Feasibility of Implementing the Internet-Delivered Stress Recovery Intervention FOREST for Healthcare Staff in a Real-World Healthcare Setting

NCT07808762 | Not Yet Recruiting

• 1 other identifier: 3.7 E-10000-KT-2858
• Study Type: interventional
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of the study is to assess the feasibility of implementing the internet-delivered stress recovery intervention FOREST for healthcare staff in a real-world healthcare setting and to obtain preliminary estimates of changes in stress recovery and mental health outcomes.

Conditions

Stress (Psychology)

Keywords

Healthcare staff; Stress recovery; Internet-delivered intervention; Implementation feasibility; FOREST

Outcome Measures

Primary Outcomes (8)

• Reach

  Measurement: study recruitment records. Reach will be assessed as the proportion of the target healthcare workforce that enrolls in the intervention. It will be calculated as the number of enrolled participants divided by the estimated number of healthcare staff in the target workforce, expressed as a percentage.

  Through completion of recruitment, up to 9 months.

• Recruitment

  Measurement: Study screening, eligibility, and informed consent records. Recruitment will be assessed as the number and proportion of eligible healthcare staff who provide informed consent and enroll in the study.

  Through completion of recruitment, up to 9 months.

• Intervention uptake

  Measurement: FOREST intervention platform usage records. Intervention uptake will be assessed as the number and proportion of enrolled participants who initiate the intervention by completing the first FOREST session.

  Through completion of the intervention period, up to 10 months.

• Number of intervention sessions completed

  Number of intervention sessions completed will be assessed using FOREST intervention platform usage records. The number of FOREST intervention sessions completed by each participant will be recorded.

  Through completion of the intervention period, up to 10 months.

• Percentage of participants completing all six intervention sessions

  Percentage of participants completing all six FOREST intervention sessions will be assessed using FOREST intervention platform usage records. The percentage of participants who complete all six FOREST intervention sessions will be calculated as the number of participants completing all six sessions divided by the total number of participants who initiated the intervention, multiplied by 100.

  Through completion of the intervention period, up to 10 months.

• Retention

  Measurement: Study assessment completion records. Retention will be assessed as the number and proportion of enrolled participants who complete the post-intervention assessment and the 12-week follow-up assessment. Unit of Measure: Number and percentage of participants completing each assessment time point.

  Through completion of the 12-week follow-up, up to 12 months.

• Intervention acceptability

  Measurement: Post-intervention acceptability questions developed by study researchers. Acceptability will be assessed using post-intervention participant questions evaluating satisfaction with the FOREST intervention, perceived usefulness, and likelihood of recommending the intervention to colleagues. Each item will be reported according to its response scale, with descriptive summary statistics presented for participant responses. Higher scores indicate more pronounced acceptability.

  Through completion of the post-intervention assessment period, up to 10 months.

• Intervention appropriateness

  Measurement: Post-intervention appropriateness question developed by study researchers. Appropriateness will be assessed using a post-intervention participant question evaluating participants' perceptions of whether the FOREST intervention is relevant and suitable for healthcare staff working in a hospital setting. The item will be reported according to its response scale, with descriptive summary statistics presented for participant responses. A higher score indicates more pronounced appropriateness.

  Post-intervention assessment, up to 10 months.

Secondary Outcomes (4)

• Changes in stress recovery

  Baseline, post-test after four weeks, follow-up after 12 weeks

• Changes in perceived stress

  Baseline, post-test after four weeks, follow-up after 12 weeks

• Changes in symptoms of anxiety and depression

  Baseline, post-test after four weeks, follow-up after 12 weeks

• Changes in mental well-being

  Baseline, post-test after four weeks, follow-up after 12 weeks

Study Arms (1)

Intervention group

EXPERIMENTAL

The intervention group will get a four-week internet-delivered stress recovery intervention FOREST.

Behavioral: FOREST

Interventions

FOREST BEHAVIORAL

The internet-delivered stress recovery intervention FOREST consists of six sessions (Introduction, Psychological Detachment, Distancing, Mastery, Control, and Keeping the Change Alive) delivered over a four-week period. Each session includes psychoeducational content presented through text and video materials, as well as practical stress recovery exercises. Participants also have access to support from a trained psychologist on demand throughout the intervention.

Intervention group

Eligibility Criteria

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

You may qualify if:

• being at least 18 years old
• working in a healthcare setting;
• understanding Lithuanian;
• living in Lithuania;
• having access to an internet-enabled device.

Sponsors & Collaborators

• Vilnius University: lead

MeSH Terms

Interventions

Forests

Intervention Hierarchy (Ancestors)

Ecosystem; Environment; Ecological and Environmental Phenomena; Biological Phenomena; Environment and Public Health

Study Officials

• Austeja Dumarkaite, PhD

  Vilnius University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Austeja Dumarkaite, PhD

CONTACT

+37052686952; austeja.dumarkaite@fsf.vu.lt

Evaldas Kazlauskas, PhD

CONTACT

+37052686952; evaldas.kazlauskas@fsf.vu.lt

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: August 24, 2026
• First Posted: September 9, 2026
• Study Start: October 1, 2026
• Primary Completion (Estimated): September 1, 2027
• Study Completion (Estimated): September 1, 2027
• Last Updated: September 9, 2026

Record last verified: 2026-09