MHC: Mindfulness to the Clinical Setting: The Mind Hand Connection Study

• Sponsor: University of Michigan (Other)
• Overall Status: Completed
• CT.gov ID: NCT03165799
• Collaborator: Agency for Healthcare Research and Quality (AHRQ) (U.S. Fed), VA Ann Arbor Healthcare System (U.S. Fed)
• Enrollment: 32
• Location: 1
• Arms: 2
• Actual Duration (Months): 2
• Patients Per Site Per Month: 16.2

Study Details

Study Description

Brief Summary

This is a single center, randomized study that assessed the effects of mindfulness training on physician teaching teams at a VA hospital.

Condition or Disease	Intervention/Treatment	Phase
Mindfulness; Education, Medical; Hand Hygiene; Patient Safety	Behavioral: Mindfulness Education	N/A

Detailed Description

The primary objective of this study was to evaluate changes in hand hygiene compliance pre- and post- intervention in Internal Medicine physician and medical student inpatient teaching teams. Half of the teaching teams received the intervention of mindfulness education. Blinded observers collected data on hand hygiene compliance and mindfulness behaviors for both teams during patient care rounds for 1-week pre and post intervention. Additionally, the intervention group participated in focus group/interview discussions.

Study Design

• Study Type: Interventional
• Actual Enrollment: 32 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: Participating teams were randomized with a 1:1 ratio to receive the intervention.Participating teams were randomized with a 1:1 ratio to receive the intervention.
• Masking: Single (Outcomes Assessor)
• Masking Description: Observers collecting data were blinded to participant treatment/control randomization allocation.
• Primary Purpose: Health Services Research
• Official Title: Mindfulness to the Clinical Setting: The Mind Hand Connection Study
• Actual Study Start Date: Jan 31, 2017
• Actual Primary Completion Date: Mar 15, 2017
• Actual Study Completion Date: Apr 1, 2017

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Mindfulness Education Participants viewed an informational video titled, "All it Takes is 10 Mindful Minutes" by mindfulness expert, Andy Puddicombe. Following the video, a guided discussion was provided that focused on how the principles of mindfulness can be used to influence a physician's state of mental presence, allowing for moments of clarity, insight, and reflection, and potentially enhance provider and patient safety.	Behavioral: Mindfulness Education; Mindfulness Education
No Intervention: No Intervention Participants did not receive mindfulness education.

Outcome Measures

Primary Outcome Measures

1. Hand Hygiene Compliance [Baseline and study completion at 2 weeks]

   Change in hand hygiene compliance observed during patient care rounds

Secondary Outcome Measures

1. Mindful Attention Awareness Scale [Baseline and study completion at 2 weeks]

   Measures core characteristics of mindfulness

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria:

Internal Medicine attendings, residents, interns and medical students on inpatient patient care teams, able to provide consent

Exclusion Criteria:

Surgical attendings, residents, interns or subspeciality teams, Internal medicine attendings rotating on non-resident teams

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	VA Ann Arbor Healthcare System	Ann Arbor	Michigan	United States	48103

Sponsors and Collaborators

• University of Michigan
• Agency for Healthcare Research and Quality (AHRQ)
• VA Ann Arbor Healthcare System

Investigators

• Principal Investigator: Vineet I Chopra, MD, University of Michigan and Ann Arbor VA Healthcare System

Study Documents (Full-Text)

None provided.

More Information

Publications

• Ellingson K, Haas JP, Aiello AE, Kusek L, Maragakis LL, Olmsted RN, Perencevich E, Polgreen PM, Schweizer ML, Trexler P, VanAmringe M, Yokoe DS. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014 Sep;35 Suppl 2:S155-78.
• Gilmartin HM. Use hand cleaning to prompt mindfulness in clinic. BMJ. 2016 Jan 4;352:i13. doi: 10.1136/bmj.i13.
• King D, Vlaev I, Everett-Thomas R, Fitzpatrick M, Darzi A, Birnbach DJ. "Priming" hand hygiene compliance in clinical environments. Health Psychol. 2016 Jan;35(1):96-101. doi: 10.1037/hea0000239. Epub 2015 Jul 27.
• Kiyoshi-Teo H, Krein SL, Saint S. Applying mindful evidence-based practice at the bedside: using catheter-associated urinary tract infection as a model. Infect Control Hosp Epidemiol. 2013 Oct;34(10):1099-101. doi: 10.1086/673147. Epub 2013 Aug 23.

• Responsible Party: Vineet Chopra, Chief, Division of Hospital Medicine & Assistant Professor of Medicine & Research Scientist, University of Michigan
• ClinicalTrials.gov Identifier: NCT03165799
• Other Study ID Numbers: 2016-020159-0004
• First Posted: May 24, 2017
• Last Update Posted: Sep 19, 2019
• Last Verified: Sep 1, 2019

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Study Results

No Results Posted as of Sep 19, 2019