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Efficacy of an Internet-based intervention for job stress and burnout among medical professionals: study protocol for a randomized controlled trial
SWPS Univ Social Sci and Humanities, Poland.
SWPS Univ Social Sci and Humanities, Poland.
SWPS Univ Social Sci and Humanities, Poland; Univ Colorado, CO 80907 USA.
Stockholm Univ, Sweden; Univ Southern Denmark, Denmark.
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2019 (English)In: Trials, ISSN 1745-6215, E-ISSN 1745-6215, Vol. 20, article id 338Article in journal (Refereed) Published
Abstract [en]

BackgroundMedical professionals are at high risk of job stress and burnout. Research shows that work-related stress can be reduced through enhancing psychological resources, in particular, self-efficacy and perceived social support. These psychological resources can operate either individually or sequentially: in line with the cultivation hypothesis, self-efficacy precedes and cultivates perceived social support, whereas according to the enabling hypothesis it is perceived social support that comes first and enables self-efficacy. Based on this theoretical framework we developed an internet-based intervention, Med-Stress, dedicated to healthcare providers and aimed at reducing job stress and burnout. Med-Stress contains two modules that enhance self-efficacy and perceived social support, which are tested in four variants reflected in four study conditions. We expect that sequential enhancement of resources: self-efficacy and social support or social support and self-efficacy will yield larger posttest results than individual enhancement.MethodsIn this four-arm randomized controlled trial we will test four variants of the Med-Stress intervention. The trial is open for professionally active medical providers aged at least 18 years (N=1200) with access to an Internet-connected device. We will compare the effects of two experimental conditions reflecting cultivation and enabling effects of self-efficacy and perceived social support (sequential enhancement of resources), and two active controls strengthening self-efficacy or perceived social support. Job stress and job burnout will be the primary outcomes, whereas depression, job-related traumatic stress, and work engagement will be secondary ones. Additionally, we will measure perceived social support, self-efficacy to manage job stress and burnout, and the ability to obtain social support, exposure to traumatic events, and users expectancy and credibility of the intervention. All assessments will be applied before the intervention, atposttest (at 3 or 6weeks depending on the study condition), and at 6-month and 12-month follow up. In the case of experimental groups, additional measurements will be taken after enhancing each resource.DiscussionResource-based interventions are relatively context-free and could potentially benefit medical professionals across the field. If Med-Stress is successful, its most effective variant could be implemented in the healthcare system as a standalone, supportive tool for employees.Trial registrationClinicalTrials.gov, NCT03475290 Registered on 23 March 2018.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 20, article id 338
Keywords [en]
Job stress; Job burnout; Internet-based intervention; Self-efficacy; Perceived social support; Resources; e-mental health; Randomized controlled trial; Health professionals; Occupational health
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-158878DOI: 10.1186/s13063-019-3401-9ISI: 000471348400004PubMedID: 31182128OAI: oai:DiVA.org:liu-158878DiVA, id: diva2:1337587
Note

Funding Agencies|National Centre for Research and Development in Poland; Central Institute for Labour Protection - National Research Institute in Poland [I.N.16]

Available from: 2019-07-16 Created: 2019-07-16 Last updated: 2019-11-07

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