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Trial registered on ANZCTR
Registration number
ACTRN12616001123437
Ethics application status
Approved
Date submitted
8/08/2016
Date registered
18/08/2016
Date last updated
18/08/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A pilot evaluation on the efficacy of a universal school-based mindfulness intervention to enhance resilience in children
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Scientific title
A pilot evaluation on the efficacy of a universal school-based mindfulness intervention to enhance resilience in children
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Secondary ID [1]
289234
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Resilience
298803
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Stress
298804
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Condition category
Condition code
Mental Health
298850
298850
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study aims to advance the understanding of the effects of mindfulness training on 11-12 year old children by administering a mindfulness-training course, the globally established nine-week ‘.b’ (dot be) programme developed in England, taught in a New Zealand school context, measuring resilience as the variable pre- and post-intervention, and comparing changes in resilience within the class.
The ‘.b’ course is a nine-week programme that follows a teaching outline taught once a week for 30minutes :
Lesson One: Direct attention: Paying attention- Training the muscle of your mind
Skills-Directing your attention, Exploring and investigating what you find
Practices- ‘Aiming and sustaining’ attention on breathing for 2 minutes, Counting the number of breaths in a minute
Lesson Two: Accept and Calm: Taming the animal mind- Cultivating curiosity and kindness
Skills- Calming the mind by ‘anchoring’ it in the body, Relaxing and breathing with experiences, even difficult ones
Practices- FOFBOC: A body scan with Feet on Floor, Bum on Chair, Anchoring your mind in the sensations of the body
Lesson Three: Deal with worry: Recognise worry- Noticing how your mind plays tricks on you
Skills- Recognising what our minds do that makes us worry: we Interpret, we ruminate, we catastrophise,‘Un-worrying’ via a 7/11, Using beditation to help us sleep
Practices- 7-11, Beditation (lying down body scan)
Lesson Four: Be here now- From reacting to responding
Skills- Stepping out of ‘auto-pilot’ mode, Savouring the pleasant, Responding to the unpleasant rather than reacting
Practices- .b, Mindful mouthful, Siting like a statue for 15 minutes
Lesson Five: Move mindfully- Moving Mindfully
Skills: Moving mindfully, Bringing mindfulness to daily activity, Aspiring to ‘flow’ or be ‘in the zone’
Practices: Mindful Walking, Mindful toothbrushing, Showering, eating etc.
Lesson Six: Step back- Stepping back: Watching the though-traffic of your mind Skills: Seeing thoughts as traffic that flows through the mind, Identifying ‘thought-buses’ that pass through your mind, Recognising that you don’t have to ‘get on the bus’ of difficult thoughts
Practices: Observing thought-traffic, Practising staying at the bus stop, rather than getting taken for a ride
Lesson Seven: Befriend the difficult- Befriending the difficult
Skill: Understanding stress, Recognising your stress signature, Responding to stress and difficult emotions rather than reacting to them
Practices: Breathing with stress/ letting it be
Lesson Eight: Take in the Good- Taking in the good: Being present with your heart
Skills: Appreciation of what is good in life, Recognising how even the ordinary can be experienced as ‘good’ if we are more fully aware of it
Practices: ‘Taking in the good’- Gratitude Practice
Lesson Nine: Pulling it all together
Revision: What have you found most useful? In what ways do these skills help change your life for the better? What advice would you give yourself to make the most of what you have learned?
Taught by Dr Nick Penney, a .b mindfulness teacher of two years, with a background in adult mindfulness training for three years,
The course is taught within school hours timetabled into the curriculum, each class lasts 30minutes and is conducted in the school classroom.
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Intervention code [1]
294770
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Behaviour
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
298328
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Resilience level. Assessed using the Child Youth Resilience Measure (CYRM)-Youth version and the Ego Resilience Scale (ERS)
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Assessment method [1]
298328
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Timepoint [1]
298328
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immediately pre-post intervention
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Secondary outcome [1]
323853
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Child and Youth Resilience Measure (CYRM) tool sensitivity to a .b programme by correlation with the gold standard measure, the Ego Resilience Scale (ERS).
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Assessment method [1]
323853
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Timepoint [1]
323853
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immediately pre-post intervention
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Eligibility
Key inclusion criteria
*Enrolled in the school
*Appropriate permission granted by under 16 years of age participants
*Completion of both the pre and post survey results, with a minimum of 50% attendance in the mindfulness classes in the nine-week program. Previous mindfulness research with children has suggested noticeable changes in this time and many research papers have included a similar criteria.
*English reading competency matching the level of the surveys, established by the class teacher.
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Minimum age
11
Years
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Maximum age
12
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Parental or student refusal for the mindfulness class or for the research.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Considering this is a preliminary exploratory study, a non-probability method of convenience sampling will be used. This will be based on the convenience of sampling according to the PPTA website stating one average class in New Zealand has 25 pupils, but most frequently class sizes are of 28 students, to gain an approximation of the representation of this population (http://www.ppta.org.nz/issues/class-size).
An estimated sample of 140 participants from the year group, consisting of 5 year eight classes, will be recruited,
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
26/02/2016
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Date of last participant enrolment
Anticipated
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Actual
4/03/2016
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Date of last data collection
Anticipated
15/04/2016
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Actual
25/04/2016
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Sample size
Target
140
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Accrual to date
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Final
103
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Recruitment outside Australia
Country [1]
7879
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New Zealand
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State/province [1]
7879
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Auckland
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Funding & Sponsors
Funding source category [1]
294325
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Self funded/Unfunded
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Name [1]
294325
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Eve Skogstad
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Address [1]
294325
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Unitec Institute of Technology, Private Bag 92025, Victoria Street West, Auckland 1142
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Country [1]
294325
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New Zealand
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Primary sponsor type
Individual
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Name
Eve Skogstad
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Address
Unitec Institute of Technology, Private Bag 92025, Victoria Street West, Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
293163
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Individual
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Name [1]
293163
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J. Nicholas Penney
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Address [1]
293163
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Integrative Pain Care
437 Remuera Road
Auckland
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Country [1]
293163
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295044
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UNITEC Research Ethics Committee (UREC)
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Ethics committee address [1]
295044
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Unitec Mount Albert Campus 139 Carrington road Mount Albert Auckland, 1025 New Zealand
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Ethics committee country [1]
295044
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New Zealand
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Date submitted for ethics approval [1]
295044
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06/10/2015
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Approval date [1]
295044
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22/10/2015
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Ethics approval number [1]
295044
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UREC Registration Number: 2015-1070
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Summary
Brief summary
Mindfulness in schools programmes are increasing in use and aim to provide children and adolescents globally with the education to develop mindfulness skills (Burke, 2009; Harnett & Dawe, 2012; Zenner, Herrnleben-Kurz, & Walach, 2014). Research is, however, in its infancy for evaluating the effects of mindfulness on young people. The number of studies are growing, but the enthusiasm of the delivery of programmes currently exceeds the evidence for their effectiveness (Greenberg & Harris, 2012). A range of outcome effects of mindfulness training on children and adolescents research have evaluated cognitive performance (Semple, Lee, Rosa, & Miller, 2010), emotional regulation (Broderick & Metz, 2009), well-being (Hennelly, 2011; Huppert & Johnson, 2010), depression (Biegel, Brown, Shapiro, & Schubert, 2009), and blood pressure (Gregoski, Barnes, Tingen, Harshfield, & Treiber, 2011). Further research to evaluate specific outcomes may be beneficial to gain a richer understanding of the effects of mindfulness in schools programmes for children and adolescents. Therefore this study aims to evaluate resilience as an outcome measure specifically, to help establish a greater understanding of effects of this education and training with children. Resilience is an important process that helps in dealing with disruptive, stressful, or challenging life events, in a way that provides the individual with additional protective and coping skills. The development of children and youth to overcome challenging situations, can be assisted by encouraging characteristics of efficacy, self-esteem and perseverance (Lerner, Brentano, Dowling, & Anderson, 2002). This study aims to evaluate whether resilience can be increased by learning mindfulness techniques so that in the face of challenge or adversity, the involvement of awareness and control of thoughts and feelings are active, and positive relationships that encompass empathy and kindness are fostered (Hennelly, 2011; Huppert & Johnson, 2010). Beneficial results from this study, in collaboration with similar studies globally, may encourage and strengthen the use of mindfulness teaching in the mainstream education system in New Zealand and globally. This study aims to advance the understanding of the effects of mindfulness training on 11-12 year old children by administering a mindfulness-training course, the globally established nine-week ‘.b’ (dot be) programme developed in England, taught in a New Zealand school context, measuring resilience as the variable pre- and post-intervention, and comparing changes in resilience within the class. The design will employ a quantitative approach using current child specific resilience survey tools the Child Youth Resilience Measure (CYRM) and the Ego Resilience Scale (ERS) pre and post completion of the course.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
881
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/AnzctrAttachments/370712-2015-1070 Application approval letter.pdf
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Contacts
Principal investigator
Name
65906
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Miss Eve Skogstad
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Address
65906
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Unitec Institute of Technology, Private Bag 92025, Victoria Street West, Auckland 1142
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Country
65906
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New Zealand
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Phone
65906
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+64 27 550 6466
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Fax
65906
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Email
65906
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[email protected]
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Contact person for public queries
Name
65907
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Eve Skogstad
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Address
65907
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Unitec Institute of Technology, Private Bag 92025, Victoria Street West, Auckland 1142
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Country
65907
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New Zealand
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Phone
65907
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+64 27 550 6466
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Fax
65907
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Email
65907
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[email protected]
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Contact person for scientific queries
Name
65908
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Dr Elizabeth Niven
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Address
65908
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Unitec Institute of Technology, Private Bag 92025, Victoria Street West, Auckland 1142
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Country
65908
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New Zealand
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Phone
65908
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+64 21 654935
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Fax
65908
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Email
65908
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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