000120918 001__ 120918
000120918 005__ 20240319081003.0
000120918 0247_ $$2doi$$a10.1186/s12912-022-01089-5
000120918 0248_ $$2sideral$$a131281
000120918 037__ $$aART-2022-131281
000120918 041__ $$aeng
000120918 100__ $$0(orcid)0000-0002-1690-4130$$aLópez-del-Hoyo, Yolanda$$uUniversidad de Zaragoza
000120918 245__ $$aEffectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial
000120918 260__ $$c2022
000120918 5060_ $$aAccess copy available to the general public$$fUnrestricted
000120918 5203_ $$aBackground
The World Health Organization has formally recognized that healthcare professionals are at risk of developing mental health problems; finding ways to reduce their stress is mandatory to improve both their quality of life and, indirectly, their job performance. In recent years, particularly since the COVID-19 pandemic outbreak, there has been a proliferation of online interventions with promising results. The purpose of the present study is twofold: to test the effectiveness of an online, self-guided intervention, MINDxYOU, to reduce the stress levels of healthcare workers; and to conduct an implementation study of this intervention. Additionally, an economic evaluation of the intervention will be conducted.
Methods
The current study has a hybrid effectiveness-implementation type 2 design. A stepped wedge cluster randomized trial design will be used, with a cohort of 180 healthcare workers recruited in two Spanish provinces (Malaga and Zaragoza). The recruitment stage will commence in October 2022. Frontline health workers who provide direct care to people in a hospital, primary care center, or nursing home setting in both regions will participate. The effectiveness of the intervention will be studied, with perceived stress as the main outcome (Perceived Stress Scale), while other psychopathological symptoms and process variables (e.g., mindfulness, compassion, resilience, and psychological flexibility) will be also assessed as secondary outcomes. The implementation study will include analysis of feasibility, acceptability, adoption, appropriateness, fidelity, penetration, and sustainability. The incremental costs and benefits, in terms of quality-adjusted life years, will be examined by means of cost-utility and cost-effectiveness analyses.
Discussion
MINDxYOU is designed to reduce healthcare workers’ stress levels through the practice of mindfulness, acceptance, and compassion, with a special focus on how to apply these skills to healthy habits and considering the particular stressors that these professionals face on a daily basis. The present study will show how implementation studies are useful for establishing the framework in which to address barriers to and promote facilitators for acceptability, appropriateness, adoption, feasibility, fidelity, penetration, and sustainability of online interventions. The ultimate goal is to reduce the research-to-practice gap.
Trial registration
This study was registered in ClinicalTrials.gov on 29/06/2022; registration number: NCT05436717.
000120918 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI21-01338
000120918 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000120918 590__ $$a3.2$$b2022
000120918 592__ $$a0.769$$b2022
000120918 591__ $$aNURSING$$b15 / 123 = 0.122$$c2022$$dQ1$$eT1
000120918 593__ $$aNursing (miscellaneous)$$c2022$$dQ1
000120918 591__ $$aNURSING$$b15 / 125 = 0.12$$c2022$$dQ1$$eT1
000120918 594__ $$a3.3$$b2022
000120918 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000120918 700__ $$aFernández-Martínez, Selene
000120918 700__ $$aPérez-Aranda, Adrián
000120918 700__ $$0(orcid)0000-0002-2116-9257$$aBarceló-Soler, Alberto
000120918 700__ $$aGuzman-Parra, Jose
000120918 700__ $$aVarela-Moreno, Esperanza
000120918 700__ $$aCampos, Daniel
000120918 700__ $$0(orcid)0000-0003-2088-2007$$aMonreal-Bartolomé, Alicia
000120918 700__ $$0(orcid)0000-0003-0786-535X$$aBeltrán-Ruiz, María
000120918 700__ $$aMoreno-Küstner, Berta
000120918 700__ $$aMayoral-Cleries, Fermín
000120918 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, Javier$$uUniversidad de Zaragoza
000120918 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000120918 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000120918 773__ $$g21, 1 (2022), 308 [12 pp.]$$tBMC Nursing$$x1472-6955
000120918 8564_ $$s1272649$$uhttps://zaguan.unizar.es/record/120918/files/texto_completo.pdf$$yVersión publicada
000120918 8564_ $$s2230257$$uhttps://zaguan.unizar.es/record/120918/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
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000120918 951__ $$a2024-03-18-14:22:42
000120918 980__ $$aARTICLE