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正念和认知为基础的学生教师压力预防(启动):一项随机对照试验的研究方案。

Mindfulness-based and cognitive-based stress prevention in student teachers (start): study protocol of a randomised controlled trial.

机构信息

Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

出版信息

BMJ Open. 2019 Feb 19;9(2):e021941. doi: 10.1136/bmjopen-2018-021941.

Abstract

INTRODUCTION

Teachers and student teachers in Germany are a high-risk population for stress and stress-related mental health problems. This often leads to early retirement in subsequent professional life. Various trials have demonstrated positive effects of stress prevention training on the perceived stress and stress-related symptoms of teachers. Although many studies show positive effects of mindfulness-based stress interventions, there is not yet any mindfulness-based intervention for teachers or student teachers in Germany. The aim of this trial is to evaluate a training that combines mindfulness-based and cognitive interventions into one programme, addressing to the specific burdens of student teachers.

METHODS AND ANALYSIS

This study protocol presents a prospective block-randomised controlled trial. Assessment will take place at three time points (baseline, post-intervention, 3-month follow-up) for an intervention and waiting control group, and at a fourth assessment point for the waiting control group after receiving the training. The aim is to evaluate the effects of mindfulness-based stress prevention on stress, psychological morbidity, burnout and self-efficacy using validated measures. Participants are student teachers from German teacher training colleges and participation will be voluntary. The targeted total sample size is 96 at 3-month follow-up. The training will comprise three 4-hour sessions conducted every 2 weeks. The control group will participate in the training after the 3-month follow-up. The allotment will be randomised with a stratified allocation ratio by gender. After descriptive statistics have been evaluated, inferential statistical analysis will be conducted using repeated measures analysis of variance with interactions between time and group. Effect sizes will be calculated using partial η values.

ETHICS AND DISSEMINATION

Results will be disseminated at conferences, in specialist magazines and through peer-reviewed publications. The trial has been approved by the ethics review board of the local medical association, Mainz, Germany, under the reference number 837.192.16 (10511).

TRIAL REGISTRATION NUMBER

DRKS00010897.

摘要

简介

德国的教师和实习教师是压力和与压力相关的心理健康问题的高风险人群。这往往导致他们在后续的职业生涯中提前退休。各种试验已经证明了压力预防培训对教师感知压力和与压力相关症状的积极影响。尽管许多研究表明基于正念的压力干预措施有积极效果,但德国目前还没有针对教师或实习教师的基于正念的干预措施。本试验旨在评估一种将基于正念的干预和认知干预相结合的培训,针对实习教师的特定负担。

方法和分析

本研究方案介绍了一项前瞻性的分组随机对照试验。评估将在三个时间点(基线、干预后、3 个月随访)进行,分别为干预组和等待对照组,以及在等待对照组接受培训后的第四个评估点进行。目的是使用经过验证的测量工具评估基于正念的压力预防对压力、心理病态、倦怠和自我效能的影响。参与者是德国教师培训学院的实习教师,参与将是自愿的。目标总样本量为 3 个月随访时的 96 名。培训将包括三个每两周进行一次的 4 小时课程。对照组将在 3 个月随访后参加培训。分配将采用按性别分层的随机分配比例进行。在评估了描述性统计数据后,将使用重复测量方差分析进行推断性统计分析,包括时间和组之间的交互作用。使用部分 η 值计算效应大小。

伦理和传播

结果将在会议、专业杂志和同行评议出版物中传播。该试验已获得德国美因茨地方医学会伦理审查委员会的批准,注册号为 837.192.16(10511)。

试验注册号

DRKS00010897。

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