Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial

on behalf of the RESPOND Consortium

doi:10.1177/20552076221129084

Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial

on behalf of the RESPOND Consortium

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background and aims: The coronavirus disease 2019 pandemic has challenged health services worldwide, with a worsening of healthcare workers’ mental health within initial pandemic hotspots. In early 2022, the Omicron variant is spreading rapidly around the world. This study explores the effectiveness and cost-effectiveness of a stepped-care programme of scalable, internet-based psychological interventions for distressed health workers on self-reported anxiety and depression symptoms.

Methods: We present the study protocol for a multicentre (two sites), parallel-group (1:1 allocation ratio), analyst-blinded, superiority, randomised controlled trial. Healthcare workers with psychological distress will be allocated either to care as usual only or to care as usual plus a stepped-care programme that includes two scalable psychological interventions developed by the World Health Organization: A guided self-help stress management guide (Doing What Matters in Times of Stress) and a five-session cognitive behavioural intervention (Problem Management Plus). All participants will receive a single-session emotional support intervention, namely psychological first aid. We will include 212 participants. An intention-to-treat analysis using linear mixed models will be conducted to explore the programme's effect on anxiety and depression symptoms, as measured by the Patient Health Questionnaire – Anxiety and Depression Scale summary score at 21 weeks from baseline. Secondary outcomes include post-traumatic stress disorder symptoms, resilience, quality of life, cost impact and cost-effectiveness.

Conclusions: This study is the first randomised trial that combines two World Health Organization psychological interventions tailored for health workers into one stepped-care programme. Results will inform occupational and mental health prevention, treatment, and recovery strategies.

Registration details: ClinicalTrials.gov Identifier: NCT04980326.

Original language	English
Pages (from-to)	1-15
Number of pages	15
Journal	Digital Health
Volume	8
Early online date	5 Oct 2022
DOIs	https://doi.org/10.1177/20552076221129084
Publication status	Published - 2022

Bibliographical note

Publisher Copyright:
© The Author(s) 2022.

Funding

The RESPOND project was funded under Horizon 2020 -the Framework Programme for Research and Innovation (2014–2020) (grant number: 101016127), and the work of MF-N was supported by a postdoctoral fellowship of the ISCIII (CD20/00036).

Funders	Funder number
Horizon 2020
Horizon 2020 Framework Programme	101016127
Instituto de Salud Carlos III	CD20/00036

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

adjustment disorders
analysis
anxiety
coronavirus disease 2019
cost
depression
healthcare facilities
internet-based intervention
MeSH terms
psychological
psychological distress
psychosocial intervention
resilience
workforce and services

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@article{24d726d9f7e043b196e2a38b8b99cf1a,

title = "Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial",

abstract = "Background and aims: The coronavirus disease 2019 pandemic has challenged health services worldwide, with a worsening of healthcare workers{\textquoteright} mental health within initial pandemic hotspots. In early 2022, the Omicron variant is spreading rapidly around the world. This study explores the effectiveness and cost-effectiveness of a stepped-care programme of scalable, internet-based psychological interventions for distressed health workers on self-reported anxiety and depression symptoms.Methods: We present the study protocol for a multicentre (two sites), parallel-group (1:1 allocation ratio), analyst-blinded, superiority, randomised controlled trial. Healthcare workers with psychological distress will be allocated either to care as usual only or to care as usual plus a stepped-care programme that includes two scalable psychological interventions developed by the World Health Organization: A guided self-help stress management guide (Doing What Matters in Times of Stress) and a five-session cognitive behavioural intervention (Problem Management Plus). All participants will receive a single-session emotional support intervention, namely psychological first aid. We will include 212 participants. An intention-to-treat analysis using linear mixed models will be conducted to explore the programme's effect on anxiety and depression symptoms, as measured by the Patient Health Questionnaire – Anxiety and Depression Scale summary score at 21 weeks from baseline. Secondary outcomes include post-traumatic stress disorder symptoms, resilience, quality of life, cost impact and cost-effectiveness.Conclusions: This study is the first randomised trial that combines two World Health Organization psychological interventions tailored for health workers into one stepped-care programme. Results will inform occupational and mental health prevention, treatment, and recovery strategies.Registration details: ClinicalTrials.gov Identifier: NCT04980326.",

keywords = "adjustment disorders, analysis, anxiety, coronavirus disease 2019, cost, depression, healthcare facilities, internet-based intervention, MeSH terms, psychological, psychological distress, psychosocial intervention, resilience, workforce and services",

author = "Roberto Mediavilla and McGreevy, \{Kerry R.\} and Mireia Felez-Nobrega and Anna Monistrol-Mula and Bravo-Ortiz, \{Mar{\'i}a Fe\} and Carmen Bay{\'o}n and Beatriz Rodr{\'i}guez-Vega and Pablo Nicaise and Audrey Delaire and Marit Sijbrandij and Witteveen, \{Anke B.\} and Marianna Purgato and Corrado Barbui and Federico Tedeschi and Maria Melchior and \{van der Waerden\}, Judith and David McDaid and Park, \{A. La\} and Raffael Kalisch and Papoula Petri-Rom{\~a}o and James Underhill and Bryant, \{Richard A.\} and Haro, \{Josep Maria\} and Ayuso-Mateos, \{Jos{\'e} Luis\} and \{on behalf of the RESPOND Consortium\}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2022.",

year = "2022",

doi = "10.1177/20552076221129084",

language = "English",

volume = "8",

pages = "1--15",

journal = "Digital Health",

issn = "2055-2076",

publisher = "SAGE Publications Inc.",

}

Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial. / on behalf of the RESPOND Consortium.
In: Digital Health, Vol. 8, 2022, p. 1-15.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress

T2 - Study protocol for the RESPOND healthcare workers randomised controlled trial

AU - Mediavilla, Roberto

AU - McGreevy, Kerry R.

AU - Felez-Nobrega, Mireia

AU - Monistrol-Mula, Anna

AU - Bravo-Ortiz, María Fe

AU - Bayón, Carmen

AU - Rodríguez-Vega, Beatriz

AU - Nicaise, Pablo

AU - Delaire, Audrey

AU - Sijbrandij, Marit

AU - Witteveen, Anke B.

AU - Purgato, Marianna

AU - Barbui, Corrado

AU - Tedeschi, Federico

AU - Melchior, Maria

AU - van der Waerden, Judith

AU - McDaid, David

AU - Park, A. La

AU - Kalisch, Raffael

AU - Petri-Romão, Papoula

AU - Underhill, James

AU - Bryant, Richard A.

AU - Haro, Josep Maria

AU - Ayuso-Mateos, José Luis

AU - on behalf of the RESPOND Consortium

PY - 2022

Y1 - 2022

N2 - Background and aims: The coronavirus disease 2019 pandemic has challenged health services worldwide, with a worsening of healthcare workers’ mental health within initial pandemic hotspots. In early 2022, the Omicron variant is spreading rapidly around the world. This study explores the effectiveness and cost-effectiveness of a stepped-care programme of scalable, internet-based psychological interventions for distressed health workers on self-reported anxiety and depression symptoms.Methods: We present the study protocol for a multicentre (two sites), parallel-group (1:1 allocation ratio), analyst-blinded, superiority, randomised controlled trial. Healthcare workers with psychological distress will be allocated either to care as usual only or to care as usual plus a stepped-care programme that includes two scalable psychological interventions developed by the World Health Organization: A guided self-help stress management guide (Doing What Matters in Times of Stress) and a five-session cognitive behavioural intervention (Problem Management Plus). All participants will receive a single-session emotional support intervention, namely psychological first aid. We will include 212 participants. An intention-to-treat analysis using linear mixed models will be conducted to explore the programme's effect on anxiety and depression symptoms, as measured by the Patient Health Questionnaire – Anxiety and Depression Scale summary score at 21 weeks from baseline. Secondary outcomes include post-traumatic stress disorder symptoms, resilience, quality of life, cost impact and cost-effectiveness.Conclusions: This study is the first randomised trial that combines two World Health Organization psychological interventions tailored for health workers into one stepped-care programme. Results will inform occupational and mental health prevention, treatment, and recovery strategies.Registration details: ClinicalTrials.gov Identifier: NCT04980326.

AB - Background and aims: The coronavirus disease 2019 pandemic has challenged health services worldwide, with a worsening of healthcare workers’ mental health within initial pandemic hotspots. In early 2022, the Omicron variant is spreading rapidly around the world. This study explores the effectiveness and cost-effectiveness of a stepped-care programme of scalable, internet-based psychological interventions for distressed health workers on self-reported anxiety and depression symptoms.Methods: We present the study protocol for a multicentre (two sites), parallel-group (1:1 allocation ratio), analyst-blinded, superiority, randomised controlled trial. Healthcare workers with psychological distress will be allocated either to care as usual only or to care as usual plus a stepped-care programme that includes two scalable psychological interventions developed by the World Health Organization: A guided self-help stress management guide (Doing What Matters in Times of Stress) and a five-session cognitive behavioural intervention (Problem Management Plus). All participants will receive a single-session emotional support intervention, namely psychological first aid. We will include 212 participants. An intention-to-treat analysis using linear mixed models will be conducted to explore the programme's effect on anxiety and depression symptoms, as measured by the Patient Health Questionnaire – Anxiety and Depression Scale summary score at 21 weeks from baseline. Secondary outcomes include post-traumatic stress disorder symptoms, resilience, quality of life, cost impact and cost-effectiveness.Conclusions: This study is the first randomised trial that combines two World Health Organization psychological interventions tailored for health workers into one stepped-care programme. Results will inform occupational and mental health prevention, treatment, and recovery strategies.Registration details: ClinicalTrials.gov Identifier: NCT04980326.

KW - adjustment disorders

KW - analysis

KW - anxiety

KW - coronavirus disease 2019

KW - cost

KW - depression

KW - healthcare facilities

KW - internet-based intervention

KW - MeSH terms

KW - psychological

KW - psychological distress

KW - psychosocial intervention

KW - resilience

KW - workforce and services

UR - https://www.scopus.com/pages/publications/85139702584

UR - https://www.scopus.com/pages/publications/85139702584#tab=citedBy

U2 - 10.1177/20552076221129084

DO - 10.1177/20552076221129084

M3 - Article

AN - SCOPUS:85139702584

SN - 2055-2076

VL - 8

SP - 1

EP - 15

JO - Digital Health

JF - Digital Health

ER -

Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this