Effect of self-help mindfulness-based stress reduction exercise therapeutics on the psychological status and sleep quality of Hubei medical staff

ISRCTN ISRCTN84911422
DOI https://doi.org/10.1186/ISRCTN84911422
Submission date
04/06/2025
Registration date
11/06/2025
Last edited
10/07/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Research indicates that mindfulness-based training can improve the psychological health of nurses, but there is a lack of conclusive evidence.
This study aims to explore the effect of mindfulness-based stress reduction exercise therapy (MBSRET) on the psychological status and sleep quality of medical staff and to provide evidence for its application in mental health care for medical staff in public health emergencies.

Who can participate?
Medical staff aged over 18 years who were sent to support the pandemic prevention and control in Hubei Province

What does the study involve?
The intervention group received MBSRET for 8 weeks, and the control group received routine care.
The MBSRET intervention consisted of two components: mindfulness and physical exercise. The mindfulness component was based on the MBSR programme. It includes 8 weekly meetings, each lasting for 2.5 hours, and a single-day retreat. The programme taught various mindfulness practices: body scanning, mindful breathing and movement, sitting meditation and loving-kindness meditation. The participants were instructed to practice these exercises at home or work for at least 30 minutes every day, 6 days per week, with the guidance of the MBSRET mobile application. The mobile application was developed by the research team based on the MBSR curriculum and existing mindfulness applications. It provided audio recordings, videos, texts and images to guide the participants through the exercises. The application also recorded the participants’ compliance, duration of exercise and feedback.
The physical exercise component was based on the American College of Sports Medicine (ACSM) guidelines for physical activity and health. The ACSM guidelines suggest that adults should perform at least 150 minutes of moderate-intensity aerobic exercise, 75 minutes of vigorous-intensity aerobic exercise or a combination of both each week. Further recommendations included performing muscle-strengthening activities involving all the major muscle groups at least 2 days per week. The participants were instructed to choose their types and modes of physical exercise according to their preferences, abilities and schedules. They were advised to perform physical exercise for at least 30 minutes each day, 5 days per week, at a moderate-to-vigorous intensity level with the guidance of the MBSRET mobile application. The mobile application provided various options, suggestions and tips for physical exercise; it also recorded the participants’ compliance, duration and intensity of exercise and feedback.
The control group received routine care, which included the standard medical care and psychological support provided by the local health authorities and hospitals. They did not receive any specific interventions or instructions regarding mindfulness or physical exercise. They were also asked to use the MBSRET mobile application, but only to complete the outcome measures and provide basic demographic and clinical information.

What are the possible benefits and risks of participating?
Participants' mental state and sleep may improve. There are no risks.

Where is the study run from?
Beijing Chao-Yang Hospital, Capital Medical University (China)

When is the study starting and how long is it expected to run for?
December 2019 to April 2020

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Shuqin Wang, wang_shuqin06@126.com

Contact information

Dr Shuqin Wang
Public, Scientific, Principal Investigator

GongTi Southern No. 8
Chaoyang District
Beijing
100020
China

Phone +86 (0)10 85231538
Email wang_shuqin06@126.com

Study information

Study designSingle-center interventional double-blind randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeOther
Scientific titleEffect of self-help mindfulness-based stress reduction exercise therapeutics on the psychological status and sleep quality of Hubei medical staff
Study acronymDR
Study objectivesMindfulness-based stress reduction exercise therapy (MBSRET) may effectively improve the psychological status and sleep quality of the medical staff.
Ethics approval(s)

Approved 20/12/2019, Ethics Committee of Beijing Chao-Yang Hospital, Capital Medical University (GongTi Southern No. 8, Chaoyang District, Beijing, 100020, China; +86 (0)10 85231484; cyylunli2019@163.com), ref: 2024-K-869

Health condition(s) or problem(s) studiedPsychological status and sleep quality
InterventionThe intervention group received MBSRET for 8 weeks, and the control group received routine care. The participants are randomly assigned to either the intervention group or the control group using a computer-generated random number table. Members of the research team (researchers) are responsible for recruitment, randomization, intervention, and evaluation. In order to avoid the influence of the subjective will of researchers, the researchers responsible for the evaluation work do not participate in recruitment, randomization, intervention and other work, which are completed by other researchers.

The MBSRET intervention consisted of two components: mindfulness and physical exercise. The mindfulness component was based on the MBSR programme. It includes 8 weekly meetings, each lasting for 2.5 hours, and a single-day retreat. The programme taught various mindfulness practices: body scanning, mindful breathing and movement, sitting meditation and loving-kindness meditation. The participants were instructed to practice these exercises at home or work for at least 30 minutes every day, 6 days per week, with the guidance of the MBSRET mobile application. The mobile application was developed by the research team based on the MBSR curriculum and existing mindfulness applications. It provided audio recordings, videos, texts and images to guide the participants through the exercises. The application also recorded the participants’ compliance, duration of exercise and feedback.

The physical exercise component was based on the American College of Sports Medicine (ACSM) guidelines for physical activity and health. The ACSM guidelines suggest that adults should perform at least 150 minutes of moderate-intensity aerobic exercise, 75 minutes of vigorous-intensity aerobic exercise or a combination of both each week. Further recommendations included performing muscle-strengthening activities involving all the major muscle groups at least 2 days per week. The participants were instructed to choose their types and modes of physical exercise according to their preferences, abilities and schedules. They were advised to perform physical exercise for at least 30 minutes each day, 5 days per week, at a moderate-to-vigorous intensity level with the guidance of the MBSRET mobile application. The mobile application provided various options, suggestions and tips for physical exercise; it also recorded the participants’ compliance, duration and intensity of exercise and feedback.

The control group received routine care, which included the standard medical care and psychological support provided by the local health authorities and hospitals. They did not receive any specific interventions or instructions regarding mindfulness or physical exercise. They were also asked to use the MBSRET mobile application, but only to complete the outcome measures and provide basic demographic and clinical information.
Intervention typeBehavioural
Primary outcome measure1. Psychological status measured using the Symptom Checklist-90 (SCL-90) at baseline and 8 weeks
2. Sleep quality measured using the Perceived Stress Scale (PSS) and the Pittsburgh Sleep Quality Index (PSQI) at baseline and 8 weeks
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date20/12/2019
Completion date30/04/2020

Eligibility

Participant type(s)Health professional
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants85
Total final enrolment85
Key inclusion criteria1. Over 18 years old
2. Able to access the internet and use the MBSRET mobile application
Key exclusion criteria1. Having a history of mental illness or receiving psychological treatment
2. Having a physical condition that prevents performing physical exercise
3. Being pregnant or lactating
Date of first enrolment05/01/2020
Date of final enrolment21/01/2020

Locations

Countries of recruitment

  • China

Study participating centre

Beijing Chao-Yang Hospital
GongTi Southern No. 8
Chaoyang District
Beijing
100020
China

Sponsor information

Beijing Chao-Yang Hospital
Hospital/treatment centre

GongTi Southern No. 8
Chaoyang District
Beijing
100020
China

Phone +86 (0)10 85231777
Email cpuxia@163.com
Website https://www.bjcyh.com.cn/Html/Index.html
ROR logo "ROR" https://ror.org/01eff5662

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination plan
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to personal privacy issues.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 23/06/2025 10/07/2025 Yes No

Editorial Notes

10/07/2025: Publication reference added.
04/06/2025: Study's existence confirmed by Ethics Committee of Beijing Chao-Yang Hospital, Capital Medical University.