NCT05130879

Brief Summary

Background Given that the challenges in adjusting to shifting work, physical workload and high-strung nature, healthcare workers often encounter high stress, emotional exhaustion, low empathy, fatigue and burnout, which, in turn, result in sickness, absence, and high turnover. Hence, building resilience for future adversity among healthcare workers in the workplace is necessary. Objectives To evaluate the effectiveness of the Building Resilience at Work (BRAW) on resilience, job engagement, intention to leave, employability, and work performance To explore healthcare workers' experience of the BRAW intervention. Methods This study will evaluate the effectiveness of BRAW using a sequential mixed methods design in two phases. In phase I, a two-armed randomized controlled trial will be conducted to compare resilience, work engagement, coping skills, job satisfaction and life satisfaction with a waiting list control condition among 410 healthcare workers. In phase II, the investigators will conduct a virtual individual interview to explore experiences on usability and acceptability after receiving the BRAW intervention using a sample of 33 healthcare workers. Significance of research Considering the multifactorial and complexity of resilience at work in an increasingly dynamic healthcare environment, the content of resilience training can promote resilience, work engagement, coping skills, job satisfaction and life satisfaction among healthcare workers in order to reduce the turnover rate among healthcare workers in Singapore.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
500

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 10, 2021

Completed
5 days until next milestone

Study Start

First participant enrolled

November 15, 2021

Completed
8 days until next milestone

First Posted

Study publicly available on registry

November 23, 2021

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 27, 2023

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 24, 2024

Completed
Last Updated

December 30, 2024

Status Verified

December 1, 2024

Enrollment Period

1.7 years

First QC Date

November 10, 2021

Last Update Submit

December 24, 2024

Conditions

Keywords

Resilience training, Healthcare Workers

Outcome Measures

Primary Outcomes (3)

  • Resilience

    A 6-item Brief Resilience Scale (BRS) is used to assess the ability to recover from stress. Items are rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). The total score ranges from 6 to 30, with higher scores signifying greater bounce-back resilience. BRS has demonstrated good reliability and validity.

    Baseline

  • Resilience

    A 6-item Brief Resilience Scale (BRS) is used to assess the ability to recover from stress. Items are rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). The total score ranges from 6 to 30, with higher scores signifying greater bounce-back resilience. BRS has demonstrated good reliability and validity.

    at 6 weeks

  • Resilience

    A 6-item Brief Resilience Scale (BRS) is used to assess the ability to recover from stress. Items are rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). The total score ranges from 6 to 30, with higher scores signifying greater bounce-back resilience. BRS has demonstrated good reliability and validity.

    12 weeks after training completes

Secondary Outcomes (13)

  • Work engagement

    Baseline

  • Work engagement

    at 6 weeks

  • Work engagement

    12 weeks after training completes

  • Intention to leave

    Baseline

  • Intention to leave

    at 6 weeks

  • +8 more secondary outcomes

Study Arms (2)

BRAW intervention group

EXPERIMENTAL

BRAW is designed as an online intervention comprising of six sessions over six weeks. The six sessions are: (1) happiness and positivity, (2) cognitive restructuring, (3) behavioural activation, (4) emotion regulation, (5) positive work climate and (6) problem solving.

Behavioral: BRAW

Waitlist control group

NO INTERVENTION

Participants will receive the intervention after the follow-up assessment.

Interventions

BRAWBEHAVIORAL

Sessions 1. Happiness and positivity Understanding strengths and resilience and positive attitude 2. Cognitive restructuring Identification dysfunctional automatic thoughts in problematic and emotional arousing situations Usage of cognitive -behavioural techniques to evaluate and modify dysfunctional thoughts and beliefs 3. Behavioural activation Initiation and utilization of behavioural activation techniques for positive change by increasing pleasant events Healthy interpersonal relationships Importance of peer support 4. Emotion regulation Preventing and managing conflict Emotion regulation abilities 5. Positive work climate Building supportive work environment Development of supportive collegial relationships Promotion of coworker support 6. Problem solving Problem-solving work-life problems Work-life balance Bringing it together

BRAW intervention group

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthcare workers aged 21 years or older
  • Can read English
  • Own and regularly use smartphone, tablet, laptop or desktop
  • Can access the internet

You may not qualify if:

  • Previous diagnosis of psychosis, severe depression, personality disorder and substance abuse at any point in their life

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ying Lau

Singapore, 117597, Singapore

Location

Related Publications (2)

  • Lau Y, Choi KC, Wong SH, Ang WW, Ang WHD, Lau ST. A randomized controlled trial investigating digital resilience training for healthcare professionals. Sci Rep. 2025 Dec 24;15(1):44514. doi: 10.1038/s41598-025-28028-z.

  • Ang WHD, Lim ZQG, Lau ST, Dong J, Lau Y. Unpacking the Experiences of Health Care Professionals About the Web-Based Building Resilience At Work Program During the COVID-19 Pandemic: Framework Analysis. JMIR Med Educ. 2024 Jan 31;10:e49551. doi: 10.2196/49551.

Study Officials

  • Ying Lau, PhD

    Chinese University of Hong Kong

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
CARE PROVIDER, OUTCOMES ASSESSOR
Masking Details
Research assistants and participants will be blinded to the conditions until baseline assessments (referring to the set of questionnaires they have to complete before starting the training) are completed, at which time a random number sequence in a excel file will be opened to reveal whether they will be in the intervention or waitlist condition. Participants will not be explicitly told of participants' study condition; however, they need to participate in the intervention, so full blinding is not possible
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: 1:1
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

November 10, 2021

First Posted

November 23, 2021

Study Start

November 15, 2021

Primary Completion

July 27, 2023

Study Completion

December 24, 2024

Last Updated

December 30, 2024

Record last verified: 2024-12

Locations