Internet-Based Intervention for Occupational Stress Among Medical Professionals

NCT03475290 | Completed

• 1 other identifier: I.N.16 Med-Stress
• Study Type: interventional
• Target: 1,240
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to assess the efficacy of internet intervention for reduction of occupational stress and its negative consequences (job burnout, depression) among medical professionals through the enhancement of the resources that are critical for coping with stress: self-efficacy and perceived social support.

Conditions

Stress, Psychological, Occupational; Burnout, Professional

Keywords

e-mental health; stress; burnout; self-efficacy; social support

Outcome Measures

Primary Outcomes (6)

• Change on Perceived Stress Scale 14 (PSS-14)

  The PSS-14 is a measure of perceived stress. It consists of 14 items with response scale ranging from 0 to 4. Higher total score represents higher perceived stress. Instruction was adapted to refer to work-related stress.

  Change from baseline on PSS-14 (3 or 6 weeks depending on the study condition)

• Change on Perceived Stress Scale 14 (PSS-14)

  The PSS-14 is a measure of perceived stress. It consists of 14 items with response scale ranging from 0 to 4. Higher total score represents higher perceived stress. Instruction was adapted to refer to work-related stress.

  Change from baseline on PSS-14 (6 months)

• Change on Perceived Stress Scale 14 (PSS-14)

  The PSS-14 is a measure of perceived stress. It consists of 14 items with response scale ranging from 0 to 4. Higher total score represents higher perceived stress. Instruction was adapted to refer to work-related stress.

  Change from baseline on PSS-14 (12 months)

• Change on Oldenburg Burnout Inventory (OLBI)

  The OLBI is a measure of job burnout. It consists of 16 items with response scale ranging from 1 to 4. The questionnaire consists of two subscales: exhaustion and disengagement, To compute total score subscales are summed. Higher total score represents higher job burnout.

  Change from baseline on OLBI (3 or 6 weeks depending on the study condition)

• Change on Oldenburg Burnout Inventory (OLBI)

  The OLBI is a measure of job burnout. It consists of 16 items with response scale ranging from 1 to 4. The questionnaire consists of two subscales: exhaustion and disengagement, To compute total score subscales are summed. Higher total score represents higher job burnout.

  Change from baseline on OLBI (6 months)

• Change on Oldenburg Burnout Inventory (OLBI)

  The OLBI is a measure of job burnout. It consists of 16 items with response scale ranging from 1 to 4. The questionnaire consists of two subscales: exhaustion and disengagement, To compute total score subscales are summed. Higher total score represents higher job burnout.

  Change from baseline on OLBI (12 months)

Secondary Outcomes (9)

• Change on Utrecht Work Engagement Scale (UWES-3)

  Change from baseline on UWES-3 (3 or 6 weeks depending on the study condition)

• Change on Utrecht Work Engagement Scale (UWES-3)

  Change from baseline on UWES-3 (6 months)

• Change on Utrecht Work Engagement Scale (UWES-3)

  Change from baseline on UWES-3 (12 months)

• Change on Patient Health Questionnaire (PHQ-9)

  Change from baseline on PHQ-9 (3 or 6 weeks depending on the study condition)

• Change on Patient Health Questionnaire (PHQ-9)

  Change from baseline on PHQ-9 (6 months)

Other Outcomes (11)

• Change on Work Stress and Job Burnout Self-Efficacy Scale (WSBSES)

  Change from baseline on WSBSES (3 or 6 weeks depending on the study condition)

• Change on Work Stress and Job Burnout Self-Efficacy Scale (WSBSES)

  Change from baseline on WSBSES (6 months)

• Change on Work Stress and Job Burnout Self-Efficacy Scale (WSBSES)

  Change from baseline on WSBSES (12 months)

Study Arms (4)

Self-Efficacy and Perceived Social Support

EXPERIMENTAL

Behavioral: Personal resources' enhancement: self-efficacy and perceived social support

Perceived Social Support and Self-Efficacy

EXPERIMENTAL

Behavioral: Personal resources' enhancement: perceived social support and self-efficacy

Self-Efficacy

ACTIVE COMPARATOR

Behavioral: Personal resources' enhancement: self-efficacy

Perceived Social Support

ACTIVE COMPARATOR

Behavioral: Personal resources' enhancement: perceived social support

Interventions

Personal resources' enhancement: self-efficacy and perceived social support BEHAVIORAL

The condition reflects cultivation hypothesis and consists of 2 sequential modules with self-efficacy enhancement module (SE) preceding perceived social support enhancement module (SS). Each module is comprised of 3 evidence-based, CBT-framed exercises: 1) SE: mastery experience, vicarious experience, and action planning, 2) SS: received support \& cognitive distortions, social skills \& peer support, action planning. Participants will have an option to engage in one or more out of four additional modules: relaxation, cognitive reconstruction, mindfulness, and lifestyle. The condition takes 6 weeks, 1 week per exercise.

Self-Efficacy and Perceived Social Support

Personal resources' enhancement: perceived social support and self-efficacy BEHAVIORAL

The condition reflects enabling hypothesis and consists of 2 sequential modules with perceived social support enhancement module (SS) preceding self-efficacy enhancement module (SE). Each module is comprised of 3 evidence-based, CBT-framed exercises: 1) SS: received support \& cognitive distortions, social skills \& peer support, and action planning, 2) SE: mastery experience, vicarious experience, and action planning. Participants will have an option to engage in one or more out of four additional modules: relaxation, cognitive reconstruction, mindfulness, and lifestyle. The condition takes 6 weeks, 1 week per exercise.

Perceived Social Support and Self-Efficacy

Personal resources' enhancement: self-efficacy BEHAVIORAL

The condition consists of self-efficacy enhancement module (SE) and is comprised of 3 evidence-based, CBT-framed exercises: mastery experience, vicarious experience, and action planning. Participants will have an option to engage in one or more out of four additional modules: relaxation, cognitive reconstruction, mindfulness, and lifestyle. The condition takes 3 weeks, 1 week per exercise.

Self-Efficacy

Personal resources' enhancement: perceived social support BEHAVIORAL

The condition consists of perceived social support enhancement module (SS) and is comprised of 3 evidence-based, CBT-framed exercises: received support \& cognitive distortions, social skills \& peer support, and action planning. Participants will have an option to engage in one or more out of four additional modules: relaxation, cognitive reconstruction, mindfulness, and lifestyle. The condition takes 3 weeks, 1 week per exercise.

Perceived Social Support

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age of at least 18 years
• Professionally active medical providers
• Internet connection

You may not qualify if:

• No access to a device with Internet connection

Sponsors & Collaborators

• University of Social Sciences and Humanities, Warsaw: lead
• Linkoeping University: collaborator
• Stockholm University: collaborator

Study Sites (1)

SWPS University of Social Sciences and Humanities

Warsaw, 00-864, Poland

Location

Related Publications (14)

• Benight CC, Bandura A. Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behav Res Ther. 2004 Oct;42(10):1129-48. doi: 10.1016/j.brat.2003.08.008.

  PMID: 15350854 BACKGROUND

• Cieslak R, Anderson V, Bock J, Moore BA, Peterson AL, Benight CC. Secondary traumatic stress among mental health providers working with the military: prevalence and its work- and exposure-related correlates. J Nerv Ment Dis. 2013 Nov;201(11):917-25. doi: 10.1097/NMD.0000000000000034.

  PMID: 24177477 BACKGROUND

• Widerszal-Bazyl M, Cieslak R. Monitoring psychosocial stress at work: development of the Psychosocial Working Conditions Questionnaire. Int J Occup Saf Ergon. 2000;Spec No:59-70. doi: 10.1080/10803548.2000.11105108.

  PMID: 10828153 BACKGROUND

• Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.

  PMID: 6668417 BACKGROUND

• Demerouti E, Mostert K, Bakker AB. Burnout and work engagement: a thorough investigation of the independency of both constructs. J Occup Health Psychol. 2010 Jul;15(3):209-222. doi: 10.1037/a0019408.

  PMID: 20604629 BACKGROUND

• Devilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86. doi: 10.1016/s0005-7916(00)00012-4.

  PMID: 11132119 BACKGROUND

• Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

  PMID: 11556941 BACKGROUND

• Lua H.J. The mediating role of work stress and burnout management self-efficacy in the job demand - resources model [dissertation]. SWPS University of Social Sciences and Humanities, Warsaw 2008.

  BACKGROUND

• Schaufeli, W.B., Shimazu, A., Hakanen, J., Salanova, M., & De Witte, H. (2017). An ultra-short measure for work engagement: The UWES-3. Validation across five countries. European Journal of Psychological Assessment. Advance online publication. doi:10.1027/1015-5759/a000430.

  BACKGROUND

• Schwarzer, R., & Knoll, N. (2007). Functional roles of social support within the stress and coping process: A theoretical and empirical overview. International journal of psychology, 42(4), 243-252. doi: 10.1080/00207590701396641

  BACKGROUND

• Schwarzer R, Schulz U (2000) Berlin Social Support Scale (BSSS). Retrieved from http://userpage.fu-berlin.de/~health/bsss.htm

  BACKGROUND

• Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.

  BACKGROUND

• Smoktunowicz E, Lesnierowska M, Carlbring P, Andersson G, Cieslak R. Resource-Based Internet Intervention (Med-Stress) to Improve Well-Being Among Medical Professionals: Randomized Controlled Trial. J Med Internet Res. 2021 Jan 11;23(1):e21445. doi: 10.2196/21445.

  PMID: 33427674 DERIVED

• Smoktunowicz E, Lesnierowska M, Cieslak R, Carlbring P, Andersson G. Efficacy of an Internet-based intervention for job stress and burnout among medical professionals: study protocol for a randomized controlled trial. Trials. 2019 Jun 10;20(1):338. doi: 10.1186/s13063-019-3401-9.

  PMID: 31182128 DERIVED

MeSH Terms

Conditions

Burnout, Professional; Burnout, Psychological

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Ewelina Smoktunowicz, PhD

  SWSP University of Social Sciences and Humanities, Department of Psychology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 28, 2018
• First Posted: March 23, 2018
• Study Start: October 8, 2018
• Primary Completion: April 15, 2020
• Study Completion: April 15, 2020
• Last Updated: November 4, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)