COVID and the Healthy Minds Program for Educators - Economic Returns

Last registered on July 23, 2026

Pre-Trial

Trial Information

General Information

Title
COVID and the Healthy Minds Program for Educators - Economic Returns
RCT ID
AEARCTR-0019196
Initial registration date
July 20, 2026

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
July 23, 2026, 8:24 AM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

Primary Investigator

Affiliation
University of Wisconsin Madison

Other Primary Investigator(s)

PI Affiliation
University of Wisconsin Madison
PI Affiliation
University of Wisconsin Madison
PI Affiliation
University of Wisconsin Madison

Additional Trial Information

Status
Completed
Start date
2020-06-14
End date
2021-01-21
Secondary IDs
ClinicalTrials.gov 2020-0533
Prior work
This trial is based on or builds upon one or more prior RCTs.
Abstract
We evaluate the Healthy Minds Program (HMP), a four-week app-based meditation intervention, in a randomized controlled trial of Wisconsin teachers conducted during the COVID-19 pandemic. We propose that teacher wellbeing training is an investment in human capital and should not be viewed as a clinical intervention. Treatment effects are organized across three outcome categories: perseverative thinking, mental health, and HMP skill dimensions of awareness, connection, insight, and purpose (ACIP). Results are reported for the teacher subsample at post-intervention and three-month follow-up, with attention to the durability of effects. Teachers are willing to invest in wellbeing training. We use their willingness-to-pay for reductions in anxiety and depression symptoms to anchor the benefits-cost analysis, following the consumption equivalence welfare framework of Abramson, Boerma, and Tsyvinski (2025). Simulating fiscal returns from reduced teacher attrition, we find the intervention is cost-effective as a teacher quality investment: avoided replacement costs exceed program costs across plausible retention scenarios. Wellbeing training coupled with a performance raise has a revealed break-even intervention cost of $313 per teacher, the point at which quality value exactly covers the combined cost of training and raise. These results establish upper and lower bounds for the economic returns to psychological stock training among teachers, a novel complement to existing human capital interventions that addresses quality and retention simultaneously, without requiring changes to hiring, certification, or compensation structures.

External Link(s)

Registration Citation

Citation
Davidson, Richard et al. 2026. "COVID and the Healthy Minds Program for Educators - Economic Returns." AEA RCT Registry. July 23. https://doi.org/10.1257/rct.19196-1.0
Sponsors & Partners

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Experimental Details

Interventions

Intervention(s)
Healthy Minds Program (HMP) Description: The HMP app was developed by Healthy Minds Innovations at the UW Center for Healthy Minds, and is based on the work of Richard Davidson, PhD. HMP is designed to promote and protect psychological well-being through sustainable skills training. The program is grounded in constituents of psychological well-being identified in empirical literature. HMP provides core content, with instruction administered through a curriculum of high-quality guided practices. HMP is based on research on eudaimonic well-being (e.g., environmental mastery, purpose) and brain-based skills that underlie these qualities (e.g., regulation of attention, mental flexibility). HMP has >100 guided audio practices that address 4 constituents of well-being: awareness, connection, insight, and purpose.
Intervention (Hidden)
Intervention Start Date
2020-06-14
Intervention End Date
2020-09-30

Primary Outcomes

Primary Outcomes (end points)
PROMIS anxiety and depression scale, Perseverative Thinking Questionnaire, Awareness, Connection, Insight and Purpose subscales of the Healthy Minds Index.
Primary Outcomes (explanation)

Secondary Outcomes

Secondary Outcomes (end points)
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
A two-arm, parallel randomized wait-list controlled trial.
Experimental Design Details
Randomization Method
Computerized 1:1 random assignment.
Randomization Unit
Participants were the unit of randomization.
Was the treatment clustered?
No

Experiment Characteristics

Sample size: planned number of clusters
Full sample is 662 participants. Subsample in these analyses was the 426 teachers.
Sample size: planned number of observations
426
Sample size (or number of clusters) by treatment arms
346 teachers
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
The analytic sample consists of 426 teachers (212 HMP treatment, 214 waitlist control) drawn from the randomized trial of the Healthy Minds Program administered to Wisconsin K-12 school staff in summer and fall 2020. At an ICC of 0.05, two-tailed significance level α = 0.05, statistical power 1 − β = 0.80, cluster size of 7 teachers per school, yielding a design effect DEFF = 1 + (7 − 1) × 0.05 = 1.30 and an effective sample size of approximately 163 teachers per arm, providing sufficient power to detect a standardized between group effect ≥0.24 (e.g., Anxiety and Depression) to ≥0.27 (MLQ Presence).
IRB

Institutional Review Boards (IRBs)

IRB Name
University of Wisconsin Madison
IRB Approval Date
2020-05-13
IRB Approval Number
2020-0533

Post-Trial

Post Trial Information

Study Withdrawal

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Intervention

Is the intervention completed?
No
Data Collection Complete
Data Publication

Data Publication

Is public data available?
No

Program Files

Program Files
Reports, Papers & Other Materials

Relevant Paper(s)

Reports & Other Materials