Mindfulness-Based Peak Performance, Endurance Performance Under Pressure, Performance-relevant Mental Attributes

Sponsor
National Taiwan Normal University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05612295
Collaborator
(none)
96
1
3
13
7.4

Study Details

Study Description

Brief Summary

The primary aim of this study is to conduct a well-designed trial to investigate the effect of an MBI program entitled Mindfulness-based Peak Performance (MBPP) on endurance performance under pressure from an interdisciplinary approach of sport psychology, sports training, and cognitive neuroscience. The secondary aim is to examine the effect of MBPP program on performance-relevant mental attributes in behavioral and neurocognitive assessments.

The present study hypothesizes that the MBPP and self-talk groups will improve performance under pressure, but MBPP is expected to show greater improvement than ST. Additionally, we expect the MBPP will improve the relevant mental attributes.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: MBPP
  • Behavioral: Self-talk
N/A

Detailed Description

Considering that increased competition levels are typically accompanied by elevated stress and anxiety, athletes' ability to cope with stress has gained even more importance in recent years. Growing evidence has demonstrated the effectiveness of mindfulness in reducing stress and enhancing athletic performance; however, its effectiveness remains a matter of debate and limitations due to absence of more rigorous designs, ecological validity, and randomized controlled trials.

Accordingly, the current trial, entitled Mindfulness-based Peak Performance (MBPP), will take an interdisciplinary approach (e.g., sport psychology, sports training, and cognitive neuroscience), to more definitively examine whether a tailored mindfulness-based intervention (MBI) affects athletic performance under pressure and relevant mental attributes.

Specifically, this study is an 8-week, three-arm, randomized controlled trial (RCT), and eligible participants will be randomly assigned into (1) an MBPP group (MBPP), (2) a self-talk group (ST), and (3) a wait-list control group (WC). The primary outcomes (e.g., endurance performance under pressure, performance-relevant mental attributes) and secondary outcomes (e.g., dispositional mindfulness, sports psychological skills) will be assessed before and after intervention.

The MBPP and ST are expected that will improve performance under pressure, but MBPP might show greater improvement than ST. Additionally, MBPP is expected that will improve performance-relevant mental attributes. The results from this trial might provide rigorous evidence and insight into MBI application in the sports context.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
96 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Effect of Mindfulness-Based Intervention on Endurance Performance Under Pressure and Performance-Relevant Mental Attributes an Interdisciplinary Perspective
Anticipated Study Start Date :
Mar 1, 2023
Anticipated Primary Completion Date :
Mar 31, 2024
Anticipated Study Completion Date :
Mar 31, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: MBPP group

The Mindfulness-based Peak Performance (MBPP) program consists of eight 60-min training sessions, once weekly for 8 weeks, which aim to enhance human performance.

Behavioral: MBPP
MBPP program consist of three fundamental principles (i.e., attention monitoring, acceptance, sport-specific rationale) and six performance-related core mental attributes including three behavioral and three neurocognitive components. Each session will start with a brief homework discussion and recap of the preceding session, and instructors will deliver a topic-related brief story or group activity to participants, followed by a theoretical introduction and practice of mindfulness. Finally, at the end of each session, instructors will guide participant to discuss mindfulness applications related to specific sports performances. At the end of the session, participants will be assigned homework to increase the effectiveness of MBPP, and participants will be encouraged to practice daily for at least 10-15 min between the sessions.
Other Names:
  • Mindfulness-based intervention
  • Active Comparator: Self-talk group

    The self-talk intervention serving as the active control group will be included in the current trial. In line with the MBPP intervention, the self-talk intervention is also designed to enhance athletic performance, and will consist of eight 60-min meaningful sessions, once per week for eight weeks.

    Behavioral: Self-talk
    self-talk sessions include: Session 1 & 2. The concepts, types, and the importance of self-talk will be introduced; Session 3. Researchers, coaches and the athletes will work together to design syntactically recognizable, concise, and clear sport-specific instructional scripts for specific sports performance (e.g., running); Session 4. practice of sport-specific instructional self-talk; Session 5. researchers, coaches and the athletes will work together to design syntactically recognizable, concise, and clear sport-specific motivational self-talk scripts for specific sports performances; Session 6. practice of sport-specific motivational self-talk; and Session 7 & 8. general practice for learned self-talk techniques.

    No Intervention: Waiting-list control

    The participants in waiting-list control group are advised to maintain their everyday lifestyles and regular training. Once the participants in WC finish the experiment, they will be invited to participate in one of the 8-week interventions (i.e., MBPP or ST) based upon their preference.

    Outcome Measures

    Primary Outcome Measures

    1. Endurance performance: Change in time to exhaustion [30 minutes each at the Baseline-Assessment and at the Post-Assessment]

      Time to exhaustion (TTE) will be one of the measured variables of endurance performance and be evaluated via a graded exercise test (GXT) on a motor-driven treadmill.

    2. Endurance performance: Change in maximum oxygen consumption [30 minutes each at the Baseline-Assessment and at the Post-Assessment]

      Maximum oxygen consumption (VO2max) will be one of the measured variables of endurance performance and be evaluated via a computerized indirect calorimetry system throughout the whole graded exercise test (GXT) on a motor-driven treadmill.

    3. Endocrine stress responses [1 minutes for each sampling]

      Before and after pressure manipulation, and after endurance performance measure, stress responses of endocrine assessments will be assessed. Specifically, salivary cortisol (sCort) and salivary alpha-amylases (sAA) will be collected using the commercially available sampling devices.

    4. Subjective stress responses [5 minutes for each assessment]

      The participants' subjective perception of stress will be assessed via the Chinese version of the State-Trait Anxiety Inventory (C-STAI) (Wang and Chung, 2016) modified from the original version of STAI (Spielberger et al., 1971). The state subscale of the STAI will be the index of state anxiety influenced by pressure manipulation.

    5. Change in emotion regulation [10 minutes each at the Baseline-Assessment and at the Post-Assessment]

      The Chinese version of the Difficulties in Emotion Regulation Scale (C-DERS) modified from DERS (Gratz and Roemer, 2004) will be used to assess emotional regulation. C-DERS is a 36-item self-reported questionnaire to measure the six facets of emotional regulation (i.e., awareness, clarity, impulse, goal, non-acceptance, and strategies). Items are rated on a 5-point Likert scale from 1 (almost never) to 5 (almost always).

    6. Engagement [5 minutes at the Post-Assessment]

      Participants' engagement will be an adherence score calculated by addition of the Z scores for overall participant attendance of MBPP/ST sessions and a Z score for overall participant minutes spent on home practice, then divided by the total Z scores. Researchers will record the attendance of each participant in MBPP or ST programs.

    7. Executive function: Change in reaction time [30 minutes each at the Baseline-Assessment and at the Post-Assessment]

      The executive function in terms of reaction time will be assessed by the computerized Stroop Test. The types of trials are the three Chinese color words printed in one of the three types of color. Based on the combination of words and the pixels of the color, there are three types of trials: (1) congruent trials: the stimuli in which the color of the word corresponds to the semantic meaning of the word; (2) incongruent trials: the stimuli in which the paint color of the word is inconsistent with the semantic meaning of the word; and (3) neutral trials: the colored squared.

    8. Executive function: Change in accuracy [30 minutes each at the Baseline-Assessment and at the Post-Assessment]

      The executive function in terms of accuracy will also be assessed by the computerized Stroop Test. The types of trials are the three Chinese color words printed in one of the three types of color. Based on the combination of words and the pixels of the color, there are three types of trials: (1) congruent trials: the stimuli in which the color of the word corresponds to the semantic meaning of the word; (2) incongruent trials: the stimuli in which the paint color of the word is inconsistent with the semantic meaning of the word; and (3) neutral trials: the colored squared.

    9. Change in attention [30 minutes each at the Baseline-Assessment and at the Post-Assessment]

      The attention will be measured by event-related potential while Stroop Test.

    10. Change in brain resting state [8 minutes each at the Baseline-Assessment and at the Post-Assessment]

      The frequency domain of electroencephalography (EEG) will also be recorded during the resting state at baseline and post-intervention.

    Secondary Outcome Measures

    1. General dispositional mindfulness [5 minutes each at the Baseline-Assessment and at the Post-Assessment]

      The general dispositional mindfulness will be assessed by Chinese version of the Mindful Attention Awareness Scale (C-MAAS)(Chang et al., 2011), which is modified from the original Mindful Attention Awareness Scale (MAAS; Brown & Ryan, 2003). Higher scores reflect higher levels of general dispositional mindfulness.

    2. Athletic dispositional mindfulness [5 minutes each at the Baseline-Assessment and at the Post-Assessment]

      Athletic mindfulness will be measured by the Athlete Mindfulness Questionnaire (AMQ; Zhang et al., 2017). Higher scores reflect higher levels of athletic dispositional mindfulness.

    3. Athletic psychological skills [5 minutes each at the Baseline-Assessment and at the Post-Assessment]

      Athletic psychological skill levels will be assessed using the Athletic Psychological Skill Inventory (APSI) (Chiou and Chi, 2001), which is a modified Chinese version of Athletic Coping Skills Inventory-28 (ACSI-28; Smith et al., 1995).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 30 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Aged between 18 and 30 years

    • Normal or corrected-to-normal 20/20 vision

    • No red-green color blindness

    • Able to speak and read Chinese

    • Physical Activity Readiness Questionnaire (PAR-Q) score = 0

    • With one of the designated sport proficiencies (i.e., middle-long running, marathon, triathlon)

    • No previous major experience in mindfulness-related training (e.g., meditation or Tai Chi)

    • Provide informed consent

    Exclusion Criteria:
    • Diagnosed or self-reported cognitive problems

    • The diagnosed or self-reported physical disease (e.g., untreated hypertension and chronic heart disease, stroke, brain tumor, musculoskeletal disorders, other exercise contradictions)

    • Diagnosed or self-reported major psychiatric illness (e.g., major depression, schizophrenia)

    • History of alcohol or drug abuse

    • Unwillingness to be randomized to one of the three groups

    • Currently participating in another study trial

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Department of Physical Education and Sport Sciences, National Taiwan Normal University Taipei Taiwan 106308

    Sponsors and Collaborators

    • National Taiwan Normal University

    Investigators

    • Study Director: Yu-Kai Chang, Ph.D., Department of Physical Education and Sport Sciences, National Taiwan Normal University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    National Taiwan Normal University
    ClinicalTrials.gov Identifier:
    NCT05612295
    Other Study ID Numbers:
    • PACNL_MBPP_Stress
    First Posted:
    Nov 10, 2022
    Last Update Posted:
    Nov 10, 2022
    Last Verified:
    Oct 1, 2022
    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
    Keywords provided by National Taiwan Normal University

    Study Results

    No Results Posted as of Nov 10, 2022