018.00095
    1. Kamboj SK, Irez D, Serfaty S, et al. . Ultra-Brief mindfulness training reduces alcohol consumption in at-risk drinkers: a randomized double-blind active-controlled experiment. Int J Neuropsychopharmacol 2017;20:936–47. 10.1093/ijnp/pyx064
    1. Haydicky J, Wiener J, Badali P, et al. . Evaluation of a Mindfulness-based intervention for adolescents with learning disabilities and co-occurring ADHD and anxiety. Mindfulness 2012;3:151–64. 10.1007/s12671-012-0089-2
    1. Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual Foundation. Eat Disord 2010;19:49–61. 10.1080/10640266.2011.533605
    1. Wanden-Berghe RG, Sanz-Valero J, Wanden-Berghe C. The application of mindfulness to eating disorders treatment: a systematic review. Eat Disord 2010;19:34–48. 10.1080/10640266.2011.533604
    1. Xu W, Jia K, Liu X, et al. . The effects of mindfulness training on emotional health in Chinese long-term male prison inmates. Mindfulness 2016;7:1044–51. 10.1007/s12671-016-0540-x
    1. Shonin E, Van Gordon W, Griffiths MD. Mindfulness-based interventions: towards mindful clinical integration. Front Psychol 2013;4:194. 10.3389/fpsyg.2013.00194
    1. Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med 2008;31:23–33. 10.1007/s10865-007-9130-7
    1. Grossman P, Niemann L, Schmidt S, et al. . Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom Res 2004;57:35–43. 10.1016/S0022-3999(03)00573-7
    1. Segal ZV, Teasdale J. Mindfulness-based cognitive therapy for depression. Guilford Publications, 2018.
    1. Howarth A, Smith JG, Perkins-Porras L, et al. . Effects of brief Mindfulness-Based interventions on health-related outcomes: a systematic review. Mindfulness 2019;10:1957–68. 10.1007/s12671-019-01163-1
    1. Chen Y, Yang X, Wang L, et al. . A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Educ Today 2013;33:1166–72. 10.1016/j.nedt.2012.11.014
    1. Cavanagh K, Strauss C, Cicconi F, et al. . A randomised controlled trial of a brief online mindfulness-based intervention. Behav Res Ther 2013;51:573–8. 10.1016/j.brat.2013.06.003
    1. Howells A, Ivtzan I, Eiroa-Orosa FJ. Putting the ‘app’ in Happiness: A Randomised Controlled Trial of a Smartphone-Based Mindfulness Intervention to Enhance Wellbeing. J Happiness Stud 2016;17:163–85. 10.1007/s10902-014-9589-1
    1. Garrison KA, Pal P, O'Malley SS, et al. . Craving to quit: a randomized controlled trial of smartphone App-Based mindfulness training for smoking cessation. Nicotine Tob Res 2020;22:324–31. 10.1093/ntr/nty126
    1. Buntrock C, Ebert DD, Lehr D, et al. . Effect of a web-based guided self-help intervention for prevention of major depression in adults with subthreshold depression: a randomized clinical trial. JAMA 2016;315:1854–63. 10.1001/jama.2016.4326
    1. Smalley SL, Winston D. Fully present: the science, art, and practice of mindfulness. Da Capo Lifelong Books, 2010.
    1. Deng Y-Q, Liu X-H, Rodriguez MA, et al. . The five facet mindfulness questionnaire: psychometric properties of the Chinese version. Mindfulness 2011;2:123–8. 10.1007/s12671-011-0050-9
    1. de Bruin EI, Topper M, Muskens JGAM, et al. . Psychometric properties of the five facets mindfulness questionnaire (FFMQ) in a meditating and a non-meditating sample. Assessment 2012;19:187–97. 10.1177/1073191112446654
    1. Baer RA, Smith GT, Hopkins J, et al. . Using self-report assessment methods to explore facets of mindfulness. Assessment 2006;13:27–45. 10.1177/1073191105283504
    1. Gu J, Strauss C, Crane C, et al. . Examining the factor structure of the 39-item and 15-item versions of the five facet mindfulness questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression. Psychol Assess 2016;28:791–802. 10.1037/pas0000263
    1. Yang N, Waddington G, Adams R, et al. . Translation, cultural adaption, and test–retest reliability of Chinese versions of the Edinburgh handedness inventory and Waterloo Footedness questionnaire. Laterality 2018;23:255–73. 10.1080/1357650X.2017.1357728
    1. Oldfield RC. The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia 1971;9:97–113. 10.1016/0028-3932(71)90067-4
    1. Montori VM, Guyatt GH. Intention-To-Treat principle. CMAJ 2001;165:1339–41.
    1. Fitzpatrick T, Zhou K, Cheng Y, et al. . A crowdsourced intervention to promote hepatitis B and C testing among men who have sex with men in China: study protocol for a nationwide online randomized controlled trial. BMC Infect Dis 2018;18:489. 10.1186/s12879-018-3403-3
    1. Wong SYS, Chan JYC, Zhang D, et al. . The safety of mindfulness-based interventions: a systematic review of randomized controlled trials. Mindfulness 2018;9:1344–57. 10.1007/s12671-018-0897-0
    1. Piet J, Hougaard E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clin Psychol Rev 2011;31:1032–40. 10.1016/j.cpr.2011.05.002
    1. Kim JY, Wineinger NE, Steinhubl SR. The influence of wireless self-monitoring program on the relationship between patient activation and health behaviors, medication adherence, and blood pressure levels in hypertensive patients: a substudy of a randomized controlled trial. J Med Internet Res 2016;18:e116. 10.2196/jmir.5429
    1. Kral TRA, Schuyler BS, Mumford JA, et al. . Impact of short- and long-term mindfulness meditation training on amygdala reactivity to emotional stimuli. Neuroimage 2018;181:301–13. 10.1016/j.neuroimage.2018.07.013

Source: PubMed

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