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Brief Mobile App-Based Mindfulness Intervention for Indonesian Senior High School Teachers: Protocol for a Pilot Randomized Controlled Trial.

JMIR research protocols
January 1, 1970
Gede Rasben Dantes et al. (6 authors)
Journal ArticleClinical Trial ProtocolHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the feasibility and efficacy of a brief mindfulness-based mobile app (BM-MA) for reducing anxiety and stress among Indonesian senior high school teachers, while also assessing its impact on life satisfaction, self-efficacy, trait mindfulness, self-compassion, and physical and social dysfunction.

Results Summary

The study assessed the effects of the BM-MA using validated scales, but the results are pending as data analysis was conducted from March through May 2024, with publication expected in December 2024. The study followed a rigorous RCT protocol and included follow-up assessments to evaluate sustained effects.

Population

Indonesian senior high school teachers experiencing anxiety and stress.

Effective Dosage

10-20 minutes per day for 3 weeks.

Duration

3 weeks.

Interactions

None mentioned.

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
brief mindfulness-based mobile app (BM-MA)
neutral
anxiety
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#1
brief mindfulness-based mobile app (BM-MA)
neutral
stress
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#2
brief mindfulness-based mobile app (BM-MA)
neutral
life satisfaction
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#3
brief mindfulness-based mobile app (BM-MA)
neutral
self-efficacy
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#4
brief mindfulness-based mobile app (BM-MA)
neutral
trait mindfulness
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#5
brief mindfulness-based mobile app (BM-MA)
neutral
self-compassion
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#6
brief mindfulness-based mobile app (BM-MA)
neutral
physical and social dysfunction
Indonesian senior high school teachers experiencing anxiety and stress
-
examine the effects
#7
Abstract

BACKGROUND: The COVID-19 pandemic has increased the level of anxiety among Indonesian senior high school teachers, who face challenges to treat their mental disorder symptoms that arise during their working hours, as mental health services in Indonesia are limited. Therefore, it is vital to equip schoolteachers in Indonesia with early interventions that are easily available, private, and affordable, and 1 feasible approach is to deploy a smartphone mobile app. OBJECTIVE: The objectives of this study are (1) to evaluate the feasibility of a brief mindfulness-based mobile app (BM-MA) for Indonesian senior high school teachers experiencing anxiety and stress and (2) to examine the effects of using the BM-MA on anxiety, stress, life satisfaction, self-efficacy, trait mindfulness, self-compassion, and physical and social dysfunction among the participants. METHODS: We followed the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2013 statement for this feasibility randomized controlled trial (RCT) protocol. A total of 60 Indonesian senior high school teachers were recruited for this study and randomly assigned to either the intervention group (BM-MA) or a wait-list control group (CG) in a 1:1 ratio. The BM-MA group was required to engage in mindfulness practices using the app for 10-20 minutes per day for 3 weeks. All participants were assessed with a battery of self-report measures at baseline, postintervention, and at 1-month follow-up. Validated scales used to measure the outcome variables of interest included the Satisfaction With Life Scale (SLS), the Teachers' Sense of Efficacy Scale (TSES), the Self-Compassion Scale-Short Form (SCS-SF), Generalized Anxiety Disorder-7 (GAD-7), General Health Questionnaire-12 (GHQ-12), and the Five Facet Mindfulness Questionnaire (FFMQ). The practicality and acceptability of the app will be evaluated using the Client Satisfaction Questionnaire-8 (CSQ-8) and structured qualitative interviews. Data from the interviews will be analyzed with the deductive thematic analysis framework as a process of qualitative inquiry. Repeated measures ANOVA with groups (intervention vs control) as a between-subject factor and time as a within-subject factor (baseline, postintervention, and 1-month follow-up) will be used to examine the effects of the BM-MA on the outcome variables. The data will be analyzed using an intent-to-treat approach and published in accordance with CONSORT (Consolidated Standards of Reporting Trials) recommendations. RESULTS: Participants were recruited in December 2023, and this pilot RCT was conducted from January through March 2024. Data analysis was conducted from March through May 2024. The results of this study are expected to be published in December 2024. The trial registration of this protocol was submitted to the Chinese Clinical Trial Registry. CONCLUSIONS: This study aims to determine the feasibility and efficacy of the BM-MA, a digital mental health intervention developed using an existing mindfulness-based app, and assess its potential for widespread use. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2300068085; https://tinyurl.com/2d2x4bxk. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/56693.

Medical Subject Headings (MeSH)
HumansMindfulnessIndonesiaMobile ApplicationsPilot ProjectsSchool TeachersCOVID-19FemaleMaleAnxietyAdultStress, PsychologicalFeasibility StudiesMiddle AgedRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Research Impact Scores
APT Score0.05
Weight Score1.39
Normalized Score0.67
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