Online Multi-component Psychological Intervention for Healthcare Workers During COVID-19 Pandemic

Universidad Internacional de Valencia

Status: Unknown

Conditions: Fatigue, Compassion; Burnout, Professional; Quality of Life; Sleep Disturbance; Depression; Anxiety; Stress

Treatments: Behavioral: Online psychological intervention for healthcare workers

Study type: Interventional

Funder types: Other

Identifiers

NCT04890665

VIU-Health_care_workers_COVID

Details and patient eligibility

About

The objective of this study is to carry out a randomized clinical trial with healthcare workers in Mexico through a web platform. The intervention aims to reduce anxiety, depressive symptoms, burnout, stress, compassion fatigue, and increase the quality of life and sleep and self-care, as well as improve skills in providing bad news to patients and their families. A self-applied intervention will be compared with an intervention delivered by therapists providing the same intervention implemented through Zoom, Skype, or Microsoft Teams, to ensure sanitary protection measures.

Full description

Recent studies indicate that a lack of personal protective equipment, an unreasonable amount of work, inadequate medications, fear of contracting the disease, spreading the disease to co-workers and family, and lack of qualified training, have put front-line healthcare workers with unimaginable stress. There are various psycho social stressors to which the person who is working in this line of action is exposed. Nurses have been found to be one of the most affected groups because they have manifested various psychological consequences, including anxiety, depression, and stress. Likewise, multiple studies have reported psychological discomfort in health workers, especially those who are in areas of care for patients infected by COVID-19, among the most frequent psychological consequences that have been found, high prevalence of anxiety, depression, stress, insomnia, and high levels of distress are observed. Some of the challenges faced by health personnel who are in contact with patients infected by the virus are having a higher risk of contagion, not having the necessary personal equipment to prevent contagion, excessive workload, and even neglecting activities basic. In addition to these unfavorable working conditions faced by COVID-19 front line care staff, there is a need to make complex decisions that can generate moral or ethical damage. Consequently, this situation can trigger a series of negative emotional alterations, such as anxiety, depression, post-traumatic stress disorder, and even suicidal ideas.

Due to the current restrictions derived from the pandemic, psychological digital interventions have been an effective option to overcome barriers in mental health care for this population. Likewise, this type of intervention can provide various benefits, such as carried out by different means and the efficacy that they have shown to treat a wide range of mental health problems.

The objective of this study is to carry out a randomized clinical trial through a web platform which will have two groups: 1) Self-applied intervention directed at health personnel from all over Mexico for the reduction of symptoms of anxiety, depression, burnout, stress, compassion fatigue and increased self-care, quality of sleep and perceived quality of life, as well as how to offer tools to acquire knowledge about how to notify bad news to patients and families. The contents of the online intervention will be implemented through a responsive web application. In order to create the most fitted intervention for the real needs of the participants will be created following the principles of User Experience, this ensuring that the design characteristics of the tool will meet the desired requirements to be perceived as easy to use, attractive and useful. The User Experience approach refers to the experience that a user has with a product, with special emphasis on human-product interaction.

2. The same intervention but implemented by a therapist via Zoom, Skype, or Teams to continue ensuring protection measures for both the therapist and the patient.

The subjective measures will include the following Psychometric instruments:

1. Post-traumatic diagnostic scale
2. Plutchik Suicide Risk Scale
3. Generalized Anxiety Scale.
4. The Center for Epidemiological Studies Depression Scale-Revised
5. Professional Quality of Life Measure
6. Pittsburgh Sleep Quality Index
7. Scale for measuring resilience with Mexicans
8. Appraisal of Self-care Agency
9. The Fear of COVID-19 Scale
10. Opinion on the treatment.
11. System usability scale

Enrollment: 42 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• To have access to a communication device with access to the internet (computer, tablet, and mobile)
• To have a valid email address.
• To have basic digital skills in the use of an operational system and internet browsing.
• To understand Spanish since all the contents are in this language.
• Symptoms of anxiety, depression, burnout, and fatigue compassion

Exclusion criteria

• To have a diagnosis of psychotic disorder
• To be receiving psychological and/or pharmacological treatment during the study
• Moderate to a high score on the suicide scale
• Recent attempt of suicide (3 months)
• To refuse to accept to participate

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Experimental: Self-applied psychological intervention for healthcare workers

Experimental group

Description:

Participants in this group will receive 9 sessions of a multi-component psychological intervention focused on the reduction of symptoms of anxiety, depression, stress, burnout, fatigue compassion, and post-traumatic stress, and the increase of the quality of sleep and perception of the quality of life. The participants will have the option to do 3 extra modules that are complimentary for the intervention.

Treatment:

Behavioral: Online psychological intervention for healthcare workers

Control: Self-applied psychological intervention for healthcare workers

Active Comparator group

Description:

The participants in this group will receive exactly the same intervention but delivered through a therapist in a weekly session through an online video call. The participants will be informed also about the 3 extra modules and briefly what it is the contents of these modules so they can accept or not receive these extra contents.

Treatment:

Behavioral: Online psychological intervention for healthcare workers