mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial

Abstract Background Causes and consequences of chronic stress levels in the context of healthcare work are well examined. Nevertheless, the implementation and evaluation of high-quality interventions to reduce stress of healthcare workers is still missing. Internet and app-based interventions are a...

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Main Authors: Hannes Baumann, Luis Heuel, Laura L. Bischoff, Bettina Wollesen
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-023-07182-7
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author Hannes Baumann
Luis Heuel
Laura L. Bischoff
Bettina Wollesen
author_facet Hannes Baumann
Luis Heuel
Laura L. Bischoff
Bettina Wollesen
author_sort Hannes Baumann
collection DOAJ
description Abstract Background Causes and consequences of chronic stress levels in the context of healthcare work are well examined. Nevertheless, the implementation and evaluation of high-quality interventions to reduce stress of healthcare workers is still missing. Internet and app-based interventions are a promising venue for providing interventions for stress reduction to a population that is otherwise difficult to reach due to shift work and time constraints in general. To do so, we developed the internet and app-based intervention (fitcor), a digital coaching of individual stress coping for health care workers. Methods We applied the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) statement as a guideline for the present protocol. A randomized controlled trial will be conducted. There are five different intervention groups and one waiting control group. To achieve the sample sizes required by power analysis (G*Power) (β-error 80%; effect size 0.25), the sample sizes of the respective scenarios will be at best as follows: 336 care workers from hospitals, 192 administrative health personnel, 145 care workers from stationary elderly care homes, and 145 care workers from ambulatory care providers in Germany. Participants will randomly be assigned to one of five different intervention groups. A crossover design with a waiting control group is planned. Interventions will be accompanied by three measurement points, first a baseline measure, second a post-intervention measure directly after completion of the intervention, and a follow-up measure 6 weeks after completion of the intervention. At all three measurement points, perceived team conflict, work-related experience patterns, personality, satisfaction with internet-based training, and back pain will be assessed using questionnaires, as well as heart rate variability, sleep quality, and daily movement will be recorded using an advanced sensor. Discussion Workers in the health care sector increasingly face high job demands and stress levels. Traditional health interventions fail to reach the respective population due to organizational constraints. Implementation of digital health interventions has been found to improve stress coping behavior; however, the evidence in health care settings has not been established. To the best of our knowledge, fitcor is the first internet and app-based intervention to reduce stress among nursing and administrative health care personnel. Trial registration The trial was registered at DRKS.de on 12 July 2021, registration number: DRKS00024605.
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spelling doaj.art-e567ce4e21e3487f945d9ca0575453a52023-03-22T12:17:24ZengBMCTrials1745-62152023-03-0124111710.1186/s13063-023-07182-7mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trialHannes Baumann0Luis Heuel1Laura L. Bischoff2Bettina Wollesen3Institute of Biological Psychology and Neuroergonomics, Technical University of BerlinInstitute of Biological Psychology and Neuroergonomics, Technical University of BerlinInstitute of Human Movement Science, University of HamburgInstitute of Human Movement Science, University of HamburgAbstract Background Causes and consequences of chronic stress levels in the context of healthcare work are well examined. Nevertheless, the implementation and evaluation of high-quality interventions to reduce stress of healthcare workers is still missing. Internet and app-based interventions are a promising venue for providing interventions for stress reduction to a population that is otherwise difficult to reach due to shift work and time constraints in general. To do so, we developed the internet and app-based intervention (fitcor), a digital coaching of individual stress coping for health care workers. Methods We applied the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) statement as a guideline for the present protocol. A randomized controlled trial will be conducted. There are five different intervention groups and one waiting control group. To achieve the sample sizes required by power analysis (G*Power) (β-error 80%; effect size 0.25), the sample sizes of the respective scenarios will be at best as follows: 336 care workers from hospitals, 192 administrative health personnel, 145 care workers from stationary elderly care homes, and 145 care workers from ambulatory care providers in Germany. Participants will randomly be assigned to one of five different intervention groups. A crossover design with a waiting control group is planned. Interventions will be accompanied by three measurement points, first a baseline measure, second a post-intervention measure directly after completion of the intervention, and a follow-up measure 6 weeks after completion of the intervention. At all three measurement points, perceived team conflict, work-related experience patterns, personality, satisfaction with internet-based training, and back pain will be assessed using questionnaires, as well as heart rate variability, sleep quality, and daily movement will be recorded using an advanced sensor. Discussion Workers in the health care sector increasingly face high job demands and stress levels. Traditional health interventions fail to reach the respective population due to organizational constraints. Implementation of digital health interventions has been found to improve stress coping behavior; however, the evidence in health care settings has not been established. To the best of our knowledge, fitcor is the first internet and app-based intervention to reduce stress among nursing and administrative health care personnel. Trial registration The trial was registered at DRKS.de on 12 July 2021, registration number: DRKS00024605.https://doi.org/10.1186/s13063-023-07182-7HealthcareCare workStressStress copingDigital health technologiesHealth intervention
spellingShingle Hannes Baumann
Luis Heuel
Laura L. Bischoff
Bettina Wollesen
mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial
Trials
Healthcare
Care work
Stress
Stress coping
Digital health technologies
Health intervention
title mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial
title_full mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial
title_fullStr mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial
title_full_unstemmed mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial
title_short mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial
title_sort mhealth interventions to reduce stress in healthcare workers fitcor study protocol for a randomized controlled trial
topic Healthcare
Care work
Stress
Stress coping
Digital health technologies
Health intervention
url https://doi.org/10.1186/s13063-023-07182-7
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