Cognitive Training And Resilience Education (CARE) for Paramedics on the Frontlines of the COVID-19 Epidemic: A Randomised Controlled Trial in Singapore
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Change in Depression Symptoms
研究概览
简要总结
The purpose of this study is to compare the effectiveness of two different online education courses (Oxford-Online and Mind-Online) for preventing stress related conditions among paramedics who have been working during a period of COVID-19 occurrence in Singapore.
The study aims to:
- Compare the efficacy of a locally-adapted version of internet-delivered cognitive training for resilience (Oxford Online) to an existing educational online training (Mind Online) on depressive symptom severity
- Compare the efficacy of Oxford Online to Mind Online for improving posttraumatic stress symptoms, resilience, general psychological distress, anxiety symptoms, social support, work engagement, and health-related quality of life
Participants will:
- Complete an online battery of baseline questionnaires
- Be randomised to receive 6 modules of either Oxford Online or Mind Online, delivered once per week over a 6-week period
- Complete the same online questionnaire battery immediately following the intervention, and again at the 6-month and 12-month follow up
详细描述
Aim 1 (Primary): To compare the efficacy of a locally-adapted version of internet-delivered cognitive training for resilience (Oxford Online) to an existing educational online training (Mind Online) on depressive symptom severity in a sample of paramedics recruited during the COVID-19 pandemic in Singapore.
Aim 2 (Secondary): To compare the efficacy of Oxford-Online to Mind-Online for improving posttraumatic stress symptoms, resilience, general psychological distress, anxiety symptoms, social support, work engagement, and health-related quality of life in a sample of paramedics recruited during the COVID-19 pandemic in Singapore.
Aim 3 (Economic): To evaluate the incremental cost and cost-effectiveness of Oxford Online in a sample of paramedics recruited during the COVID-19 pandemic in Singapore.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 21 and above
- •English speaking
- •Employed or subcontracted as paramedics by SCDF who have been working during the COVID-19 pandemic
- •Able to provide informed consent and read study materials
- •Willing to enter randomised trial
排除标准
- •Non-English speaking
- •Not working during COVID-19 outbreak (e.g. on medical or maternity leave)
- •Working as trainees, conscripts, medics or ambulance drivers
- •Unwilling or unable to complete study procedures
- •Unwilling to enter randomised trial
研究组 & 干预措施
Oxford-Online
The Oxford-Online programme is a series of six modules that targets cognitive predictors of depression and posttraumatic stress disorder.
干预措施: Oxford-Online (Behavioral)
Mind-Online
Mind-Online is a series of six modules available online where participants read information and advice about stress, depression, posttraumatic stress, sleep problems, anger, and mindfulness.
干预措施: Mind-Online (Behavioral)
结局指标
主要结局
Change in Depression Symptoms
时间窗: Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention
Patient Health Questionnaire 9 (PHQ-9)
次要结局
- Change in Posttraumatic Stress Symptoms(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Resilience(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Rumination(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Anxiety Symptoms(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Psychological Distress(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Burnout(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Social Support(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Work Engagement(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Health-related Quality of Life(Change from baseline at post-intervention (6-8 weeks after baseline), 6 months and 12 months post-intervention)
- Change in Posttraumatic Growth(Change from baseline at 6 months and 12 months post-intervention (intervention completed 6-8 weeks after baseline).)