Stress Recovery Program FOREST+ for Healthcare Workers

Not Applicable

Completed

• Conditions: Stress, Psychological
• Interventions: Behavioral: FOREST+

• Registration Number: NCT05272774
• Lead Sponsor: Vilnius University

Brief Summary

The aim of the study is to assess the efficacy of an online stress recovery intervention for healthcare workers receiving therapist-assisted or on-demand support.

Detailed Description

The intervention will be delivered as an online stress recovery program for healthcare workers, consisting of six modules. Modules include an introduction, psychological detachment, distancing, mastery, control, and keeping the change alive. These modules have been chosen after considering themes that could be most useful for healthcare workers under high stress. Each module consists of a psychoeducational and an exercise component. During the program, a therapist provides individual feedback on the exercises completed and can also be available on request.

The effect of the intervention will be compared with a control group that will use the program with support on-demand. The intervention will be delivered in Lithuanian.

Study Timeline

• Status Verified: 2022-02
• Study First Submitted: 2022-02-17
• Study First Submitted QC: 2022-03-08
• Study First Posted: 2022-03-09
• Study Start: 2022-03-22
• Primary Completion: 2022-10-11
• Study Completion: 2022-10-11
• Last Update Submitted: 2023-01-24
• Last Update Posted: 2023-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 220

Inclusion Criteria

• licensed healthcare professionals currently working under license;
• at least 18 years old;
• comprehending Lithuanian language;
• access to internet.

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Exclusion Criteria

• acute psychiatric crisis;
• high suicide risk;
• interpersonal violence.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group	FOREST+	The control group will use the intervention with on-demand support. The control group will participate in the program at the same time as the intervention group.
Intervention group	FOREST+	The intervention group will get a 6-week online stress recovery intervention with the support from therapist.

Primary Outcome Measures

Name	Time	Method
Change on Recovery Experience Questionnaire	Pre-treatment, post-treatment, 3 months follow-up	Changes on stress recovery are measured. Recovery Experiences Questionnaire (Sonnentag \& Fritz, 2007) is a self-report measure consisting of 16 questions. All items are answered on a 5-point Likert scale ranging from 1 (Totally disagree) to 5 (Totally agree). A higher score indicates more pronounced recovery.

Secondary Outcome Measures

Name	Time	Method
Change on Patient Health Questionnaire	Pre-treatment, post-treatment, 3 months follow-up	Changes on depression symptoms are measured. Patient Health Questionnaire-9 (PHQ-9, Kroenke et al., 2001) is a self-report measure and consists of 9 questions. All items are answered on a 4-point Likert scale that ranges from 0 (Not at all) to 3 (Nearly every day). Higher score indicates more pronounced depression symptoms.
Change on Generalized Anxiety Disorder Questionnaire	Pre-treatment, post-treatment, 3 months follow-up	Changes on anxiety symptoms are measured. Generalized Anxiety Disorder Questionnaire-7 (GAD-7, Kroenke et al., 2001) is a self-report measure and consists of 7 questions. All items are answered on a 4-point Likert scale that ranges from 0 (Not at all) to 3 (Nearly every day). Higher score indicates more pronounced anxiety symptoms.
Change on Well-being Index	Pre-treatment, post-treatment, 3 months follow-up	Changes on well-being are measured. Well-being Index (WHO-5, Bech, 2004) is a self-report measure and consists of 5 questions. All items are answered on a 6-point Likert scale that ranges from 0 (At no time) to 5 (All of the time). Higher score indicates more pronounced well-being.
Change on Moral Injury Outcome Scale	Pre-treatment, post-treatment, 3 months follow-up	Changes on moral injury are measured. Moral Injury Outcome Scale (MIOS, Litz et al., 2020) is a self-report measure and consists of 15 questions. All items are answered on a 5-point Likert scale that ranges from 0 (Strongly disagree) to 4 (Strongly agree). Higher score indicates more pronounced moral injury.
Change on Perceived Stress Scale	Pre-treatment, post-treatment, 3 months follow-up	Changes on perceived stress are measured. Perceived Stress Scale (PSS-10, Cohen et al., 1983) is a self-report measure and consists of 10 questions. All items are answered on a 5-point Likert scale that ranges from 0 (Never) to 4 (Very often). Higher score indicates more pronounced perceived stress.

Trial Locations

Locations (1)

Vilnius University; 🇱🇹 Vilnius, Lithuania