Photo-supported Conversations About Well-being

NCT04832295 | Recruiting

• 1 other identifier: FORSS-847271
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The aim is to to investigate photo-supported conversations about well-being by the intervention Be WellTM in addition to care as usual within primary care, compared to a control group, for patients with stress-related diagnosis. The intention is to examine the outcomes measures regarding exhaustion, balance of activities in everyday life, client satisfaction, depression and anxiety quality of life, sense of coherence and work ability. The study has been approved by the Regional Ethical Review Board. The project has a quasi-experimental design using mixed methods. A total of 70 patients (35 to the intervention group and 35 to the control group) will be included. Inclusion criteria are patients with stress-related disorder in primary care, aged 20-67 years, who are on sick leave or risk being on sick leave. Exclusion criteria are severe somatic disorders, neuropsychiatric diagnosis, psychosis and language or cognitive problems that implies difficulties to answer questionnaires. After informed consent, the intervention group receive, in addition to care as usual, photo-supported conversations about well-being, that is conducted over time for increased training. The intervention involves 12 sessions takes part during 12-15weeks. With cell phones the patients photograph what they relate to well-being in everyday life. The photos are enlarged and used for reflecting conversations with their therapist. Before and after intervention, and 6 months after intervention the patient meets a project assistant and respond questionnaires as well as qualitative interviews. The control group has the same measure points. Outcome measures are compared with a control group who receive care as usual in primary care. Data will be collected by questionnaires for exhaustion, balance of activities in everyday life, client satisfaction, depression and anxiety, quality of life, sense of coherence and work ability. Qualitative data from interviews about life situation and treatment experiences will also be analyzed. An additional aim is to investigate how therapists experience performing a health promoting intervention, collected from qualitative interviews. The project is involving the Kronoberg County Council and Jönköping County Council. Gatekeepers will recruit patients and occupational therapists will perform the intervention. The research team comprise of researchers from Kronoberg County Council, Linnaeus University, Jönköping University and University of Gothenburg.

Conditions

Stress Disorder

Keywords

Health promotion

Outcome Measures

Primary Outcomes (2)

• Exhaustion

  Symptoms of exhaustion measured by Karolinska Exhaustion Disorder Scale (KEDS) (Besèr et al., 2014) min=0 , max=54 , the higher the worse

  Up to 9 months after enrollment

• Work ability

  Work ability measured by Worker Role Self-assessment (WRS-18) (Ekbladh et al., 2000) min=15 , max= 90, the higher the better

  Up to 9 months after enrollment

Secondary Outcomes (5)

• Balance of activities in everyday life

  Change from baseline to after treatment, and 6 months

• Client Satisfaction

  Up to 9 months after enrollment

• Depression and anxiety

  Up to 9 months after enrollment

• Life quality

  Up to 9 months after enrollment

• Sense of coherence

  Up to 9 months after enrollment

Other Outcomes (1)

• Interview

  Up to 9 months after enrollment

Study Arms (2)

Intervention

EXPERIMENTAL

Photo-supported conversations about well-being, in addition to care as usual

Other: photo-supported conversations; Other: Care as usual

Control

ACTIVE COMPARATOR

Care as usual

Other: Care as usual

Interventions

photo-supported conversations OTHER

Sessions 1-4: Before each of the sessions, the client photographs that which is related to their well-being and send these to the therapist before the session. The therapist enlarges each of the photographs into the size of A4. The conversation departures from the photographs and the client is encouraged to talk about each of them and they ways it relates to their well-being. Potential strategies for everyday life are discussed. Session 5-10: short virtual meetings of approximately 15-20 minutes with the aim to follow the client, confirm their process and support them towards increased well-being. Session 11: reflecting upon all their previous photographs. Session 12: reflecting future everyday life upon their photographs.

Also known as: Be Well

Intervention

Care as usual OTHER

Medication, psychological treatment

Control; Intervention

Eligibility Criteria

• Age: 20 Years - 67 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• stress related disorder F43.8 (ICD-10)
• stress related disorder F43.9 (ICD-10)
• on sick leave
• risk being on sick leave

You may not qualify if:

• severe somatic disorders
• neuropsychiatric diagnosis
• psychosis
• language problems that implies difficulties to answer questionnaires
• cognitive problems that implies difficulties to answer questionnaires

Sponsors & Collaborators

• Kronoberg County Council: lead
• Linnaeus University: collaborator
• Göteborg University: collaborator
• Jonkoping University: collaborator
• Region Jönköping County: collaborator

Study Sites (1)

Kronoberg County Council

Vaxjo, 35242, Sweden

RECRUITING

Related Publications (1)

• Gunnarsson AB, Wagman P, Sternudd HT, Holmberg S, Holmgren K, Horberg U. A study protocol of the photo-supported conversations about the well-being intervention (Be Well) for people with stress related disorders. BMC Psychol. 2021 Aug 21;9(1):123. doi: 10.1186/s40359-021-00625-3.

  PMID: 34419148 DERIVED

MeSH Terms

Conditions

Stress Disorders, Traumatic

Condition Hierarchy (Ancestors)

Trauma and Stressor Related Disorders; Mental Disorders

Study Officials

• Birgitta A Gunnarsson, PhD

  Kronoberg County Council

  STUDY CHAIR

Central Study Contacts

Birgitta A Gunnarsson, PhD

CONTACT

+46470589078; birgitta.gunnarsson@kronoberg.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 1, 2021
• First Posted: April 5, 2021
• Study Start: January 1, 2020
• Primary Completion: October 30, 2024
• Study Completion (Estimated): December 30, 2026
• Last Updated: March 10, 2025

Record last verified: 2025-03

Locations

SE (1)