Singh Laura, Kanstrup Marie, Gamble Beau, Geranmayeh Anahita, Göransson Katarina E, Rudman Ann, Dahl Oili, Lindström Veronica, Hörberg Anna, Holmes Emily A, Moulds Michelle L
Department of Psychology, Uppsala University, Uppsala, Sweden.
Swedish Collegium for Advanced Study, Uppsala, Sweden.
Contemp Clin Trials Commun. 2022 Apr;26:100884. doi: 10.1016/j.conctc.2022.100884. Epub 2022 Jan 12.
Addressing the mental health needs of healthcare staff exposed to psychologically traumatic events at work during the COVID-19 pandemic is a pressing global priority. We need to swiftly develop interventions to target the psychological consequences (e.g., persistent intrusive memories of trauma). Interventions for healthcare staff must be brief, flexible, fitted around the reality and demands of working life under the pandemic, and repeatable during ongoing/further trauma exposure. Intervention delivery during the pandemic should be remote to mitigate risk of infection; e.g., here using a blend of digitalized self-administered materials (e.g., video instructions) and guided (remote) support from a researcher. This parallel groups, two-arm, randomised controlled trial (RCT) with healthcare staff working during the COVID-19 pandemic is the first evaluation of whether a digitalized form of a brief cognitive task intervention, which is remotely-delivered (guided), reduces intrusive memories. Healthcare staff who experience intrusive memories of work-related traumatic event(s) during the COVID-19 pandemic (≥2 in the week before inclusion) will be randomly allocated (1:1) to receive either the cognitive task intervention or an active (attention placebo) control, and followed up at 1-week, 1-month, 3-months, and 6-months post-intervention. The primary outcome will be the number of intrusive memories reported during Week 5; secondary and other outcomes include the number of intrusive memories reported during Week 1, and other intrusive symptoms. Findings will inform further development and dissemination of a brief cognitive task intervention to target intrusive memories.
满足在新冠疫情期间工作中接触到心理创伤事件的医护人员的心理健康需求，是一项紧迫的全球优先事项。我们需要迅速制定干预措施，以应对心理后果（例如，对创伤的持续侵入性记忆）。针对医护人员的干预措施必须简短、灵活，适应疫情下工作生活的实际情况和需求，并且在持续/进一步接触创伤期间可重复实施。疫情期间的干预措施应采用远程方式以降低感染风险；例如，在此使用数字化的自我管理材料（如视频指导）和来自研究人员的（远程）指导支持相结合的方式。这项针对在新冠疫情期间工作的医护人员的平行组、双臂随机对照试验（RCT），是对一种远程提供（有指导）的简短认知任务干预的数字化形式是否能减少侵入性记忆的首次评估。在新冠疫情期间经历与工作相关创伤事件的侵入性记忆（纳入前一周内≥2次）的医护人员将被随机分配（1:1）接受认知任务干预或积极（注意力安慰剂）对照，并在干预后1周、1个月、3个月和6个月进行随访。主要结局将是第5周报告的侵入性记忆数量；次要结局和其他结局包括第1周报告的侵入性记忆数量以及其他侵入性症状。研究结果将为针对侵入性记忆的简短认知任务干预的进一步开发和推广提供信息。
