Virtual Mindfulness and Breathing Training for Stress, Burnout, Sleep, and Cognition in Rotating-Shift Nurses
NCT ID: NCT07028788
Last Updated: 2025-06-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
300 participants
INTERVENTIONAL
2025-08-31
2027-07-31
Brief Summary
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Detailed Description
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A total of four groups will be included in this randomized controlled trial:
1. Control Group (CG): Participants will receive a weekly electronic health education manual for 8 weeks. Topics include healthy eating habits, balanced nutrition, the physiological impact of shift work, sleep hygiene for shift workers, the effects of electronic devices on sleep, and identifying sources of stress. No mindfulness or breathing content is included.
2. Mobile-based Mindfulness Group (MMG): Participants will engage in guided mindfulness practice via a smartphone application, using a pre-recorded 360-degree nature video.
3. Mobile-based Mindfulness with Breathing Group (MMBG): Participants will follow a similar protocol as MMG, with the addition of brief structured breathing exercises embedded in the training.
4. Virtual Reality-based Mindfulness with Breathing Group (VMBG): Participants will wear a VR headset and immerse themselves in a virtual nature setting while engaging in combined mindfulness and structured breathing training. All intervention groups will complete 10-minute sessions, five times per week, for a total of eight weeks.
Primary outcome measures include: Perceived stress (Perceived Stress Scale, PSS-10-C), Occupational burnout (Nursing Burnout Scale), Sleep quality (Pittsburgh Sleep Quality Index, PSQI) and Cognitive function (including attention and memory tasks). Assessments will be conducted at baseline, immediately post-intervention, and at follow-up. This study will provide insights into the comparative effectiveness of mobile and immersive digital interventions for improving mental health and physiological functioning in Rotating-shift nurses.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Health Education Control Group(CG)
Participants will receive an 8-week electronic health education handbook covering topics such as healthy eating habits, balanced nutrition, the physiological impact of shift work, sleep schedules for shift workers, the effects of electronic device use on sleep, and identifying sources of stress. The content does not include any components related to mindfulness or breathing exercises.
Health Education Material
Weekly electronic health education handbooks covering nutrition, sleep, shift work, stress awareness, and digital device use.
Mobile-based Mindfulness Group (MMG)
Participants will be guided through mindfulness exercises using a pre-recorded 360-degree natural environment video accessed via a mobile application. Participants in the intervention groups will engage in an 8-week program, practicing five times per week, with each session lasting 10 minutes.
Mobile-Based Mindfulness
Guided mindfulness practice via mobile app using pre-recorded 360° natural environment video.
mobile-based mindfulness combined with brief structured breathing training group (MMBG)
Participants will be guided through mindfulness combined with brief structured breathing exercises, using a pre-recorded 360-degree nature video delivered through a mobile application. Participants in the intervention groups will engage in an 8-week program, practicing five times per week, with each session lasting 10 minutes.
Mobile-Based Mindfulness combined with Breathing
Mindfulness training combined with brief structured breathing exercises via mobile app using 360° nature video.
Virtual reality-assisted mindfulness combined with brief structured breathing training group (VMBG)
Participants will wear a VR headset and immerse themselves in a natural virtual environment while engaging in mindfulness combined with brief structured breathing exercises. Participants in the intervention groups will engage in an 8-week program, practicing five times per week, with each session lasting 10 minutes.
VR-Based Mindfulness combined with Breathing
Virtual reality-delivered mindfulness and structured breathing training using immersive 360° natural environment video.
Interventions
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Health Education Material
Weekly electronic health education handbooks covering nutrition, sleep, shift work, stress awareness, and digital device use.
Mobile-Based Mindfulness
Guided mindfulness practice via mobile app using pre-recorded 360° natural environment video.
Mobile-Based Mindfulness combined with Breathing
Mindfulness training combined with brief structured breathing exercises via mobile app using 360° nature video.
VR-Based Mindfulness combined with Breathing
Virtual reality-delivered mindfulness and structured breathing training using immersive 360° natural environment video.
Eligibility Criteria
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Inclusion Criteria
2. Able to understand spoken or written Mandarin or Taiwanese.
3. Employed full-time for at least 3 months with a signed employment contract.
4. Has worked rotating shifts (including day, evening, and/or night shifts) in the past 3 months.
5. Willing to participate and sign informed consent.
6. Registered nurse.
7. A perceived stress score greater than or equal to 50 based on a standardized scale.
Exclusion Criteria
2. History of substance abuse (e.g., tobacco, illicit drugs).
3. Alcohol consumption ≥350 ml/week with alcohol content ≥3.5%.
4. Diagnosed or suspected autonomic nervous system disorders.
5. History of severe or unstable cardiovascular disease, cerebrovascular disease, cancer, or end-stage organ failure within the past 6 months.
6. Current diagnosis of psychiatric disorders (e.g., major depressive disorder, schizophrenia), or use of psychiatric or sleep medications (e.g., antidepressants, sedatives).
7. Reported discomfort (e.g., dizziness, nausea) when using virtual reality devices.
8. Engaged in other regular exercise programs, light therapy, or mind-body interventions during the study period.
9. Participating in other clinical trials simultaneously.
20 Years
65 Years
ALL
Yes
Sponsors
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Chang Shih-Chin
OTHER
Responsible Party
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Chang Shih-Chin
Principal Investigator, School of Nursing, National Defense Medical Center
Principal Investigators
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Chia-Hui Lin, Ph.D.
Role: STUDY_DIRECTOR
School of Nursing, National Defense Medical Center
Central Contacts
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Other Identifiers
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TSGH-PH_E_114018
Identifier Type: -
Identifier Source: org_study_id
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