The Use of a Mobile Application to Reduce Work-related Stress Symptoms Among Healthcare Workers
NCT ID: NCT04719351
Last Updated: 2021-07-01
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
330 participants
INTERVENTIONAL
2021-02-22
2021-06-14
Brief Summary
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Detailed Description
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Despite the urgent need for it, a rapid implementation of psychological support for healthcare workers has proved to be challenging during previous crises and the current pandemic. Guidelines published thus far underline the necessity of close real-time monitoring in order to early identify at risk populations and individuals, who should be referred to seek professional support. However, appropriate tools for efficient real-time monitoring of stress responses and early screening for possibly pathological reactions among healthcare workers are currently lacking. Available tools focus either on tracking of stress indicators e.g. sleep disturbances, or on teaching strategies to better cope with stress e.g. mindfulness.
In this study, the investigators will test whether a separate use or a combination of these different functions may be the most efficient in managing work-related stress symptoms among healthcare workers. The study has a factorial design in order to closely investigate the functionalities focused on real-time monitoring of emotional responses and the functionalities based on evidence-based strategies to improve workers' recovery, as well as the possible interactions among them.
Conditions
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Study Design
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RANDOMIZED
FACTORIAL
PREVENTION
NONE
Study Groups
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Condition 1: Positive: no; Workload: no; Controllability: no; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 2: Positive: yes; Workload: no; Controllability: no; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 3: Positive: no; Workload: yes; Controllability: no; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 4: Positive: yes; Workload: yes; Controllability: no; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 5: Positive: no; Workload: no; Controllability: yes; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 6: Positive: yes; Workload: no; Controllability: yes; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 7: Positive: no; Workload: yes; Controllability: yes; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 8: Positive: yes; Workload: yes; Controllability: yes; Open: no; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 9: Positive: no; Workload: no; Controllability: no; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 10: Positive: yes; Workload: no; Controllability: no; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 11: Positive: no; Workload: yes; Controllability: no; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 12: Positive: yes; Workload: yes; Controllability: no; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 13: Positive: no; Workload: no; Controllability: yes; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 14: Positive: yes; Workload: no; Controllability: yes; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 15: Positive: no; Workload: yes; Controllability: yes; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 16: Positive: yes; Workload: yes; Controllability: yes; Open: yes; Prompt: no;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: not included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 17: Positive: no; Workload: no; Controllability: no; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 18: Positive: yes; Workload: no; Controllability: no; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 19: Positive: no; Workload: yes; Controllability: no; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 20: Positive: yes; Workload: yes; Controllability: no; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 21: Positive: no; Workload: no; Controllability: yes; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 22: Positive: yes; Workload: no; Controllability: yes; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 23: Positive: no; Workload: yes; Controllability: yes; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 24: Positive: yes; Workload: yes; Controllability: yes; Open: no; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: not included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 25: Positive: no; Workload: no; Controllability: no; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 26: Positive: yes; Workload: no; Controllability: no; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 27: Positive: no; Workload: yes; Controllability: no; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 28: Positive: yes; Workload: yes; Controllability: no; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: not included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 29: Positive: no; Workload: no; Controllability: yes; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 30: Positive: yes; Workload: no; Controllability: yes; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: not included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 31: Positive: no; Workload: yes; Controllability: yes; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: not included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Condition 32: Positive: yes; Workload: yes; Controllability: yes; Open: yes; Prompt: yes;
Component list:
1. Questions about positive emotions: included;
2. Questions about workload/work environment: included;
3. Questions about controllability: included;
4. Questions with open answers: included;
5. Behavioral prompts: included;
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
The DIARY mobile application
The mobile application has two main functionalities. First, it will remind the user to report in regular time periods on their mental health status (e.g., sleep disturbances, stress). The assessment is done daily for four weeks. Second, some completed assessments will be combined with a behavioral prompt i.e. short message encouraging the user to engage in one of the strategies that can help coping with stress at work, e.g. remember to take short breaks, exercise in daylight, summarize a day with a colleague after a finished shift.
Eligibility Criteria
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Inclusion Criteria
* working (active employment)
Exclusion Criteria
18 Years
ALL
No
Sponsors
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The Swedish Research Council
OTHER_GOV
Karolinska Institutet
OTHER
Responsible Party
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Aleksandra Sjöström-Bujacz
Project Leader
Principal Investigators
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Aleksandra Sjostrom-Bujacz, PhD
Role: PRINCIPAL_INVESTIGATOR
Karolinska Institutet
Locations
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Aleksandra Sjostrom-Bujacz
Stockholm, , Sweden
Countries
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Study Documents
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Document Type: Individual Participant Data Set
View DocumentOther Identifiers
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2020-05800
Identifier Type: OTHER
Identifier Source: secondary_id
4-2092/2020
Identifier Type: -
Identifier Source: org_study_id
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