Behavioral Symptoms Clinical Trial
Official title:
Pilot Clinical Trial of Inquiry-based Stress Reduction (IBSR) Program for Health Care Professionals
The IBSR (Inquiry-based stress reduction) intervention, developed by Byron Katie
(www.thework.com), trains subjects to reduce their perceived level of stress by self-inquiry
of their thoughts and beliefs connected to stressful circumstances or symptoms. This
meditative process, named "The Work", enables the participants to identify and question the
stressful thoughts that cause their suffering. The core of IBSR is simply four questions and
a turnaround, which is a way of experiencing the opposite of what the participant believes.
This process is simple, powerful and can be easily implemented in daily life.
Therefore, on the basis of previous data and beneficial observations the investigators
postulate that the clinical utility of IBSR mediation program may alleviate stress and rate
of burnout and improve quality of life among health care professionals. Thus, we will
conduct a pilot/feasibility Observational study designed to:
- Assess feasibility of a IBSR intervention by examining attendance, drop-out rates, and
program satisfaction.
- investigate whether IBSR intervention is efficacious in alleviating stress and rate of
burnout and improving quality of life among health care professionals.
Study Goals To investigate whether IBSR intervention is efficacious in alleviating stress
and rate of burnout and improving quality of life among health care professionals.
Study methodology The proposed study is pilot/feasibility intervention study with pre and
post measures. 30 participants will receive Inquiry-based stress reduction (IBSR) group
intervention.
Population The pilot intervention group will consist 30 nurses at the Geriatric
Rehabilitation Department in the Tel Aviv Sourasky Medical Center (TASMC) who are willing to
participate in this study.
Data collection procedures
1. Assessments will be taken at an initial baseline orientation and at the end of the
12-week intervention.
2. One week before IBSR classes will start, a baseline orientation will be held at this
session, informed consent will be obtained, baseline data will be collected, and a
brief overview of the IBSR program will be provided, which will highlight the 12-week
class schedule.
Intervention
1. Subjects will receive weekly 3.5 hour sessions conducted by two facilitators trained in
IBSR and certified by BKI to conduct this intervention.
2. Class size will range from 12-16 participants.
3. All the sessions will be standardized and follow the training manual developed to
maintain consistency in the program.
4. Subjects will receive a training manual and CD's to support home practice of various
forms of inquiry practices.
5. The training manual will include weekly exercises, and program content related to the
content identified below. In addition, the manual will include a weekly diary for
recording homework practice activities.
The IBSR-BC program is a 12-week program adapted for consideration of health professionals
well-being. During the process, participants will be encouraged to identify and inquire
about their stressful thoughts: regarding health and illness, relationships with others,
Beliefs that prevent them to promote their health, self judgments, perception of death and
suffering. This intervention provides for management of specific emotional/psychological
symptoms (stress, anxiety, depression) and physical symptoms, such as fatigue and sleeps
disorders and enables the participants to inquire and be relieved of their stressful
thoughts, and emotions caused by these thoughts. Through the use of self-inquiry practices
subjects are taught to increase awareness of their thoughts and feelings, to observe their
emotional and physical responses during situations perceived by them as stressful, and allow
their mind to return to its true, peaceful, creative nature. Through the process of self
inquiry, subjects take an active role in investigating their stressful thoughts, and by this
regulating their stress and managing symptoms and emotions, thus enabling them to cope
better with with emotional stress and burnout.
Throughout the 12-week IBSR (HCP - health care professionals) program, all subjects will be
requested to formally meditate and perform self inquiry exercises alone or with a partner
for a minimum of 15 min per day.
;
Observational Model: Case-Only, Time Perspective: Prospective
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