E-training for Medical Professionals On Wellbeing and Effective Resolutions (E.M.P.O.W.E.R.) - An Online Guided Self-help Intervention to Improve Common Mental Health Problems Among Medical Professionals : A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 161
- 试验地点
- 1
- 主要终点
- Change from baseline depression immediately after the interventions
研究概览
简要总结
This randomized controlled trial (RCT) aims to evaluate the effectiveness of an online guided self-help intervention developed based on Problem Solving Therapy (PST) and Acceptance and Commitment Therapy (ACT), which are both transdiagnostic low-intensity interventions recommended by the World Health Organization, in improving medical professionals' mental health.
详细描述
Despite the high prevalence of common mental health problems among medical professionals (MPs), their help-seeking for mental health support is low. Existing interventions are empirically effective but practically challenging to be applied in Hong Kong given the long intervention hours and fixed schedule. New interventions are needed to cater for the unique needs of local MPs.
Objectives: An online guided self-help intervention for MPs, E-training for Medical Professionals On Wellbeing and Effective Resolutions (the EMPOWER program), will be developed based on Problem Solving Therapy (PST) and Acceptance and Commitment Therapy (ACT), which are both transdiagnostic low-intensity interventions recommended by the World Health Organization. Targeted at local MPs aged 18-60 with depression and/or anxiety symptoms, the intervention aims to reduce their symptoms through strengthening coping skills for work-related problems. A randomized controlled trial (RCT) will be conducted to evaluate (1) the intervention's efficacy in reducing depression/anxiety compared with an active control (education pamphlets); (2) its efficacy in improving the levels of PTSD symptoms, well-being, burnout, and work performance versus active control; (3) the potential mediators/mechanisms explaining any between-group differences.
Method: 120 participants will be recruited online. The EMPOWER group will receive four 30-min self-paced weekly intervention sessions. The active control group will receive four weekly education pamphlets. Data will be collected at baseline, immediately post-intervention and 1-month follow-up. The group effect will be examined by comparing the mean improvement scores and remission rates on the outcome variables among the two groups. The potential mediation effects of problem solving and psychological flexibility between the two groups and the outcomes will also be tested.
Expected outcomes: The investigators expect (1) greater reductions in depression and/or anxiety as well as levels of PTSD, well-being, burnout, and work performance for the EMPOWER group at post-treatment and 1-month follow-up than active control, and that (2) the EMPOWER program will reduce depression and/or anxiety through enhancement in problem solving and psychological flexibility.
Implications: Findings can help to identify a cost-effective, flexible, and readily accessible mental health intervention for local MPs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(1) being a frontline medical professional working in local public settings;
- •(2) at least 18 years of age;
- •(3) able to read and understand Chinese;
- •(4) have access to the Internet; and
- •(5) Patient Health Questionnaire (PHQ-9) and/or Generalized Anxiety Disorder (GAD-7) score>=5, indicating at least mild levels of depression and/or anxiety.
- •Exclusion Criterion:
- •actively suicidal.
排除标准
- •(1) currently taking psychotropic medication; and
- •(2) actively suicidal.
研究组 & 干预措施
The EMPOWER program
The intervention group will receive 4 weekly sessions (the EMPOWER program).
干预措施: E-training for Medical Professionals On Wellbeing and Effective Resolutions (E.M.P.O.W.E.R.) (Behavioral)
Education materials
The active control group receive education materials about mental health, depression, anxiety and available community resources but not the EMPOWER program during the intervention period.
干预措施: Education Materials (Other)
结局指标
主要结局
Change from baseline depression immediately after the interventions
时间窗: immediately after the interventions
The outcome will be measured by the Patient Health Questionnaire (PHQ) consisting of 9 questions designed to correspond to the 9 diagnostic criteria for major depressive disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Items are rated from 0 to 3 according to increased frequency of experiencing difficulties in each area covered. Scores are summed and can range from 0 to 27. Score 10 is often recommended as the cut-off score to detect major depressive disorder. Scores of 5, 10, 15, and 20 represent cut-off points for mild, moderate, moderately severe, and severe depression, respectively. The Chinese version has been validated.
Change from baseline depression 1 month after the interventions
时间窗: 1 month after the interventions
The outcome will be measured by the Patient Health Questionnaire (PHQ) consisting of 9 questions designed to correspond to the 9 diagnostic criteria for major depressive disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Items are rated from 0 to 3 according to increased frequency of experiencing difficulties in each area covered. Scores are summed and can range from 0 to 27. Score 10 is often recommended as the cut-off score to detect major depressive disorder. Scores of 5, 10, 15, and 20 represent cut-off points for mild, moderate, moderately severe, and severe depression, respectively. The Chinese version has been validated.
Change from baseline anxiety immediately after the interventions
时间窗: Immediately after the interventions
The outcome will be measured by the Generalized Anxiety Disorder Scale (GAD), which is a 7-item instrument developed to identify likely cases of generalized anxiety disorder in primary care patients. Items are rated for the last two weeks, using a four-point rating scale for duration from 1 ("not at all") to 5 ("nearly every day"). A score of 10 or greater represents a cut point for identifying cases of generalized anxiety disorder, while cut points of 5, 10, 15, and 20 are interpreted as representing mild, moderate, moderately severe, and severe levels of anxiety. The Chinese version has been validated.
Change from baseline anxiety 1 month after the interventions
时间窗: 1 month after the interventions
The outcome will be measured by the Generalized Anxiety Disorder Scale (GAD), which is a 7-item instrument developed to identify likely cases of generalized anxiety disorder in primary care patients. Items are rated for the last two weeks, using a four-point rating scale for duration from 1 ("not at all") to 5 ("nearly every day"). A score of 10 or greater represents a cut point for identifying cases of generalized anxiety disorder, while cut points of 5, 10, 15, and 20 are interpreted as representing mild, moderate, moderately severe, and severe levels of anxiety. The Chinese version has been validated.
次要结局
未报告次要终点
研究者
Dr. Xue YANG
Assistant Professor
Chinese University of Hong Kong