Stress Recovery Program FOREST for Healthcare Staff

Not Applicable

Completed

• Conditions: Perceived Stress
• Interventions: Behavioral: FOREST

• Registration Number: NCT04817995
• Lead Sponsor: Vilnius University

Brief Summary

The aim of the study is to assess the efficacy of an internet-based stress recovery intervention among healthcare staff during COVID-19 pandemic.

Detailed Description

Intervention is going to take the form of an internet-based stress recovery intervention consisting of six modules. The themes include introduction, psychological detachment, distancing, mastery, control, and keeping the change alive. These themes were chosen after considering topics that might be the most useful for healthcare staff experiencing high levels of stress. Each module consists of psychoeducation and exercise parts. Psychologist provide individual feedback on completed exercises as well as can be reached on demand.

The effect of the intervention will be compared against a waiting list control group. Intervention is in Lithuanian.

Study Timeline

• Study First Submitted: 2021-03-23
• Study First Submitted QC: 2021-03-25
• Study First Posted: 2021-03-26
• Study Start: 2021-04-22
• Primary Completion: 2022-04-22
• Study Completion: 2022-12-31
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-17
• Last Update Posted: 2023-01-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 208

Inclusion Criteria

• at least 18 years old;
• comprehending Lithuanian language;
• access to internet;
• high levels of stress.

Exclusion Criteria

• acute psychiatric crisis;
• high suicide risk;
• interpersonal violence;
• alcohol / drug addiction.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	FOREST	The intervention group will get a 6-week internet-based stress recovery intervention.

Primary Outcome Measures

Name	Time	Method
Change on Recovery Experience Questionnaire	Pre-treatment, after 6 weeks, 3 months post-treatment	Changes on stress recovery are measured. Recovery Experiences Questionnaire (Sonnentag \& Fritz, 2007) is a self-report measure and consists of 16 questions. All items are answered on a 5-point Likert scale that ranges from 1 (Totally disagree) to 5 (Totally agree). Higher score indicates more pronounced recovery.

Secondary Outcome Measures

Name	Time	Method
Change on Patient Health Questionnaire	Pre-treatment, after 6 weeks, 3 months post-treatment	Changes on depression and anxiety are measured. Patient Health Questionnaire-4 (PHQ-4, Kroenke et al., 2009) is a self-report measure and consists of 4 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 and anxiety.
Change on International Trauma Questionnaire	Pre-treatment, after 6 weeks, 3 months post-treatment	Changes on post-traumatic stress disorder are measured. International Trauma Questionanaire (ITQ, Cloitre et al., 2018) is a self-report measure and consists of 18 questions. All items are answered on a 5-point Likert scale that ranges from 0 (not at all) to 4 (extremely). Higher score indicates more pronounced symptoms.
Change on Moral Injury Outcome Scale	Pre-treatment, after 6 weeks, 3 months post-treatment	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, after 6 weeks, 3 months post-treatment	Changes on perceived stress are measured. Perceived Stress Scale (PSS-4, Cohen et al., 1983) is a self-report measure and consists of 4 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.
Change on Well-being Index	Pre-treatment, after 6 weeks, 3 months post-treatment	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.

Trial Locations

Locations (1)

Vilnius University; 🇱🇹 Vilnius, Lithuania