基于正念的在线简短认知行为疗法对提高工作场所生产力的有效性和成本效益：一项随机对照试验的研究方案

Effectiveness and Cost-effectiveness of Online Brief Mindfulness-based Cognitive Therapy for the Improvement of Productivity in the Workplace: Study Protocol for a Randomized Controlled Trial.

作者信息

Sado Mitsuhiro, Yamada Masashi, Ninomiya Akira, Nagaoka Maki, Goto Naho, Koreki Akihiro, Nakagawa Atsuo, Segal Zindel, Mimura Masaru

机构信息

Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.

Center for Stress Research, Keio University, Tokyo, Japan.

出版信息

JMIR Res Protoc. 2022 Jun 13;11(6):e36012. doi: 10.2196/36012.

DOI:10.2196/36012

PMID:35387762

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9237757/

Abstract

BACKGROUND

Numerous studies have demonstrated the effectiveness of mindfulness-based programs (MBPs) among both clinical and nonclinical populations. These data document positive impacts in the workplace, including reducing perceived stress and burnout and increasing well-being. However, the effectiveness for productivity, which is of most interest to managers and administrators, is still unclear. In addition, MBPs in the workplace tend to be modified by reducing the number of the program sessions or delivering content online to improve accessibility. To date, however, the impact of MBPs that feature these modifications on productivity in the workplace has not been investigated.

OBJECTIVE

The study aims to investigate the effectiveness and cost-effectiveness of online-delivered brief mindfulness-based cognitive therapy (bMBCT) for improving productivity and other work-related outcomes among healthy workers compared to the waitlist control.

METHODS

We will conduct a 4-week randomized controlled trial (RCT) with a 6-month follow-up. Employees are included in the study if they (1) are between the ages of 20 and 65 years and (2) work longer than 30 hours weekly. Employees are randomly allocated to either the bMBCT group or the waitlist control group. The primary outcome of the study is the mean difference of productivity measured by the World Health Organization Health and Work Performance Questionnaire (WHO-HPQ) between the groups at 4, 16, and 28 weeks. Secondary outcomes include several clinical outcomes and health economics evaluation.

RESULTS

We started recruiting participants in August 2021, and the intervention began in October 2021. A total of 104 participants have been enrolled in the study as of October 2021. The intervention is scheduled to be completed in December 2023. Data collection will be completed by the end of January 2024.

CONCLUSIONS

The novelty of the study is that (1) it will investigate bMBCT's effectiveness on productivity, which is still unclear, and (2) samples are recruited from 3 companies in different industries. The limitations of the study are that (1) all measures assessed are in self-report format and (2) we lack an active control group. This study has the potential to provide new data on the relationship between MBPs and occupational health and productivity.

TRIAL REGISTRATION

University Hospital Medical Information Network Clinical Trials Registry UMIN000044721; https://tinyurl.com/4e2fh873.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/36012.

摘要

背景

大量研究已证明基于正念的项目（MBP）在临床和非临床人群中均有效。这些数据记录了其在工作场所的积极影响，包括减轻感知到的压力和倦怠以及提高幸福感。然而，对管理者和行政人员最感兴趣的生产力方面的有效性仍不明确。此外，工作场所的MBP往往会通过减少项目课程数量或在线提供内容来进行调整，以提高可及性。然而，迄今为止，具有这些调整特点的MBP对工作场所生产力的影响尚未得到研究。

目的

本研究旨在调查与等待名单对照组相比，在线提供的简短基于正念的认知疗法（bMBCT）对提高健康员工的生产力及其他与工作相关结果的有效性和成本效益。

方法

我们将进行一项为期4周的随机对照试验（RCT），并进行6个月的随访。符合以下条件者纳入研究：（1）年龄在20至65岁之间；（2）每周工作时长超过30小时。员工被随机分配到bMBCT组或等待名单对照组。研究的主要结局是在第4、16和28周时，通过世界卫生组织健康与工作绩效问卷（WHO-HPQ）测量的两组之间生产力的平均差异。次要结局包括若干临床结局和健康经济学评估。