Promoting Mental Health at Work Among Hospital Professionals (PROMIND)

Civil Hospices of Lyon

Status: Completed

Conditions: Mental Health Issue

Treatments: Other: Information session on mindfulness meditation and questionnaires; Device: Mindfulness meditation experimentation, practice program, questionnaires, individual interview and focus group

Study type: Interventional

Funder types: Other

Identifiers

NCT06331065

69HCL21_1180

ID-RCB (Other Identifier)

Details and patient eligibility

About

Mental health is a state of well-being in which a person can realize his/her potential, cope with the normal stresses of life, work productively and contribute to his/her community. It refers to a continuum that extends from the promotion of well-being and the prevention of mental disorders to the treatment and rehabilitation of people suffering from these disorders.

Healthcare professionals face major mental health challenges, due to the demands of their profession, which is characterized by heavy workloads and confrontation with human distress. The frequency of mental health problems among hospital staff is high, at all stages (malaise, distress, pathologies). A meta-analysis found that caregivers suffer from around 30% anxiety, 30% depression, 30% psychotrauma and 45% sleep disorders.

According to the French Labor Code, employers are responsible for the physical and mental health of their employees. The Hospices Civils de Lyon establishment project includes a section on the prevention of psycho-social risks, quality of working life and management.

Healthcare professionals, like the general population, have high expectations of non-medication treatments. These non-medication interventions aim to prevent, treat, or cure a health problem. They are non-invasive and non-pharmacological, with certain observable impacts supported by scientific evidence.

Mindfulness meditation is one of the most extensively studied non-medication interventions in mental health. Declined in different modalities, its effects focus on improving resilience with efficacy on physical and mental well-being (stress, anxiety, burnout, affect), and their physiological corollary (cardiac and respiratory rhythms), acceptance of reality in stressful situations, reduced interpersonal conflict in emergencies and, more broadly, impact on relational behaviours (anti- and pro-social), teamwork. Managers also benefit, with a strengthening of the aspiration to lead, in a vision fully at the disposal of others.

Mindfulness meditation appears to be a practice that promotes mental well-being and could contribute to fulfilment at work.

The challenge is to offer a mindfulness meditation program in a hospital department for individual and collective benefit.

The main objective is to evaluate the evolution of psychological fulfilment in the workplace of hospital healthcare professionals in a 5-month meditation program between the baseline and the end of the program, in comparison with the evolution over the same period of a control group.

The expected outcome is to show that it is possible to implement a mindfulness meditation intervention for hospital staff in care departments, whatever their status or profession, with individual and collective benefits for mental health, psycho-social risks (stress, violence, etc.) and work organization. If it proves to be effective and acceptable, this intervention could be offered more widely within the institution and beyond.

Enrollment: 108 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being a Hospices Civils de Lyon professional working in a department participating in the project
• Being of legal age
• Having given written consent including voice recording for focus groups and semi-structured interviews

Exclusion criteria

• Self-reported neuro-psychiatric pathology with current severe clinical instability
• Adults under legal protection (guardianship, curators)
• Persons not affiliated to a social security scheme or beneficiaries of a similar scheme
• Persons unable to understand or write in French
• Pregnant and nursing mothers

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Parallel Assignment

Masking: None (Open label)

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108 participants in 2 patient groups

Mindfulness meditation practice group

Experimental group

Description:

Group informed about mindfulness meditation and experimenting with an adapted program based on mindfulness meditation (intervention group).

Treatment:

Device: Mindfulness meditation experimentation, practice program, questionnaires, individual interview and focus group

Other: Information session on mindfulness meditation and questionnaires

Group without mindfulness meditation practice

Active Comparator group

Description:

Group informed about mindfulness meditation and without experimentation of mindfulness meditation practice (control group).

Treatment:

Other: Information session on mindfulness meditation and questionnaires