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A Pilot RCT on the Effect of ExAT on Teacher Burnout and Stress

Primary Purpose

Burnout, Stress

Status
Recruiting
Phase
Not Applicable
Locations
Hong Kong
Study Type
Interventional
Intervention
Expressive Arts Therapy group intervention
Sponsored by
Chinese University of Hong Kong
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Burnout focused on measuring Expressive Arts Therapy, Teachers, Randomized controlled trial

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Hong Kong residents aged >/=18 Able to read Chinese (verbal expression in Chinese or English) With qualified teaching cert. (degree holder) Willing to provide informed consent and comply with the trial protocol Teacher work in primary or secondary school in Hong Kong Exclusion Criteria: Current involvement in psychological treatment program for stress and / or burnout reduction A change in psychotropic drugs or over-the-counter medications that target mood within 2 weeks before the baseline assessment A Patient Health Questionnair-9 (PHQ-9) item 9 score > 2 indicating a serious level of suicidal risk

Sites / Locations

  • The Chinese University of Hong KongRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Expressive Arts Therapy group

Waitlist control group

Arm Description

The Expressive Arts Therapy group will receive the Expressive Arts intervention via face-to-face workshops for 2 consecutive weeks (2 hours per session). there are a total of 3 batches (around 15 participants per batch) for the intervention.

The Waitlist control group will not receive any intervention during the study, but they will receive self-help art therapy materials after the whole study procedure.

Outcomes

Primary Outcome Measures

Changes in Shirom-Melamed Burnout Measure (SMBM)
A 14-item questionnaire with 7-point scale will be used for physical fatigue, emotion exhaustion, and cognitive weariness. The score ranges from 1(never or almost never) to 7 (always or almost always). Item 1-5: physical fatigue; item 6-8: emotional exhaustion; and item 9-14: cognitive wariness
Change in Perceived Stress Scale (PSS)
A 10-item questionnaire measuring the perceived degree of stress across situations over the past month. Items include how unpredictable, uncontrollable, and overloaded do the respondents perceive. the score ranges from 0 (never) to 4 (very often)

Secondary Outcome Measures

Change in The Patient Health Questionnaire (PHQ-9)
A 9-item questionnaire used for screening, diagnosing, monitoring, and measuring the severity of depression, which scores each of the nine DSM-IV criteria as 0 (not at all) to 3 (nearly every day)
Change in The Generalized Anxiety disorder 7-item Scale (GAD-7)
A brief 7-item instrument for screening for generalized anxiety disorder and assessing its severity in clinical practice and research. Anxiety severity is categorized using scores of 5-9 (mild), 10-14 (moderate) and 15or more (severe)
Change in Insomnia Severity Index (ISI)
A 7-item scale designed to evaluate perceived insomnia severity. Ratings on the 5-point Likert scale are obtained on the perceived severity of sleep-onset, sleep-maintenance, early morning awakening problems, satisfaction with current sleep-maintenance, early morning awakening problems, satisfaction with current sleep pattern, interference with daily functioning, noticeably of impairment attributed to the sleep problem and level of distress caused by the sleep problem.
Change in Multidimensional Fatigue Inventory (MFI-20)
A 20-item self-report instrument designed to measure fatigue. Ratings on a 5-point Likert sscale are obtained on the dimensions of general fatigue, physical fatigue, mental fatigue, reduced motivation, and reduced activity. Scores on each subscale range from 4 to 20, with higher scores indicating greater fatigue
Change in Short Form (Six-Dimension) Health Survey - The Chinese (Hong Kong) Version (SF-6D)
A preference-based single index measure of health. A six-digit number represents each SF-6D health state, each digit denotes the level of one of six SF-6D dimensions: physical functioning, role limitation, social functioning, bodily pain, mental health and vitality. The SF-6D index, scored from 0.0 (worst health state) to 1.0 (best health state)
Change in Credibility-Expectancy questionnaire (CEQ)
The 6-item CEQ yielded ratings of treatement credibility, acceptability/satisfaction, and expectations for success
Change in Treatment Acceptability and Adherence Scale (TAAS)
A 10-item self-report scale designed to measure treatment acceptability on various facets, such as dropout likelihood and treatment adherence.

Full Information

First Posted
November 24, 2022
Last Updated
February 7, 2023
Sponsor
Chinese University of Hong Kong
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1. Study Identification

Unique Protocol Identification Number
NCT05637190
Brief Title
A Pilot RCT on the Effect of ExAT on Teacher Burnout and Stress
Official Title
The Effect of Expressive Art Therapy on Teacher Burnout and Stress: A Pilot Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 10, 2022 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chinese University of Hong Kong

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this pilot randomized controlled trial is to evaluate the effects of Expressive Art Therapy on reducing burnout and stress symptoms among Hong Kong's primary and secondary school teachers. The proposed study is a pilot randomized controlled trial. Prior to all study procedures, 90 participants (i.e., primary and secondary school teachers) will be recruited to complete an online informed consent with telephone support. Eligible participants will be randomly assigned to either the Expressive Arts Therapy group (ExAT group) or the waitlist control group (WL group) in a ratio of 1:1. The ExAT group will receive the Expressive Arts intervention via face-to-face workshops for 2 consecutive weeks (2 hours per session). There are a total of 3 batches (around 15 participants per batch) for the intervention. Participants in this group will be in touch with their inner selves and inner resources via body movement, writing and music. There will be visual art creation as a conclusion for integrating the body and mind. The art products would be placed in their workplace for stress regulation. The WL control group will not receive any intervention during the study, but they will receive self-help art therapy materials after the whole study procedure. The outcome measures include burnout, stress, depressive, and anxiety symptoms, as well as insomnia symptoms, physical activity, health-related quality of life, and the intervention acceptability at baseline, immediate post-treatment, and 4-week follow-up assessments by completing the same questionnaire set.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Burnout, Stress
Keywords
Expressive Arts Therapy, Teachers, Randomized controlled trial

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Expressive Arts Therapy group
Arm Type
Experimental
Arm Description
The Expressive Arts Therapy group will receive the Expressive Arts intervention via face-to-face workshops for 2 consecutive weeks (2 hours per session). there are a total of 3 batches (around 15 participants per batch) for the intervention.
Arm Title
Waitlist control group
Arm Type
No Intervention
Arm Description
The Waitlist control group will not receive any intervention during the study, but they will receive self-help art therapy materials after the whole study procedure.
Intervention Type
Other
Intervention Name(s)
Expressive Arts Therapy group intervention
Intervention Description
Art is helpful to reduce negative emotions and boost self-worth during the creative process. During the Expressive Arts Therapy workshops, participants experience different art forms, including visual art, body movement, writing, music, and guided imagery to identify the inner self and get in touch with the self to release suppressed emotions and stress.
Primary Outcome Measure Information:
Title
Changes in Shirom-Melamed Burnout Measure (SMBM)
Description
A 14-item questionnaire with 7-point scale will be used for physical fatigue, emotion exhaustion, and cognitive weariness. The score ranges from 1(never or almost never) to 7 (always or almost always). Item 1-5: physical fatigue; item 6-8: emotional exhaustion; and item 9-14: cognitive wariness
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in Perceived Stress Scale (PSS)
Description
A 10-item questionnaire measuring the perceived degree of stress across situations over the past month. Items include how unpredictable, uncontrollable, and overloaded do the respondents perceive. the score ranges from 0 (never) to 4 (very often)
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Secondary Outcome Measure Information:
Title
Change in The Patient Health Questionnaire (PHQ-9)
Description
A 9-item questionnaire used for screening, diagnosing, monitoring, and measuring the severity of depression, which scores each of the nine DSM-IV criteria as 0 (not at all) to 3 (nearly every day)
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in The Generalized Anxiety disorder 7-item Scale (GAD-7)
Description
A brief 7-item instrument for screening for generalized anxiety disorder and assessing its severity in clinical practice and research. Anxiety severity is categorized using scores of 5-9 (mild), 10-14 (moderate) and 15or more (severe)
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in Insomnia Severity Index (ISI)
Description
A 7-item scale designed to evaluate perceived insomnia severity. Ratings on the 5-point Likert scale are obtained on the perceived severity of sleep-onset, sleep-maintenance, early morning awakening problems, satisfaction with current sleep-maintenance, early morning awakening problems, satisfaction with current sleep pattern, interference with daily functioning, noticeably of impairment attributed to the sleep problem and level of distress caused by the sleep problem.
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in Multidimensional Fatigue Inventory (MFI-20)
Description
A 20-item self-report instrument designed to measure fatigue. Ratings on a 5-point Likert sscale are obtained on the dimensions of general fatigue, physical fatigue, mental fatigue, reduced motivation, and reduced activity. Scores on each subscale range from 4 to 20, with higher scores indicating greater fatigue
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in Short Form (Six-Dimension) Health Survey - The Chinese (Hong Kong) Version (SF-6D)
Description
A preference-based single index measure of health. A six-digit number represents each SF-6D health state, each digit denotes the level of one of six SF-6D dimensions: physical functioning, role limitation, social functioning, bodily pain, mental health and vitality. The SF-6D index, scored from 0.0 (worst health state) to 1.0 (best health state)
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in Credibility-Expectancy questionnaire (CEQ)
Description
The 6-item CEQ yielded ratings of treatement credibility, acceptability/satisfaction, and expectations for success
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up
Title
Change in Treatment Acceptability and Adherence Scale (TAAS)
Description
A 10-item self-report scale designed to measure treatment acceptability on various facets, such as dropout likelihood and treatment adherence.
Time Frame
baseline (week 0), immediate post intervention (week 3) and 4-week post intervention follow up

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Hong Kong residents aged >/=18 Able to read Chinese (verbal expression in Chinese or English) With qualified teaching cert. (degree holder) Willing to provide informed consent and comply with the trial protocol Teacher work in primary or secondary school in Hong Kong Exclusion Criteria: Current involvement in psychological treatment program for stress and / or burnout reduction A change in psychotropic drugs or over-the-counter medications that target mood within 2 weeks before the baseline assessment A Patient Health Questionnair-9 (PHQ-9) item 9 score > 2 indicating a serious level of suicidal risk
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yeuk Yu Yip
Phone
3943 6575
Email
pmhlab@cuhk.edu.hk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fiona YY Ho, Ph.D
Organizational Affiliation
Chinese University of Hong Kong
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Chinese University of Hong Kong
City
Hong Kong
ZIP/Postal Code
HKSAR
Country
Hong Kong
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fiona YY Ho, Ph.D
Phone
3943 6575
Email
pmhlab@cuhk.edu.hk

12. IPD Sharing Statement

Plan to Share IPD
No

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A Pilot RCT on the Effect of ExAT on Teacher Burnout and Stress

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