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Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12625000417482
Ethics application status
Approved
Date submitted
17/04/2025
Date registered
7/05/2025
Date last updated
7/05/2025
Date data sharing statement initially provided
7/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Impact of compassion training on Ambulance Victoria paramedics on levels of compassion and burnout.
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Scientific title
Effectiveness of compassion training on paramedics: A randomized controlled trial
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Secondary ID [1]
314238
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Resilience
337154
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Depression
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Burnout
337150
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Compassion
337151
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Anxiety
337152
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Stress
337155
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Condition category
Condition code
Mental Health
333571
333571
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0
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Depression
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Mental Health
333692
333692
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0
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Studies of normal psychology, cognitive function and behaviour
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Mental Health
333691
333691
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Paramedics will undertake the Monash University 'Compassion Training for Healthcare Workers' course. They will be randomly assigned to 2 courses which will run consecutively. The course is an online 4-week, self-paced course with 4 hours of core content and up to 12 hours of engagement, completed over 8 weeks.
Each week of the course contains written material, videos, practical exercises, research articles, weekly feedback video, optional online discussion forums and a live Q & A event with the course facilitators.
Core topics are:
Week 1 Introducing compassion: Includes content on science of compassion; how to transform empathy into compassion to avoid empathic distress; exercise on receiving and giving compassion; compassion practice record.
Week 2 Barriers to compassion: Includes content on why compassion can be easily disrupted; reasons for not getting to compassion; mindfulness in healthcare; exercise on letting go after the interaction; caring for self and caring for others.
Week 3 Common humanity: Includes content on the importance of common humanity; five moments of compassion; forgiveness, gratitude and wellbeing; perspectives that help us relate to others more positively; social connectedness; creating compassionate workplaces.
Week 4 Sustaining compassion: Includes content on compassion in daily life; tips to help sustain compassion; values, ethics and intention; course summary; live Q & A zoom.
The purpose of the optional discussion forums is to allow participants the opportunity to share their reflections on learnings on core topics with others and also to ask questions of the course facilitators if they wish to. Discussion forums are placed against key topics.
An example of an optional discussion forum is "Now you have an understanding of the difference between compassion and empathic distress, notice throughout the week how often you are going into compassion or empathic distress when confronted with another's suffering. Share reflections on this exercise.
Optional material is against core topics and provides additional information e.g. links to research articles, to podcasts or relevant websites.
Participants will anonymously complete a selection of surveys measuring levels of burnout, compassion, depression and resilience on 3 separate occasions, both before and after they take the course. Participants can also opt in to a 1 on 1 interview conducted 2-4 weeks after completing the course to discuss their thoughts on the compassion training course.
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Intervention code [1]
330851
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Prevention
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Comparator / control treatment
The participants enrolled in the second course will act as a waitlist control group. All participants will complete a survey prior to the first group beginning the course. All participants will complete another survey 8 weeks later, when the first group has completed the course but before the second group has started the course. This will provide survey results for the first (treatment) group who have taken the course and the second (control) group who have not yet taken the course.
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Control group
Active
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Outcomes
Primary outcome [1]
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Compassion
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Assessment method [1]
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Compassionate Love for Humanity Scale (Sprecher & Fehr 2005)
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Timepoint [1]
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First (treatment) group - Prior to course, at course completion (primary timepoint), 8 weeks later. Second (control) group - 8 weeks prior to course, immediately prior to course (primary timepoint), at completion of course.
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Primary outcome [2]
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Depression
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Assessment method [2]
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Depression Anxiety Stress Scale (DASS-21)
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Timepoint [2]
341148
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First (treatment) group - Prior to course, at course completion (primary timepoint), 8 weeks later. Second (control) group - 8 weeks prior to course, immediately prior to course (primary timepoint), at completion of course.
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Primary outcome [3]
341146
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Burnout
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Assessment method [3]
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Maslach Burnout Inventory (MBI-3 2)
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Timepoint [3]
341146
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First (treatment) group - Prior to course, at course completion (primary timepoint), 8 weeks later. Second (control) group - 8 weeks prior to course, immediately prior to course (primary timepoint), at completion of course.
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Secondary outcome [1]
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Resilience (primary outcome)
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Assessment method [1]
446504
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Brief resilience scale (Smith et al. 2008)
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Timepoint [1]
446504
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First (treatment) group - Prior to course, at course completion (primary timepoint), 8 weeks later. Second (control) group - 8 weeks prior to course, immediately prior to course (primary timepoint), at completion of course.
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Eligibility
Key inclusion criteria
Paramedics who work at Ambulance Victoria and are doing some clinical work
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Nurses who work in phone and telehealth.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Yes, allocation involves contacting the holder of the allocation schedule who is "off-site"
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number generator, 50:50 allocation ratio
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
26/05/2025
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Actual
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Date of last participant enrolment
Anticipated
9/06/2025
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Actual
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Date of last data collection
Anticipated
29/09/2025
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
318755
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Commercial sector/Industry
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Name [1]
318755
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Risk management funding from DXC Technology
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Address [1]
318755
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Country [1]
318755
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United States of America
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Funding source category [2]
318761
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University
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Name [2]
318761
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Monash University grant
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Address [2]
318761
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Country [2]
318761
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Ambulance Victoria
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Address [1]
321196
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Country [1]
321196
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317369
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
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https://www.monash.edu/researchoffice/ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
317369
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04/04/2025
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Approval date [1]
317369
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07/04/2025
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Ethics approval number [1]
317369
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Summary
Brief summary
Paramedics are routinely exposed to traumatic and high stress situations, making them particularly vulnerable to mental health challenges, reduced job satisfaction, burnout and potential additional time off work. Brain imaging research now shows that excess empathy (“feeling with”) someone who is distressed or in pain can turn into “empathic distress” (personal distress). Whereas compassion (focusing on how to alleviate the other’s suffering) protects against empathic distress and is associated with feelings of warmth, concern, reward and affiliation. Compassion improves the wellbeing and resilience of the giver. Compassion training involves practices designed to transform empathy into compassion, strengthen compassion, emotional regulation, resilience and protect against burnout. This trial will test whether compassion training can improve compassion, resilience, overall mental health and reduce burnout for Ambulance Victoria paramedics.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Debbie Ling
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Address
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Monash University, Level 4, Building C, 900 East Caulfield, Vic, 3145
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Country
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Australia
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Phone
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+61 3 9903 4784
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Tamara Johnson
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Address
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Monash University, Level 4, Building C, 900 East Caulfield, Vic, 3145
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Country
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Australia
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Phone
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+61 421231694
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Tamara Johnson
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Address
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Monash University, Level 4, Building C, 900 East Caulfield, Vic, 3145
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Country
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Australia
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Phone
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+61 421231694
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Fax
140836
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Email
140836
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
The raw data is highly confidential information from an external organisation and we don't feel comfortable to ask Ambulance Victoria to give us permission to share the raw data. The sample is too small and we are concerned about inadvertent identification of respondents.
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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