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Work Engagement and Well-being Study (SWELL): a randomised controlled feasibility trial evaluating the effects of mindfulness versus light physical exercise at work.

BMJ mental health
January 1, 1970
Maris Vainre et al. (7 authors)
Journal ArticlePragmatic Clinical TrialRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the feasibility, acceptability, and preliminary effects of a self-guided online mindfulness-based programme (MBP) on work performance, mental health, and cognitive processes compared to a light exercise control.

Results Summary

The MBP showed negligible benefits for work performance compared to light exercise, though it improved mental health. Retention rates were typical for online trials, and the interventions were deemed acceptable.

Population

241 employees from eight employers

Effective Dosage

Not specified

Duration

4 weeks

Interactions

None mentioned

Extracted Claims (2)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-based programmes (MBPs)
no change
work performance (WP)
employees
negligible
offered negligible benefits
#1
Mindfulness-based programmes (MBPs)
increase
mental health (MH)
employees
-
improved
#2
Abstract

BACKGROUND: Mindfulness-based programmes (MBPs) are increasingly offered at work, often in online self-guided format. However, the evidence on MBPs' effect on work performance (WP) is inconsistent. OBJECTIVE: This pragmatic randomised controlled feasibility trial assessed procedural uncertainties, intervention acceptability and preliminary effect sizes of an MBP on WP, relative to an alternative intervention. METHODS: 241 employees from eight employers were randomised (1:1) to complete a 4-week, self-guided, online MBP or a light physical exercise programme (LE)(active control). Feasibility and acceptability measures were of primary interest. WP at postintervention (PostInt) was the primary outcome for preliminary assessment of effect sizes. Secondary outcomes assessed mental health (MH) and cognitive processes hypothesised to be targeted by the MBP. Outcomes were collected at baseline, PostInt and 12-week follow-up (12wFUP). Prospective trial protocol: NCT04631302. FINDINGS: 87% of randomised participants started the course. Courses had high acceptability. Retention rates were typical for online trials (64% PostInt; 30% 12wFUP). MBP, compared with the LE control, offered negligible benefits for WP (PostInt ( CONCLUSION: The trial is feasible; interventions are acceptable. Results provide little support for a later phase trial comparing an MBP to a light exercise control. To inform future trials, we summarise procedural challenges. CLINICAL IMPLICATIONS: Results suggest MBPs are unlikely to improve WP relative to light physical exercise. Although the MBP improved MH, other active interventions may be just as efficacious. TRIAL REGISTRATION NUMBER: NCT04631302.

Medical Subject Headings (MeSH)
HumansExerciseFeasibility StudiesMindfulnessProspective StudiesWork Engagement
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.25
Weight Score1.37
Normalized Score0.47
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