• Luis-Angel Pérula-de Torres, AtalayaJuan Carlos Verdes-MontenegroJCVComuneros Health Center, Research Network on Communication and Health (RICyS) of the Communication and Health program (semFYC), Burgos, Spain., Javier García-Campayo, Ana Roldán-Villalobos, Rosa Magallón-Botaya, Cruz Bartolomé-Moreno, Herminia Moreno-Martos, Elena Melús-Palazón, Norberto Liétor-Villajos, Francisco Javier Valverde-Bolívar, Nur Hachem-Salas, Luis-Alberto Rodríguez, Mayte Navarro-Gil, Ronald Epstein, Antonio Cabezón-Crespo, Carmen Morillo-Velarde Moreno, and collaborative group of the MINDUUDD study.
• Clinical and Epidemiological Research Group in Primary Care (GICEAP), IMIBIC/Reina Sofía University Hospital/University of Córdoba, Primary Care Prevention and Health Promotion Research Network (RedIAPP), Family and Community Medicine Teaching Unit of Córdoba, Córdoba, Spain. luisangel.perula@gmail.com.
• Bmc Fam Pract. 2019 Feb 6; 20 (1): 2424.

BackgroundHealth personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. This paper describes the rationale and design of the MINDUUDD study, the aim of which is to evaluate the effectiveness of a mindfulness and self-compassion 4-session programme versus the standard 8-session programme to reduce work stress and burnout in Family and Community Medicine and Nursing tutors and residents.MethodsThe MINDUDD study is a multicentre cluster randomised controlled trial with three parallel arms. Six Teaching Units will be randomised to one of the three study groups: 1) Experimental Group-8 (EG8); 2) Experimental Group-4 (EG4) Control group (CG). At least 132 subjects will participate (66 tutors/66 residents), 44 in the EG8, 44 in the EG4, and 44 in the CG. Interventions will be based on the Mindfulness-Based Stress Reduction (MBSR) program, including some self-compassion practices of the Mindful Self-Compassion (MSC) programme. The EG8 intervention will be implemented during 8 weekly face-to-face sessions of 2.5 h each, while the EG4 intervention will consist of 4 sessions of 2.5 h each. The participants will have to practice at home for 30 min/day in the EG8 and 15 min/day in the EG4. The Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS), Perceived Stress Questionnaire (PSQ), Maslach Burnout Inventory (MBI), Jefferson Scale of Physician Empathy (JSPE), and Goldberg Anxiety-Depression Scale (GADS) will be administered. Measurements will be taken at baseline, at the end of the programs, and at three months after completion. The effect of the interventions will be evaluated by bivariate and multivariate analyses (Multiple Linear Regression).DiscussionIf the abbreviated mindfulness programme is at least as effective as the standard program, its incorporation into the curriculum and training plans will be easier and more appropriate. It will also be more easily applied and accepted by primary care professionals because of the reduced resources and means required for its implementation, and it may also extend beyond care settings to academic and teaching environments as well.Trial RegistrationThe study has been registered at ClinicalTrials.gov ( NCT03629457 ; date of registration: 13.08.2018).

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