Home » Trials » SLCTR/2024/024


Efficacy of a group mindfulness intervention in improving psychological wellbeing among a stratified random sample of individuals, who have been serving the Sri Lanka army during the civil war.

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SLCTR Registration Number

SLCTR/2024/024


Date of Registration

05 Jul 2024

The date of last modification

Nov 11, 2024



Application Summary


Scientific Title of Trial

Efficacy of a group mindfulness intervention in improving psychological wellbeing among a stratified random sample of individuals, who have been serving the Sri Lanka army during the civil war.


Public Title of Trial

Randomized control trial to investigate the efficacy of a virtual mindfulness intervention versus standard care in improving psychological wellbeing among individuals from the Sri Lanka armed forces.


Disease or Health Condition(s) Studied

Mindfulness


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

U1111-1309-8575


Any other number(s) assigned to the trial and issuing authority

2/20 - Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayawardanepura


Trial Details


What is the research question being addressed?

How effective is a group mindfulness intervention in creating a change in the level of psychological well–being in participants from Sri Lanka army who are in active service?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Supportive care


Study Phase

Not Applicable


Intervention(s) planned

  1. The participants have been selected from different camps and regiments of Sri Lanka army. As the intervention is delivered virtually, there will be no physical study setting. The participants are expected to participate from wherever they are; this can be while they are in their respective camps or home when they are on vacation.

  2. A survey has been conducted among a sample of individuals from the Sri Lanka army to obtain an idea of their mental health needs. The expected total sample size for the survey was 500. The researchers obtained the number of officers and non-officers (other rankers) from Sri Lanka army and calculated the representative number of officers and other rankers that should be allocated for each regiment in proportionate to their total percentage in the Sri Lanka army. Out of these 500 participants, a proportional allocation from each stratum will be used from the sample. Every Nth participant will be selected until the sample size (63) is reached. Further calculation will be done for the proportion of officers and other rankers from each stratum

  3. The principal investigator will do the recruitment with the assistance of the Sri Lanka army head quarters.

  4. A virtual mindfulness protocol has been developed with reference to the mobile application, “Mindfulness Coach”, which has been developed by the Veterans Affairs (VA) Department of the USA. This has been extensively researched for its suitability to be used in military samples. Prior to the development of the protocol, the PI has participated in two online training programs. One was on Mindfulness while the other was on mindfulness-based cognitive therapy (MBCT). In addition to this, FGD’s were conducted with Buddhist scholars to decide on the possibility of incorporating further techniques of Buddhist mindfulness.

The protocol was developed in Sinhala and is expected to be recorded on the Zoom online platform. The principal investigator, who is a licensed clinical psychologist, is expected to carry out the recording of the sessions using her voice.

Where required, pictures and sounds that are similar to the ones that have been used in the mobile application will be used in the recordings.

The protocol has 08 sections that guides a variety of mindfulness practices. They are : 1. Seated practice. 2. Awareness of the body. 3. Awareness of the breath. 4. Awareness of senses. 5. Loving-kindness meditation. 6. Mindful eating. 7. Mindful walking. 8. Mindfulness of emotional discomfort. Additional sections are to be used at user discretion. 1. Mindful listening. 2. Mindful looking. 3. Mindfulness of emotional discomfort – Part 02. In addition to these sections, a practice log is expected to be introduced, which provides a graphical representation of their practice in the form of a chart. This is expected to help them track their progress in daily practice.

The protocol is expected to be pre- tested on a sample from the Sri Lanka army, before its use. The intervention will be delivered by the principal investigator. The study group will not be provided with the option of recording the Zoom sessions. Further , they are expected to agree not to share details of the intervention with the controls until the study period is over.

  1. During the study period the control group will not receive any intervention from the researchers. They will continue to receive standard health care from the Sri Lanka army. After the study period, if the mindfulness intervention is proved to be efficacious , they will be offered the same intervention as the study group.

Inclusion criteria

  1. Age 18- 55
  2. Both males and females will be included
  3. Individuals who joined Sri Lanka army before the year 2009 4 Army personnel who could read and understand the psychometric measures in Sinhala.

Exclusion criteria

  1. Individuals on treatment for a mental ilness
  2. Individuals unable to obtain permission to participate in the study due to logistical and administrative reasons


Primary outcome(s)

1.

PERMA profiler

[

Before the intervention Immediately after the intervention

]
2.

International Trauma Questioannire ( ITQ)

[

Before the intervention Immediately after the intervention

]
3.

General Health Questionnaire ( GHQ) - 12

[]
4.

Mindful Attention Awareness Scale (MAAS)

[]

Secondary outcome(s)

1.

Subjective ratings of well being - Participants will be asked if their level of wellbeing improved after practicing each mindfulness technique for one week. If they respond to it as Yes, they will be asked to rate their level of improvement out of a hundred.

[

Before the intervention Immediately after the intervention

]

Target number/sample size

63 for each arm


Countries of recruitment


Anticipated start date

2024-08-01


Anticipated end date

2024-09-30


Date of first enrollment

2024-10-01


Date of study completion


Recruitment status

Recruiting


Funding source

None


Regulatory approvals

None



State of Ethics Review Approval


Status

Approved


Date of Approval

2021-02-25


Approval number

02/20


Details of Ethics Review Committee

Name: Ethicc Review Committee , Faculty of Medical Sciences
Institutional Address:Faculty of Medical Sciences , University of Sri Jayawardenepura , Nugegoda
Telephone:0112758588
Email: erc.fms@sjp.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Tina Solomons
Senior Lecturer
Deartment of Clinical Sciences , Faculty of Medicine , General Sir John Kotelawala Defence University ( KDU)
0771720867


thsolomons@gmail.com

Contact Person for Public Queries

Tina Solomons
Senior Lecturer
Deartment of Clinical Sciences , Faculty of Medicine , General Sir John Kotelawala Defence University ( KDU)
0771720867


thsolomons@gmail.com


Primary study sponsor/organization

Faculty of Medical Sciences, University of Sri Jayawardenepura

Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka
94 11 2881788

fms@sjp.ac.lk
https://medical.sjp.ac.lk/

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

Yes


IPD sharing plan description

What data will be shared- Individual participant data that underlie the results being reported, after de-identification (text, tables, figures and appendices) What other documents will be available - Study protocol, statistical analysis When will the data be available - Beginning 3 months and ending 5 years following article publication With who will the data be shared- Investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose For what types of analyses will the data shared - For individual participant data meta-analysi By what mechanism will the data be available - Proposals should be directed to thsolomons@gmail.com. To gain access, data requestors will need to sign a data access agreement. Data will be available for 5 years rom the time of publication at ((provide link to proposed IPD database)


Study protocol available

Yes


Protocol version and date

Not available


Protocol URL


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results