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Depressive DisorderHNPNCT02151162

Happy Nurse Project: Lifestyle Interventions to Maintain Healthy Mental State in Hospital Nurses

A study testing Mindfulness-based stress management program, Omega-3 fatty acids pills and Psychoeducation leaflet in people with Depressive Disorder and Anxiety Disorders, run by National Center of Neurology and Psychiatry, Japan at 2 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study is to explore the effectiveness of omega-3 fatty acids and mindfulness-based stress management program to maintain healthy mental state in hospital nurses. The participants will be junior nurses who work in inpatient wards and are not clinically depressed. Read more about this study

Who is it for?
Ages 20 to 59 years, women onlyHealthy volunteers can take part
Conditions the study is for
Depressive Disorder, Anxiety Disorders
What is being tested?
Mindfulness-based stress management program, Omega-3 fatty acids pills and Psychoeducation leaflet
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
2 sitesJapan
Study dates
11 Jun 2014to 6 Sep 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 59 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Work for inpatient wards in among four general hospitals in Tama region, Japan, including: National Center of Neurology and Psychiatry Hospital, National Disaster Medical Center, Tokyo Metropolitan Tama Medical Center, and Tama-Hokubu Medical Center
  • Nurses without administration work
  • Give written consent in the participation of the study

Who cannot join

  • Have plans to take sick leave, leave for other reasons or retirement within 26 weeks from the entry to the study
  • Take structured psychotherapy (e.g. cognitive behavioral therapy, interpersonal therapy, and brief psychodynamic therapy) at the entry
  • See a physician regularly in order to treat any mood or anxiety disorders primarily at the entry
  • Take antidepressants, mood stabilizers, anticonvulsants or antipsychotics at the entry
  • Have taken nutrient supplement including omega-3 fatty acids for 4 or more weeks within 52 weeks from the entry
  • Clinically depressed, based on the total score of 11 or more on the Hospital Anxiety and Depression Scale - Depression Subscale and the total score of 15 or more on the Primary Health Care Questionnaire
Show all 9Show fewer
  • Consume 4 times or more of fish as the main course of meal per week
  • Take anticoagulant drugs at the entry or have previous history of stroke or myocardial infarction
  • Judged ineligible by research coordinator due to any reason

Trial locations and contacts

2 sites in 1 country.

Japan2 sites
  • National Center of Neurology and Psychiatry

    Kodaira, Tokyo, 187-8551

  • Kyoto University

    Kyoto, 606-8501

Other trials in Japan

About this study

Official title: Mindfulness-Based Stress Management Program and Omega-3 Fatty Acids to Maintain Healthy Mental State in Hospital Nurses: Multi-Center Factorial-Design Randomized Controlled Trial Happy Nurse Project

The study is to explore the effectiveness of omega-3 fatty acids and mindfulness-based stress management program to maintain healthy mental state in hospital nurses. The participants will be junior nurses who work in inpatient wards and are not clinically depressed. The participants will be randomly allocated to four intervention arms: 1) Mindfulness-based stress management program plus omega-3 fatty acids pills ; 2) Mindfulness-based stress management program plus placebo pills; 3) Psychoeducation leaflet plus omega-3 fatty acids pills; and 4) Psychoeducation leaflet plus placebo pills. Thirty participants will be allocated to each arm. These interventions will terminate until three months from registration for each participant.

Information about depression and anxiety symptoms (primary outcome), insomnia, burnout, presenteeism, quality of life, sick leave, consultation about mental state of herself, and oxidative stress will be collected at 3 months, 6 months (primary time point) and 12 months from registration for each participant.

Read the detailed description

The study is to explore the effectiveness of omega-3 fatty acids and mindfulness-based stress management program to maintain healthy mental state in hospital nurses. The participants will be junior nurses who work in inpatient wards at four general hospitals in Tama region in Tokyo, and are not clinically depressed based on the score of the Hospital Anxiety and Depression scale. The participants will be randomly allocated to four intervention arms: 1) Mindfulness-based stress management program plus omega-3 fatty acids pills; 2) Mindfulness-based stress management program plus placebo pills; 3) Psychoeducation leaflet plus omega-3 fatty acids pills; and 4) Psychoeducation leaflet plus placebo pills. Thirty participants will be allocated to each arm. These interventions will terminate until 3 months from registration for each participant. Stress management program will be conducted by senior nurses in four individual sessions within these three months. Psychoeducation leaflet will include information about screening of stress, sleep hygiene, relaxation, and a list of consultants about mental health.

Information about depression and anxiety symptoms (primary outcome), insomnia, burnout, presenteeism, quality of life, numbers of incident and accident at work, sick leave and consultation about mental state of herself, concentration of fatty acids in serum and oxidative stress will be collected at 3 months, 6 months (primary time point) and 12 months from registration for each participant. The primary outcome will be assessed by blind raters through telephone.

The outcomes will be compared between arms including stress management program and those without, and between arms including omega-3 fatty acids and those without, by using mixed model repeated measures model.

Being tested
Mindfulness-based stress management program, Omega-3 fatty acids pills, Psychoeducation leaflet, Placebo pills
Medical subject headings
Depressive Disorder, Anxiety Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mindfulness-based stress management programBehavioural

    Mindfulness-based stress management program will be conducted by senior nurses in four individual sessions within these three months. Senior nurses have taken a 7-hour workshop including lectures and role-playing sessions. The detailed manual and videos including lectures will be provided to the senior nurses.

  • Omega-3 fatty acids pillsDietary supplement

    Omega-3 fatty acids pills will include 1200 mg of eicosapentaenoic acid and 600 mg of docosahexaenoic acid per day.

  • Psychoeducation leafletBehavioural

    Psychoeducation leaflet will include information about screening of stress, sleep hygiene, relaxation, and a list of consultants about mental health.

  • Placebo pillsDietary supplement

    Placebo pills will include rapeseed oil, soybean oil, olive oil and fish oil.

Study groups in NCT02151162
Study groupRoleWhat they receive
Stress management plus omega-3ExperimentalThirty participants will be allocated to the arm. These interventions will terminate until 3 months from registration for each participant.
Receives: Behavioral: Mindfulness-based stress management program; Dietary Supplement: Omega-3 fatty acids pills
Stress management plus placeboActive comparatorThirty participants will be allocated to the arm. These interventions will terminate until 3 months from registration for each participant.
Receives: Behavioral: Mindfulness-based stress management program; Dietary Supplement: Placebo pills
Psychoeducation leaflet plus omega-3Active comparatorThirty participants will be allocated to the arm. These interventions will terminate until 3 months from registration for each participant.
Receives: Dietary Supplement: Omega-3 fatty acids pills; Behavioral: Psychoeducation leaflet
Psychoeducation leaflet plus placeboActive comparatorThirty participants will be allocated to the arm. These interventions will terminate until 3 months from registration for each participant.
Receives: Behavioral: Psychoeducation leaflet; Dietary Supplement: Placebo pills

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Blindly-rated depression and anxiety severity: Hospital Anxiety and Depression Scale (HADS)

    The total score of the HADS (HADS-T) ranges from 0 to 42, with higher scores indicating more symptoms. The HADS has two sub scores, each ranging from 0 to 21: HADS-D (depression) and HADS-A (anxiety). The total score will be used as the severity of depression and anxiety symptoms in the present study.

    Measured: 26 weeks

Secondary outcomes (26)
  1. Blindly-rated depression and anxiety severity: Hospital Anxiety and Depression Scale (HADS)

    Measured: 13 weeks

  2. Blindly-rated depression and anxiety severity: Hospital Anxiety and Depression Scale (HADS)

    Measured: 52 weeks

  3. Major depressive episode: Primary Care Evaluation of Mental Disorders (PRIME-MD)

    Major depressive episode will be ascertained using the Primary Care Evaluation of Mental Disorders (PRIME-MD) algorithm with the depression module of the Patient Health Questionnaire (PHQ-9). The PHQ-9 was developed as a self-report version of the PRIME-MD which aims at Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) diagnosis of several common mental disorders.

    Measured: 26 weeks

  4. Major depressive episode: Primary Care Evaluation of Mental Disorders (PRIME-MD)

    Measured: 13 weeks

  5. Major depressive episode: Primary Care Evaluation of Mental Disorders (PRIME-MD)

    Measured: 52 weeks

  6. Depression severity: Personal Health Questionnaire-9 (PHQ-9)

    Personal Health Questionnaire-9 is a 9-item structured questionnaire to measure depression severity.

    Measured: 26 weeks

  7. Depression severity: Personal Health Questionnaire-9 (PHQ-9)

    Measured: 13 weeks

  8. Depression severity: Personal Health Questionnaire-9 (PHQ-9)

    Measured: 52 weeks

  9. Anxiety severity: Generalized Anxiety Disorder Assessment (GAD-7)

    The GAD-7 consists of 7 items, and the total score ranges from 0 to 21.

    Measured: 26 weeks

  10. Anxiety severity: Generalized Anxiety Disorder Assessment (GAD-7)

    Measured: 13 weeks

  11. Anxiety severity: Generalized Anxiety Disorder Assessment (GAD-7)

    Measured: 52 weeks

  12. Insomnia severity: Insomnia Severity Index (ISI)

    The ISI is now considered a standard measure of the global severity of insomnia and used in many studies. The total score between 8-14 indicates subthreshold insomnia; and 15-28, clinical insomnia. The total score of the ISI will be used as the severity of insomnia in the study.

    Measured: 26 weeks

  13. Insomnia severity: Insomnia Severity Index (ISI)

    Measured: 13 weeks

  14. Insomnia severity: Insomnia Severity Index (ISI)

    Measured: 52 weeks

  15. Somatic symptoms: The Bradford Somatic Inventory (BSI)

    The BSI is a 44-item questionnaire for females about symptoms experienced in the previous month, which was designed to detect physical symptoms commonly related to depressed patients.

    Measured: 26 weeks

  16. Somatic symptoms: The Bradford Somatic Inventory (BSI)

    Measured: 13 weeks

  17. Somatic symptoms: The Bradford Somatic Inventory (BSI)

    Measured: 52 weeks

  18. Presenteeism: World Health Organization Heath and Work Performance Questionnaire (HPQ)

    The HPQ is a self-report instrument designed to estimate the workplace costs of health problems in terms of self-reported reduced job performance (presenteeism).

    Measured: 26 weeks

  19. Presenteeism: World Health Organization Heath and Work Performance Questionnaire (HPQ)

    Measured: 13 weeks

  20. Presenteeism: World Health Organization Heath and Work Performance Questionnaire (HPQ)

    Measured: 52 weeks

  21. Burnout: Maslach Burnout Inventory (MBI)

    The MBI is a self-report measure with 22 items and is calculated into three sub-domains such as emotional exhaustion, depersonalization and personal accomplishment.

    Measured: 26 weeks

  22. Burnout: Maslach Burnout Inventory (MBI)

    Measured: 13 weeks

  23. Burnout: Maslach Burnout Inventory (MBI)

    Measured: 52 weeks

  24. Quality of Life: EuroQol (EQ-5D)

    EQ-5D is a standardised instrument for use as a measure of health outcome. Applicable to a wide range of health conditions and treatments.

    Measured: 26 weeks

  25. Quality of Life: EuroQol (EQ-5D)

    EQ-5D is a standardised instrument for use as a measure of health outcome. Applicable to a wide range of health conditions and treatments.

    Measured: 13 weeks

  26. Quality of Life: EuroQol (EQ-5D)

    EQ-5D is a standardised instrument for use as a measure of health outcome. Applicable to a wide range of health conditions and treatments.

    Measured: 52 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 May 2014 (estimated)
  2. Study start11 Jun 2014
  3. Primary completion2 Mar 2016
  4. Study completion6 Sep 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02151162
Sponsor's protocol ID
IRG-NP-NCNP-25-8
Acronym
HNP
Status last verified
Aug 2018
First submitted
27 May 2014
Last updated
22 Aug 2018
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Kunzler AM, Helmreich I, Chmitorz A, Konig J, Binder H, Wessa M, Lieb K. Psychological interventions to foster resilience in healthcare professionals. Cochrane Database Syst Rev. 2020 Jul 5;7(7):CD012527. doi: 10.1002/14651858.CD012527.pub2.

    PubMed 32627860
  • Watanabe N, Horikoshi M, Shinmei I, Oe Y, Narisawa T, Kumachi M, Matsuoka Y, Hamazaki K, Furukawa TA. Brief mindfulness-based stress management program for a better mental state in working populations - Happy Nurse Project: A randomized controlled trial✰✰. J Affect Disord. 2019 May 15;251:186-194. doi: 10.1016/j.jad.2019.03.067. Epub 2019 Mar 22.

    PubMed 30927579
  • Watanabe N, Furukawa TA, Horikoshi M, Katsuki F, Narisawa T, Kumachi M, Oe Y, Shinmei I, Noguchi H, Hamazaki K, Matsuoka Y. A mindfulness-based stress management program and treatment with omega-3 fatty acids to maintain a healthy mental state in hospital nurses (Happy Nurse Project): study protocol for a randomized controlled trial. Trials. 2015 Jan 31;16:36. doi: 10.1186/s13063-015-0554-z.

    PubMed 25636180

Questions about this trial

What is this clinical trial studying?

A study testing Mindfulness-based stress management program, Omega-3 fatty acids pills and Psychoeducation leaflet in people with Depressive Disorder and Anxiety Disorders, run by National Center of Neurology and Psychiatry, Japan at 2 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Blindly-rated depression and anxiety severity: Hospital Anxiety and Depression Scale (HADS) (time frame: 26 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02151162, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Aug 2018.

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