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Feasibility Testing a Meditation App for Professionals Working With Youth in the Legal System: Protocol for a Hybrid

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This pilot study tests a meditation app to reduce stress for legal system professionals working with youth. Results will inform a larger trial on app effectiveness and workplace implementation.

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Area of Science:

  • Digital Health Interventions
  • Implementation Science
  • Mental Health Research

Background:

  • Legal system professionals working with youth face chronic workplace stress, leading to anxiety, depression, and burnout.
  • Emotion dysregulation is a key mechanism, and mindfulness meditation shows promise for improvement.
  • App-based meditation programs offer a scalable solution for real-time stress mitigation.

Purpose of the Study:

  • To describe the protocol for a hybrid type 2 effectiveness-implementation pilot randomized controlled trial (RCT) of the Bodhi AIM+ meditation app.
  • To adapt the app and develop an implementation plan using established frameworks.
  • To evaluate app adherence as the primary outcome in professionals working with youth in the legal system.

Main Methods:

  • A fully remote, pilot RCT randomizing 50 professionals to a meditation app or active control.
  • A 30-day guided content path with additional features, using in-app analytics for adherence tracking.
  • Mixed methods approach combining quantitative (RCT, ecological momentary assessment) and qualitative data for comprehensive evaluation.

Main Results:

  • Enrollment began in December 2024 and is ongoing.
  • Study results are expected in 2026.
  • This pilot trial is currently underway.

Conclusions:

  • Successful completion will inform a future, fully powered RCT on Bodhi AIM+ effectiveness and implementation.
  • The study's use of implementation science and digital technology can inform scalable delivery of mental health tools.
  • Findings will contribute to broader knowledge on implementing and evaluating health apps in workplace settings.