首页|Effectiveness of a Brief Mindfulness-Based Intervention of “STOP touching your face” During the COVID-19 Pandemic: a Randomized Controlled Trial

Effectiveness of a Brief Mindfulness-Based Intervention of “STOP touching your face” During the COVID-19 Pandemic: a Randomized Controlled Trial

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Abstract Objectives Avoiding touching the eyes, nose, and mouth (T-zone) is a strategy to reduce the spread of COVID-19. This study evaluated the effectiveness of a brief mindfulness-based intervention (MBI) named “STOP (Stop, Take a Breath, Observe, Proceed) touching your face” for reducing face-touching behavior.Methods In this online-based, two-arm, wait-list, randomized controlled trial, eligible participants were randomly assigned to the intervention (n?=?545) or control group (n?=?545). The results of 60-min self-monitoring of face-touching behavior were reported before and after the intervention. Reduction of the percentage of T-zone touching was the primary outcome, and reduction of face-touching frequency was a key secondary outcome. Outcomes were analyzed on an intention-to-treat (ITT) basis with a complete case analysis (CCA).Results ITT analysis revealed that the percentage of T-zone touching was significantly reduced by 8.1% in the intervention group (from 81.1 to 73.0%, RR?=?0.901, OR?=?0.631, RD?=????0.081, p?=?0.002), and insignificantly reduced by 0.6% in the control group (from 80.0 to 79.4%, p?=?0.821). Fewer participants performed T-zone touching in the intervention group than in the control group (73.0% vs. 79.4%, RR?=?0.919, OR?=?0.700, RD?=????0.064, p?=?0.015) after the intervention, and there was a greater reduction of T-zone touching frequency in the intervention group than in the control group [mean?±?SD: 1.7?±?5.13 vs. 0.7?±?3.98, mean difference (95% CI): 1.03 (0.48 to 1.58), p?<?0.001, Cohen’s d?=????0.218]. The above results were further confirmed by CCA.Conclusions This brief mindfulness-based intervention was potentially effective at reducing the spread of COVID-19 and could be further investigated as an intervention for preventing other infectious diseases spread by hand-to-face touching.Trial Registration ClinicalTrials.gov NCT04330352.

Face-touching behaviorBrief mindfulness-based interventionBehavioral interventionTransmission reductionInfectious disease preventionBrief online intervention

Tang Jinsong、Wang Ling、Luo Tao、Wu Shiyou、Wu Zhenzhen、Chen Jianhua、Pan Chen、Wang Yunfei、Liu Yueheng、Luo Qinghua、Guo Xin、Xie Liqin、Zhou Jun、Sun Yunkai、Chen Wei、Liao Yanhui

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Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

King’s College London

the First Affiliated Hospital of Nanchang University

The Third Affiliated Hospital of Guizhou Medical University

the Second Xiangya Hospital, Central South University

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine

The Third Xiangya Hospital, Central South University

The First Affiliated Hospital of Chongqing Medical University

Renmin Hospital of Wuhan University

Changsha Social Work College

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2022

Mindfulness

Mindfulness

SSCI
ISSN:1868-8527
年,卷(期):2022.13(12)
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