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

NCT ID: NCT04890665

Last Updated: 2021-10-05

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-16

Study Completion Date

2022-06-20

Brief Summary

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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.

Detailed Description

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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

Conditions

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

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study has two arms, one is the experimental group that receives the treatment solely through the online platform, and the other is the comparison group that will receive treatment delivered through a therapist through video calls. The patients in both groups will be evaluated pre and post/treatment. The participants are assigned randomly to the intervention or comparison group.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
The patients are not aware that there is an experimental group and a control group, the participants are not related and do not know each other. The conditions of the study are only known by the researcher, the therapists, and the Research Ethics Committee of the Universidad Autónoma de Ciudad Juárez.

Study Groups

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Experimental: Self-applied psychological intervention for healthcare workers

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.

Group Type EXPERIMENTAL

Online psychological intervention for healthcare workers

Intervention Type BEHAVIORAL

The intervention is based on Cognitive Behavioral Therapy, Mindfulness, Behavioral Activation Therapy, Acceptance and Commitment Therapy and Positive Psychology, aimed at the Psychoeducation regarding the manifestations of anxiety, depression, burnout, fatigue compassion, posttraumatic stress disorder, and affectations in sleep quality and perception of life quality in healthcare workers.

And 3 complementary modules that according to the scientific literature could affect the mental health of healthcare workers related to how to deliver bad health news, Psychological first aid and how beliefs could influence physical and emotional self-care in the face of the COVID-19 pandemic.

Control: Self-applied psychological intervention for healthcare workers

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.

Group Type ACTIVE_COMPARATOR

Online psychological intervention for healthcare workers

Intervention Type BEHAVIORAL

The intervention is based on Cognitive Behavioral Therapy, Mindfulness, Behavioral Activation Therapy, Acceptance and Commitment Therapy and Positive Psychology, aimed at the Psychoeducation regarding the manifestations of anxiety, depression, burnout, fatigue compassion, posttraumatic stress disorder, and affectations in sleep quality and perception of life quality in healthcare workers.

And 3 complementary modules that according to the scientific literature could affect the mental health of healthcare workers related to how to deliver bad health news, Psychological first aid and how beliefs could influence physical and emotional self-care in the face of the COVID-19 pandemic.

Interventions

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Online psychological intervention for healthcare workers

The intervention is based on Cognitive Behavioral Therapy, Mindfulness, Behavioral Activation Therapy, Acceptance and Commitment Therapy and Positive Psychology, aimed at the Psychoeducation regarding the manifestations of anxiety, depression, burnout, fatigue compassion, posttraumatic stress disorder, and affectations in sleep quality and perception of life quality in healthcare workers.

And 3 complementary modules that according to the scientific literature could affect the mental health of healthcare workers related to how to deliver bad health news, Psychological first aid and how beliefs could influence physical and emotional self-care in the face of the COVID-19 pandemic.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad Autonoma de Ciudad Juarez

OTHER

Sponsor Role collaborator

University of Guadalajara

OTHER

Sponsor Role collaborator

Universidad Nacional Autonoma de Mexico

OTHER

Sponsor Role collaborator

Universidad Internacional del Ecuador

OTHER

Sponsor Role collaborator

University of Buenos Aires

OTHER

Sponsor Role collaborator

University of Valencia

OTHER

Sponsor Role collaborator

Universidad Internacional de Valencia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anabel de la Rosa Gómez, PhD

Role: STUDY_CHAIR

Universidad Nacional Autonoma de Mexico

Paulina Erika Herdoiza Arroyo, PhD

Role: STUDY_CHAIR

Universidad Internacional del Ecuador

Rosa Olimpia Castellanos Vargas, MD

Role: STUDY_CHAIR

Universidad Autonoma de Ciudad Juarez

Joaquín Mateu Molla, PhD

Role: STUDY_CHAIR

Valencian International University

Luis Farfallini, PhD

Role: STUDY_CHAIR

University of Buenos Aires

Eduardo Bautista Valerio, BD

Role: STUDY_CHAIR

Universidad Nacional Autonoma de Mexico

Locations

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Universidad Autónoma de Ciudad Juárez

Juárez, Chihuahua, Mexico

Site Status RECRUITING

Universidad de Guadalajara

Guadalajara, Jalisco, Mexico

Site Status NOT_YET_RECRUITING

Universidad Nacional Autónoma de México

México, , Mexico

Site Status NOT_YET_RECRUITING

Countries

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Mexico

Central Contacts

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Alejandro Dominguez Rodriguez, PhD

Role: CONTACT

+521 664 471 3277

Reyna Jazmin Martinez Arriaga, PhD

Role: CONTACT

+52 1 33 1197 9082

Facility Contacts

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Rosa Olimpia Castellanos Vargas, MD

Role: primary

+52 1 33 1358 3137

Flor Rocío Ramírez Martínez, PhD

Role: backup

Reyna Jazmin Martínez Arriaga, PhD

Role: primary

Anabel De la Rosa Gómez, PhD

Role: primary

References

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Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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VIU-Health_care_workers_COVID

Identifier Type: -

Identifier Source: org_study_id

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