Online Cognitive Behavioral Therapy (CBT) for Stress Disorders in Health Workers Involved in the Care of Patients During the Covid-19 Epidemic (REST)

University Hospital, Strasbourg, France

Status: Completed

Conditions: Stress - Prevention of Sleep Disorders, PTSD and Depression

Treatments: Behavioral: Online bibliotherapy programme; Behavioral: Online cognitive behavioral therapy (CBT)

Study type: Interventional

Funder types: Other

Identifiers

NCT04362358

7799

Details and patient eligibility

About

Some preliminary epidemiological research conduct in China in health workers involved in the care of Covid-19 patients has shown high rates of depression (>50%), generalized anxiety disorder (>44%), insomnia (>36%) and stress symptoms (>73%), which negatively impact their well-being as well as their ability to work effectively . These rates were observed during the epidemic peak, but they can also have a long-term mental health effect, both individually, but also in a systemic manner , similar to what has been reported relative to the SARS-CoV-1 . Cognitive behavioral therapy (CBT) is recognized as an effective treatment for stress-reduction, as well as for the prevention of multiple mental health problems in at-risk individuals . Moreover, CBT has been found to be effective in brief online formats , which could make it feasible during the current Covid-19 epidemic. To our knowledge, there are no online CBT programmes targeting stress problems in health workers involved in the care of patients during the current epidemic context. The aim of our study is to evaluate the efficacy of the online CBT programme we have developped to specifically address immediate perceived stress in health workers, as well as the prevention of mental health problems at 3- and 6-months follow-up

Enrollment: 156 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Health worker
• Male or Female
• Aged 18-70
• Able to understand the French language

Exclusion criteria

• PSS < 16
• Suicidal ideation assessed as < 3 on the item 9 of the PHQ-9
• legally able to provide informed consent

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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156 participants in 2 patient groups

7 sessions of the online CBT programme

Experimental group

Treatment:

Behavioral: Online cognitive behavioral therapy (CBT)

Bibliotherapy

Active Comparator group

Treatment:

Behavioral: Online bibliotherapy programme