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

University of Social Sciences and Humanities, Warsaw

Status: Not yet enrolling

Conditions: Adherence, Treatment; Job Stress

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

Study type: Interventional

Funder types: Other

Identifiers

NCT05881161

Adherence

Details and patient eligibility

About

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.

Full description

Low adherence can lead to poor outcomes in self-guided (i.e., self-administered) internet interventions that is psychological programs designed to improve mental health. One modifiable personal factor that may improve adherence is context-specific self-efficacy. In this two-arm randomized controlled trial, participants (medical students, N = 720) will undergo an internet intervention called Med-Stress Student designed to enhance resources such as self-efficacy to cope with stress and perceived social support. In the experimental group, Med-Stress Student will be preceded by an exercise designed to boost self-efficacy to adhere to this internet intervention. In the control condition, participants will only access Med-Stress Student. Conditions will be compared on adherence as well as on the intervention outcomes (i.e., job stress and work engagement) at posttest, and at six-month, and one-year follow-ups.

Enrollment: 952 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

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

There are no criteria for exclusion.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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952 participants in 2 patient groups

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

Experimental group

Treatment:

Behavioral: Adherence self-efficacy-enhancing exercise

Behavioral: Med-Stress Student

Internet intervention (Med-Stress Student)

Active Comparator group

Treatment:

Behavioral: Med-Stress Student