Stress Recovery Program FOREST+ for Healthcare Workers

Stress, Psychological Clinical Trial

— FOREST+  

Official title:

Efficacy of the FOREST+ Stress Recovery Program for Healthcare Workers: A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05272774
• Other study ID #: 25 / (1.3) 250000-KP-22-II
• Status: Completed
• Phase: N/A
• Start date: March 22, 2022
• Est. completion date: October 11, 2022

Study information

• Verified date: February 2022
• Source: Vilnius University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of the study is to assess the efficacy of an online stress recovery intervention for healthcare workers receiving therapist-assisted or on-demand support.

Description:

The intervention will be delivered as an online stress recovery program for healthcare workers, consisting of six modules. Modules include an introduction, psychological detachment, distancing, mastery, control, and keeping the change alive. These modules have been chosen after considering themes that could be most useful for healthcare workers under high stress. Each module consists of a psychoeducational and an exercise component. During the program, a therapist provides individual feedback on the exercises completed and can also be available on request.

The effect of the intervention will be compared with a control group that will use the program with support on-demand. The intervention will be delivered in Lithuanian.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 220
• Est. completion date: October 11, 2022
• Est. primary completion date: October 11, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• licensed healthcare professionals currently working under license;

• at least 18 years old;

• comprehending Lithuanian language;

• access to internet.

Exclusion Criteria:

• acute psychiatric crisis;

• high suicide risk;

• interpersonal violence.

Related Conditions & MeSH terms

• Stress, Psychological

Intervention

Behavioral:
• FOREST+
The intervention will be delivered as an online stress recovery intervention consisting of six weekly modules. Modules include an introduction, psychological detachment, distancing, mastery, control, and keeping the change alive. These modules have been chosen after considering the themes that could be most useful for healthcare workers under high stress. Each module consists of a psychoeducational and an exercise component.

Locations

Country	Name	City	State
Lithuania	Vilnius University	Vilnius

Sponsors (2)

Lead Sponsor	Collaborator
Vilnius University	Linkoeping University

Country where clinical trial is conducted

Lithuania, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change on Recovery Experience Questionnaire	Changes on stress recovery are measured. Recovery Experiences Questionnaire (Sonnentag & Fritz, 2007) is a self-report measure consisting of 16 questions. All items are answered on a 5-point Likert scale ranging from 1 (Totally disagree) to 5 (Totally agree). A higher score indicates more pronounced recovery.	Pre-treatment, post-treatment, 3 months follow-up
Secondary	Change on Perceived Stress Scale	Changes on perceived stress are measured. Perceived Stress Scale (PSS-10, Cohen et al., 1983) is a self-report measure and consists of 10 questions. All items are answered on a 5-point Likert scale that ranges from 0 (Never) to 4 (Very often). Higher score indicates more pronounced perceived stress.	Pre-treatment, post-treatment, 3 months follow-up
Secondary	Change on Patient Health Questionnaire	Changes on depression symptoms are measured. Patient Health Questionnaire-9 (PHQ-9, Kroenke et al., 2001) is a self-report measure and consists of 9 questions. All items are answered on a 4-point Likert scale that ranges from 0 (Not at all) to 3 (Nearly every day). Higher score indicates more pronounced depression symptoms.	Pre-treatment, post-treatment, 3 months follow-up
Secondary	Change on Generalized Anxiety Disorder Questionnaire	Changes on anxiety symptoms are measured. Generalized Anxiety Disorder Questionnaire-7 (GAD-7, Kroenke et al., 2001) is a self-report measure and consists of 7 questions. All items are answered on a 4-point Likert scale that ranges from 0 (Not at all) to 3 (Nearly every day). Higher score indicates more pronounced anxiety symptoms.	Pre-treatment, post-treatment, 3 months follow-up
Secondary	Change on Well-being Index	Changes on well-being are measured. Well-being Index (WHO-5, Bech, 2004) is a self-report measure and consists of 5 questions. All items are answered on a 6-point Likert scale that ranges from 0 (At no time) to 5 (All of the time). Higher score indicates more pronounced well-being.	Pre-treatment, post-treatment, 3 months follow-up
Secondary	Change on Moral Injury Outcome Scale	Changes on moral injury are measured. Moral Injury Outcome Scale (MIOS, Litz et al., 2020) is a self-report measure and consists of 15 questions. All items are answered on a 5-point Likert scale that ranges from 0 (Strongly disagree) to 4 (Strongly agree). Higher score indicates more pronounced moral injury.	Pre-treatment, post-treatment, 3 months follow-up