Effects of Mindfulness, Mobilization of Resources, or Biofeedback on Stress Before OSCE

Stress, Psychological Clinical Trial

Official title:

Effects of Mindfulness, Mobilization of Inner Resources, or Cardiac Biofeedback on Psychophysiological Anticipatory Stress Before OSCE of Medical Students

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05380076
• Other study ID #: OsceStress
• Status: Completed
• Phase: N/A
• Start date: May 17, 2022
• Est. completion date: December 30, 2023

Study information

• Verified date: June 2024
• Source: Claude Bernard University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Stress generated during the curriculum might have deleterious effects on the wellbeing and the health of medical students. Objective and Structured Clinical Examinations (OSCEs) will be incorporated soon in the certification process as a final national undergraduate ranking examination. This exam will be an additional major stressor for medical students.

Stress coping strategies could be implemented to help them better prepare for this examination. The aim of this study was to compare the efficiency on stress reduction of three different 6-minutes coping interventions in medical student, few minutes prior to the OSCE.

Description:

This randomized, controlled and monocentric study will be conducted during the OSCE tests contributing towards the final exam grades for 4th year medicine students at the Claude Bernard Lyon 1 university.All the students will receive information for the study and sign consent before being randomized into four interventions groups. All the interventions will last six minutes long.

The randomisation groups are:

• Mindfulness through watching/listening video tape

• Mobilization of inner resources through watching/listening video tape

• Cardiac biofeedback guided standardized timing for respiratory rate and with immediate feedback on cardiac variability score

• Unemotional video tape as controlled group

Psychological stress will be measured using short questionnaires and self-rated Visual Analogue Scale (from 0 to 100mm) regarding perceived stress, answered by students before and after intervention. For measuring physiological stress, all the student will be equipped with emWAve® devices that allows us to record heart rate variability during the time of intervention. Students will also answer a questionnaire of personality.

Main objective is to show that interventions are better than control to reduce stress level before OSCE.

The main outcome is to compare the effect of the interventions on physiological stress, using HRV as physiological stress marker.

Secondary outcomes are to compare the effects of the interventions on psychological stress and to compare the specified aspect of the intervention. Finally, our project will permit to assess if the personality modulates the effectiveness of the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 490
• Est. completion date: December 30, 2023
• Est. primary completion date: June 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult person

• Registered as medical student at the university

• Participating at OSCE examination

• Have signed an informed consent form.

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Stress, Physiological
• Stress, Psychological

Intervention

Other:
• Mindfulness meditation
6 minutes of watching a video tape made for the study that inspire mindfulness like meditation just before entering the examination circuit.
• Mobilization of inner resources
6 minutes of watching a video tape made for the study that provide psychological stimulation just before entering the examination circuit
• Biofeedback
6 minutes of relaxing breathing exercise coupled with heart rate variability biofeedback guided on eMWave Pro software on a computer just before entering the examination circuit.

Locations

Country	Name	City	State
France	Claude Bernard University	Lyon

Sponsors (1)

Lead Sponsor	Collaborator
Claude Bernard University

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Differences of physiological stress	Heart rate variability collected by an ear pulse sensor (emWave® device)	During the 6min long intervention
Secondary	Characterisation of the influence of the intervention on Psychological stress	Numerical Visual analog scales (100mm-VAS) on perceived stress (from zero to 100: maximum)	measured two times: just 30 seconds before and after the intervention
Secondary	Characterisation of the influence of the intervention on level of inner resources	Numerical 100mm-VAS on level of resourcefulness perceived (from zero to 100: maximum)	measured two times: just 30 seconds before and after the intervention
Secondary	Characterisation of the influence of the intervention on self-confidence	Numerical 100mm-VAS on self confidence perceived (from zero to 100: maximum)	measured two times: just 30 seconds before and after the intervention
Secondary	Characterisation of intervention on Psychological stress consequences	Activation-Deactivation Adjective Check List: for the four subscales (Tension , Calmness, Activation, Deactivation).	measured two times: just 1 minute before and after the intervention
Secondary	Feelings about the intervention	Likert Scale assessing feelings about the intervention: Pleasure, Interest, Enthusiasm, Boredom, Frustration, Discouragement, Fun) on a 5 items answers (from not feeling at all, to very importante intensity)	just 2 minutes after the intervention
Secondary	Determining influence of personality traits on the efficiency on the intervention	Personality questionnaire (Big-5, 10 items) allowing score in 5 factors of personality (Openness, Consciousness, Extraversion, Agreeableness, Nevrosism).	just 5 minutes after the intervention