Bridging the Adherence Gap in Internet Interventions: A Randomized Controlled Trial Protocol

NCT05881161 | Not Yet Recruiting

• 1 other identifier: Adherence
• Study Type: interventional
• Target: 952
• Locations: 0 countries
• Sites: N/A

Brief Summary

Low adherence in self-guided internet interventions might lead to worse outcomes. This randomized controlled trial aims to test whether adherence can be improved if self-efficacy regarding adherence to internet interventions is boosted before the intervention starts. It is expected that enhancing this specific type of self-efficacy will increase people's adherence and help them fully benefit from the intervention, namely experience lower job stress and higher work engagement.

Conditions

Adherence, Treatment; Job Stress

Keywords

Job Stress; Adherence; Work engagement; Self-efficacy

Outcome Measures

Primary Outcomes (1)

• Adherence

  Objective adherence will be based on quantifiable metrics, specifically the absolute number and percentage of completed exercises within the program. Subjective adherence will be evaluated with the following question that participants will respond to after each weekly set of exercises: "In your opinion, how accurately have you completed all tasks: have you followed the instructions, reflected on the questions, and responded to them exhaustively?".

  Change from baseline: 4 weeks (posttest)

Secondary Outcomes (6)

• Job Stress (Perceived Stress Scale; PSS-4)

  Change from baseline: 4 weeks (posttest)

• Job Stress (Perceived Stress Scale; PSS-4)

  Change from baseline: 1-year follow-up

• Job Stress (Perceived Stress Scale; PSS-4)

  Change from baseline: 6-month follow-up

• Work Engagement (Utrecht Work Engagement Scale; UWES-9)

  Change from baseline: 6-month follow-up

• Work Engagement (Utrecht Work Engagement Scale; UWES-9)

  Change from baseline: 1-year follow-up

Study Arms (2)

Adherence self-efficacy-enhancing exercise followed by internet intervention (Med-Stress Student)

EXPERIMENTAL

Behavioral: Adherence self-efficacy-enhancing exercise; Behavioral: Med-Stress Student

Internet intervention (Med-Stress Student)

ACTIVE COMPARATOR

Behavioral: Med-Stress Student

Interventions

Adherence self-efficacy-enhancing exercise BEHAVIORAL

This exercise aims to increase self-efficacy to adhere to an internet intervention. It consists of a video and two text-based tasks. The contents are grounded in Social-Cognitive Theory.

Adherence self-efficacy-enhancing exercise followed by internet intervention (Med-Stress Student)

Med-Stress Student BEHAVIORAL

Med-Stress Student is an intervention that spans over 4 weeks and aims to enhance resources to cope with job stress and promote well-being in medical students.

Adherence self-efficacy-enhancing exercise followed by internet intervention (Med-Stress Student); Internet intervention (Med-Stress Student)

Eligibility Criteria

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

You may qualify if:

• must be at least 18 years old
• must be a medical student or intern who already has direct contact with patients

Sponsors & Collaborators

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

Related Publications (3)

• Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 Mar;84(2):191-215. doi: 10.1037//0033-295x.84.2.191. No abstract available.

  PMID: 847061 BACKGROUND

• Karyotaki E, Kleiboer A, Smit F, Turner DT, Pastor AM, Andersson G, Berger T, Botella C, Breton JM, Carlbring P, Christensen H, de Graaf E, Griffiths K, Donker T, Farrer L, Huibers MJ, Lenndin J, Mackinnon A, Meyer B, Moritz S, Riper H, Spek V, Vernmark K, Cuijpers P. Predictors of treatment dropout in self-guided web-based interventions for depression: an 'individual patient data' meta-analysis. Psychol Med. 2015 Oct;45(13):2717-26. doi: 10.1017/S0033291715000665. Epub 2015 Apr 17.

  PMID: 25881626 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 BACKGROUND

MeSH Terms

Conditions

Treatment Adherence and Compliance; Occupational Stress

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Ewelina A Smoktunowicz, PhD

CONTACT

+48506354565; esmoktunowicz@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will not be informed about condition allocation. Both groups will undergo the same internet intervention (Med-Stress Student) but the experimental group will complete additional procedure at the start of the intervention.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator; Head of StresLab Research Centre

Study Record Dates

• First Submitted: May 18, 2023
• First Posted: May 31, 2023
• Study Start: January 8, 2025
• Primary Completion: January 31, 2026
• Study Completion: January 31, 2026
• Last Updated: May 8, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share