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Study protocol of a multicenter randomized controlled trial of mindfulness training to reduce burnout and promote quality of life in police officers: the POLICE study.

Marcelo Trombka, Marcelo Demarzo, Daniel Campos Bacas, Sonia Beira Antonio, Karen Cicuto, Vera Salvo, Felipe Cesar Almeida Claudino, Letícia Ribeiro, Michael Christopher, Javier García-campayo, Neusa Sica Rocha

BMC Psychiatry May 25, 2018 DOI: 10.1186/s12888-018-1726-7 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Clinical protocol (multicenter randomized controlled trial) Peer reviewed
Sample size 160
Population Active police officers in Porto Alegre and São Paulo, Brazil
Intervention Mindfulness-Based Health Promotion (MBHP)
Duration Three assessment points: baseline, post-intervention, and six-month follow-up
Topics Anxiety Depression Meditation
Keywords Humans Empathy Mental health Burnout, professional Quality of life Police Adult Brazil Female Burnout, psychological Stress
Registration NCT03114605
Key findings The protocol proposes a multicenter randomized controlled trial to test whether Mindfulness-Based Health Promotion, compared with a waitlist control, improves quality of life and reduces burnout symptoms in 160 police officers, with secondary assessment of perceived stress, anxiety, depression, and possible mechanisms including resilience, mindfulness, decentering, self-compassion, spirituality, and religiosity. The authors note that mindfulness training has shown benefits in other settings but has not been systematically evaluated in policing.

Abstract

Background: Police officers experience a high degree of chronic stress. Policing ranks among the highest professions in terms of disease and accident rates. Mental health is particularly impacted, evidenced by elevated rates of burnout, anxiety and depression, and poorer quality of life than the general public. Mindfulness training has been shown to reduce stress, anxiety, burnout and promote quality of life in a variety of settings, although its efficacy in this context has yet to be systematically evaluated. Therefore, this trial will investigate the efficacy of a mindfulness-based intervention versus a waitlist control in improving quality of life and reducing negative mental health symptoms in police officers.

Methods: This multicenter randomized controlled trial has three assessment points: baseline, post-intervention, and six-month follow-up. Active police officers (n = 160) will be randomized to Mindfulness-Based Health Promotion (MBHP) or waitlist control group at two Brazilian major cities: Porto Alegre and São Paulo. The primary outcomes are burnout symptoms and quality of life. Consistent with the MBHP conceptual model, assessed secondary outcomes include perceived stress, anxiety and depression symptoms, and the potential mechanisms of resilience, mindfulness, decentering, self-compassion, spirituality, and religiosity.

Discussion: Findings from this study will inform and guide future research, practice, and policy regarding police offer health and quality of life in Brazil and globally.

Trial Registration: ClinicalTrials.gov NCT03114605 . Retrospectively registered on March 21, 2017.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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