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CompletedNCT02897284Mind-CareUpdated Sep 13, 2016

Mindfulness for Burnout Prevention in Primary Care Providers

An interventional study of Mindfulness 8 weeks and Mindfulness 2 weeks in Burnout, Professional, sponsored by Centro Mente Aberta de Mindfulness. Completed. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-09-13.

Sponsored by Centro Mente Aberta de Mindfulness · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

Burnout Syndrome is one of the major challenges for health systems worldwide. This study strives to evaluate the feasibility and effectiveness of an 8- versus 2-week mindfulness-based self-care program on burnout symptoms and psychological and biological variables.

Read the detailed description

The development of stepped-care interventions allows for the development of new strategies within mindfulness-based approaches, classically described as a weekly two-hour commitment which lasts eight weeks. Such approaches might reach larger and stratified groups, more suitable for usage in Brazilian health-system context. For such evaluations, the investigators will use a 3-arms randomized clinical trial design, with Sociodemographic and Labor variables, such as age, sex, number of offspring, adherence to the program, adherence to the mindfulness practices, Burnout Clinical Subtype Questionnaire -(BCSQ-36), Maslach Burnout Inventory (MBI-GS), Mindfulness Attention Awareness Scale (MAAS), Freiburg Mindfulness Inventory adapted for Brazil (FMI-Br-13), Five-Facet Mindfulness Questionnaire (FFMQ-Br). DNA methylation will be measured by Methylase-reaction, and BDNF (brain-derived neurotrophic factor) will be quantified by ELISA-sandwich. The primary outcome will be the effectiveness of such programs on different clinical subtypes of Burnout symptoms (frenetic, under challenged and worn-out). The secondary outcome will be mindfulness levels, and adherence to the program and to the mindfulness practice, and on inflammation and epigenetic variables.

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Conditions studied

  • Burnout, Professional

Keywords

  • Mindfulness-based
  • Self-care
  • Health workers
  • Epigenetics
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In context

Burnout, Professional

214 studies on the registry are indexed under Burnout, Professional; 33 are open to participants now.

This study's enrollment of 400 is above the median of 80 across 158 interventional studies indexed under Burnout, Professional.

Browse Burnout, Professional studies →

Lead sponsor

Centro Mente Aberta de Mindfulness is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Active Primary Care Providers

Exclusion criteria

Exclusion Criteria:

  • Acute disease (physical or mental)
  • Schizophrenia or other psychotic symptoms
  • Concomitant use of medication causing attentional, cognitive or concentration impairments
  • Having practiced mindfulness or other contemplative techniques in the previous 12 months of the study.
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
400 participants (actual)

Study arms

  • Experimental
    Mindfulness 8 weeks

    Mindfulness-based intervention with 8 weekly sessions

    Behavioral: Mindfulness 8 weeks

  • Active comparator
    Mindfulness 2 weeks

    Mindfulness-based intervention with 2 weekly sessions

    Behavioral: Mindfulness 2 weeks

  • No intervention
    Control

    waiting list

Interventions

  • BehavioralMindfulness 8 weeks

    8 sessions of mindfulness

  • BehavioralMindfulness 2 weeks

    2 sessions of mindfulness

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What researchers measure

Primary outcomes

  1. A mindfulness intervention decreases Burnout

    Evaluation of Burnout symptoms through the MBI-GS scale

    Time frame: up to 2 months of follow-up

  2. A mindfulness intervention increases Happiness

    Evaluation of Happiness levels through the PHI (Pemberton) scale

    Time frame: up to 2 months of follow-up

Secondary outcomes

  1. A mindfulness intervention increases Mindfulness

    Evaluation of Mindfulness levels through the MAAS scale

    Time frame: up to 2 months of follow-up

  2. A mindfulness intervention improves Epigenetic

    Evaluation of epigenetic-related activity through Homocysteine levels (Pfeiffer, 1999)

    Time frame: up to 2 months of follow-up

  3. A mindfulness intervention improves Epigenetic (II)

    Evaluation of epigenetic-related activity through Cysteine levels (Pfeiffer, 1999)

    Time frame: up to 2 months of follow-up

  4. A mindfulness intervention improves Epigenetic (III)

    Evaluation of epigenetic-related activity through Methylase Reaction (Radiomarking of methyl groups)

    Time frame: up to 2 months of follow-up

  5. A mindfulness intervention improves Inflammation

    Evaluation of inflammation-related activity through seric Brain-Derived Neurotrophic Factor - BDNF- (ELISA-Sandwich)

    Time frame: up to 2 months of follow-up

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Study locations

No study locations are listed for this record.

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References and documents

Publications

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  • Bower P, Gilbody S. Stepped care in psychological therapies: access, effectiveness and efficiency. Narrative literature review. Br J Psychiatry. 2005 Jan;186:11-7. doi: 10.1192/bjp.186.1.11. PubMed 15630118 ↗
  • Garcia Campayo J. [The practice of "being attentive" (mindfulness) in medicine. Impact on patients and professionals]. Aten Primaria. 2008 Jul;40(7):363-6. doi: 10.1157/13124130. No abstract available. Spanish. PubMed 18620639 ↗
  • Cavanagh K, Strauss C, Cicconi F, Griffiths N, Wyper A, Jones F. A randomised controlled trial of a brief online mindfulness-based intervention. Behav Res Ther. 2013 Sep;51(9):573-8. doi: 10.1016/j.brat.2013.06.003. Epub 2013 Jun 28. PubMed 23872699 ↗
  • Coyle D, Doherty G. Stepped care and mental health technologies, en ECCE 2010 workshop on Cognitive Engineering for Technology in Mental Health Care and Rehabilitation, pp. 99-102, 2010.
  • Demarzo MMP. Meditação aplicada à saúde. Programa Atualização em Med Família e Comunidade. 6th ed. Porto ALegre-RS: Artmed; 2011;6(1):1-18.
  • Demarzo MM, Andreoni S, Sanches N, Perez S, Fortes S, Garcia-Campayo J. Mindfulness-based stress reduction (MBSR) in perceived stress and quality of life: an open, uncontrolled study in a Brazilian healthy sample. Explore (NY). 2014 Mar-Apr;10(2):118-20. doi: 10.1016/j.explore.2013.12.005. Epub 2013 Dec 18. No abstract available. PubMed 24607079 ↗
  • Epstein RM, Krasner MS. Physician resilience: what it means, why it matters, and how to promote it. Acad Med. 2013 Mar;88(3):301-3. doi: 10.1097/ACM.0b013e318280cff0. PubMed 23442430 ↗
  • Gluck TM, Maercker A. A randomized controlled pilot study of a brief web-based mindfulness training. BMC Psychiatry. 2011 Nov 8;11:175. doi: 10.1186/1471-244X-11-175. PubMed 22067058 ↗
  • Hesser H, Gustafsson T, Lunden C, Henrikson O, Fattahi K, Johnsson E, Zetterqvist Westin V, Carlbring P, Maki-Torkko E, Kaldo V, Andersson G. A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. J Consult Clin Psychol. 2012 Aug;80(4):649-61. doi: 10.1037/a0027021. Epub 2012 Jan 16. PubMed 22250855 ↗
  • Hirayama MS. Freiburg Mindfulness Inventory: Adaptação cultural e validação para a língua portuguesa no Brasil. [tese]. Campinas (SP): Universidade estadual de Campinas, 2014.
  • Hirayama MS, Milani D, Rodrigues RC, Barros NF, Alexandre NM. [The perception of behavior related to mindfulness and the Brazilian version of the Freiburg Mindfulness Inventory]. Cien Saude Colet. 2014 Sep;19(9):3899-914. doi: 10.1590/1413-81232014199.12272013. Portuguese. PubMed 25184595 ↗
  • Irving JA, Dobkin PL, Park J. Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complement Ther Clin Pract. 2009 May;15(2):61-6. doi: 10.1016/j.ctcp.2009.01.002. Epub 2009 Feb 28. PubMed 19341981 ↗
  • Franco Justo C. [Reducing stress levels and anxiety in primary-care physicians through training and practice of a mindfulness meditation technique]. Aten Primaria. 2010 Nov;42(11):564-70. doi: 10.1016/j.aprim.2009.10.020. Epub 2010 Feb 2. Spanish. PubMed 20129713 ↗
  • Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011 Aug;31(6):1041-56. doi: 10.1016/j.cpr.2011.04.006. Epub 2011 May 13. PubMed 21802619 ↗
  • Kerrigan D, Johnson K, Stewart M, Magyari T, Hutton N, Ellen JM, Sibinga EM. Perceptions, experiences, and shifts in perspective occurring among urban youth participating in a mindfulness-based stress reduction program. Complement Ther Clin Pract. 2011 May;17(2):96-101. doi: 10.1016/j.ctcp.2010.08.003. Epub 2010 Sep 16. PubMed 21457899 ↗
  • Krusche A, Cyhlarova E, King S, Williams JM. Mindfulness online: a preliminary evaluation of the feasibility of a web-based mindfulness course and the impact on stress. BMJ Open. 2012 May 21;2(3):e000803. doi: 10.1136/bmjopen-2011-000803. Print 2012. PubMed 22614170 ↗
  • Ljotsson B, Falk L, Vesterlund AW, Hedman E, Lindfors P, Ruck C, Hursti T, Andreewitch S, Jansson L, Lindefors N, Andersson G. Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome--a randomized controlled trial. Behav Res Ther. 2010 Jun;48(6):531-9. doi: 10.1016/j.brat.2010.03.003. Epub 2010 Mar 16. PubMed 20362976 ↗
  • Martin Asuero A, Rodriguez Blanco T, Pujol-Ribera E, Berenguera A, Moix Queralto J. [Effectiveness of a mindfulness program in primary care professionals]. Gac Sanit. 2013 Nov-Dec;27(6):521-8. doi: 10.1016/j.gaceta.2013.04.007. Epub 2013 May 28. Spanish. PubMed 23721869 ↗
  • Mateen FJ, Dorji C. Health-care worker burnout and the mental health imperative. Lancet. 2009 Aug 22;374(9690):595-7. doi: 10.1016/S0140-6736(09)61483-5. No abstract available. PubMed 19699996 ↗
  • Monshat K, Castle DJ. Mindfulness training: an adjunctive role in the management of chronic illness? Med J Aust. 2012 May 21;196(9):569-71. doi: 10.5694/mja11.10974. PubMed 22621147 ↗
  • McCabe Ruff K, Mackenzie ER. The role of mindfulness in healthcare reform: a policy paper. Explore (NY). 2009 Nov-Dec;5(6):313-23. doi: 10.1016/j.explore.2009.10.002. No abstract available. PubMed 19913756 ↗
  • Montero-Marin J, Araya R, Blazquez BO, Skapinakis P, Vizcaino VM, Garcia-Campayo J. Understanding burnout according to individual differences: ongoing explanatory power evaluation of two models for measuring burnout types. BMC Public Health. 2012 Oct 30;12:922. doi: 10.1186/1471-2458-12-922. PubMed 23110723 ↗
  • Montero-Marin J, Garcia-Campayo J. A newer and broader definition of burnout: validation of the "Burnout Clinical Subtype Questionnaire (BCSQ-36)". BMC Public Health. 2010 Jun 2;10:302. doi: 10.1186/1471-2458-10-302. PubMed 20525178 ↗
  • Moreira Dde S, Magnago RF, Sakae TM, Magajewski FR. [Prevalence of burnout syndrome in nursing staff in a large hospital in south of Brazil]. Cad Saude Publica. 2009 Jul;25(7):1559-68. doi: 10.1590/s0102-311x2009000700014. Portuguese. PubMed 19578577 ↗
  • Morse G, Salyers MP, Rollins AL, Monroe-DeVita M, Pfahler C. Burnout in mental health services: a review of the problem and its remediation. Adm Policy Ment Health. 2012 Sep;39(5):341-52. doi: 10.1007/s10488-011-0352-1. PubMed 21533847 ↗
  • Morris ME, Kathawala Q, Leen TK, Gorenstein EE, Guilak F, Labhard M, Deleeuw W. Mobile therapy: case study evaluations of a cell phone application for emotional self-awareness. J Med Internet Res. 2010 Apr 30;12(2):e10. doi: 10.2196/jmir.1371. PubMed 20439251 ↗
  • Nakamura E. O Método Etnográfico em Pesquisas na Área da Saúde: uma reflexão antropológica Saúde Soc. São Paulo, v.20, n.1, p.95-103, 2011
  • Nakao M. Epigenetics: interaction of DNA methylation and chromatin. Gene. 2001 Oct 31;278(1-2):25-31. doi: 10.1016/s0378-1119(01)00721-1. PubMed 11707319 ↗
  • Nunes DFS, de Souza WL, do Prado AF, Demarzo MMP. Designing an ubiquitous computing environment for monitoring physical activity. 2012 25th IEEE International Symposium on Computer-Based Medical Systems (CBMS) [Internet]. IEEE; 2012 [cited 2013 Aug 10]. p. 1-6. Available from: http://ieeexplore.ieee.org/lpdocs/epic03/wrapper.htm?arnumber=6266383
  • Pfeiffer CM, Huff DL, Gunter EW. Rapid and accurate HPLC assay for plasma total homocysteine and cysteine in a clinical laboratory setting. Clin Chem. 1999 Feb;45(2):290-2. No abstract available. PubMed 9931056 ↗
  • Queiroz DT, Vall J, Souza AMA, Vieira NFC. Observação participante na pesquisa qualitativa: conceitos e aplicações na área da saúde. R Enferm UERJ,15(2):276-83, 2007.
  • Richards DA. Stepped care: a method to deliver increased access to psychological therapies. Can J Psychiatry. 2012 Apr;57(4):210-5. doi: 10.1177/070674371205700403. PubMed 22480585 ↗
  • Rodriguez-Dorantes M, Tellez-Ascencio N, Cerbon MA, Lopez M, Cervantes A. [DNA methylation: an epigenetic process of medical importance]. Rev Invest Clin. 2004 Jan-Feb;56(1):56-71. Spanish. PubMed 15144044 ↗
  • Silva ATC da, Menezes PR. Esgotamento profissional e transtornos mentais comuns em agentes comunitários de saúde. Rev Saude Publica [Internet]. Faculdade de Saúde Pública da Universidade de São Paulo; 2008 Oct [cited 2013 Aug 9];42(5):921-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102008000500019&lng=en&nrm=iso&tlng=pt
  • Trigo TR, Teng CT, Hallak JEC. Síndrome de burnout ou estafa profissional e os transtornos psiquiátricos. Rev Psiquiatr Clínica [Internet]. Faculdade de Medicina da Universidade de São Paulo; 2007 [cited 2013 Aug 9];34(5):223-33. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-60832007000500004&lng=pt&nrm=iso&tlng=pt
  • Tucunduva LT, Garcia AP, Prudente FV, Centofanti G, de Souza CM, Monteiro TA, Vince FA, Samano ES, Goncalves MS, Del Giglio A. [Incidence of the burnout syndrome among Brazilian cancer physicians]. Rev Assoc Med Bras (1992). 2006 Mar-Apr;52(2):108-12. doi: 10.1590/s0104-42302006000200021. Epub 2006 Jun 1. Portuguese. PubMed 16767336 ↗
  • Zernicke KA, Campbell TS, Speca M, McCabe-Ruff K, Flowers S, Dirkse DA, Carlson LE. The eCALM Trial-eTherapy for cancer appLying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial. BMC Complement Altern Med. 2013 Feb 16;13:34. doi: 10.1186/1472-6882-13-34. PubMed 23414206 ↗
  • Wolffe AP, Matzke MA. Epigenetics: regulation through repression. Science. 1999 Oct 15;286(5439):481-6. doi: 10.1126/science.286.5439.481. PubMed 10521337 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02897284
Lead sponsor
Centro Mente Aberta de Mindfulness
Collaborators
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Responsible party
Marcelo Marcos Piva Demarzo (Professor at Preventive Medicine Dept. - Unifesp, Centro Mente Aberta de Mindfulness) — Principal investigator
First posted
Sep 13, 2016
Start date
May 2015
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Sep 13, 2016

Study contacts

Marcelo MP Demarzo, MD, PhD
principal investigator · Mente Aberta - Brazilian Center for Mindfulness and Health Promotion

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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