一项针对医护人员的基于网络的健康计划（茁壮成长）：一项随机对照试验的方案

A Web-Based Well-being Program for Health Care Workers (Thrive): Protocol for a Randomized Controlled Trial.

作者信息

Egan Luke A, Mulcahy Mary, Tuqiri Karen, Gatt Justine M

机构信息

Neuroscience Research Australia, Randwick, Australia.

Person Centred Care, The Prince of Wales Hospital, Randwick, Australia.

出版信息

JMIR Res Protoc. 2022 Apr 21;11(4):e34005. doi: 10.2196/34005.

DOI:10.2196/34005

PMID:35451973

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9073619/

Abstract

BACKGROUND

Mental health has come to be understood as not merely the absence of mental illness but also the presence of mental well-being, and recent interventions have sought to increase well-being in various populations. A population that deserves particular attention is that of health care workers, whose occupations entail high levels of stress, especially given the ongoing COVID-19 pandemic. A neuroscience-based web-based well-being program for health care workers-the Thrive program-has been newly developed to promote habits and activities that contribute to brain health and overall mental well-being.

OBJECTIVE

This paper describes the protocol for a randomized controlled trial whose objective is to evaluate the Thrive program in comparison with an active control condition to measure whether the program is effective at increasing well-being and decreasing symptoms of psychological distress in health care workers at a designated Australian hospital.

METHODS

The trial will comprise two groups (intervention vs active control) and 4 measurement occasions over a 12-week period. A survey will be administered in each of weeks 0, 4, 8, and 12, and the well-being program will be delivered in weeks 1-7 (via web-based video presentations or digital pamphlets). Each of the 4 surveys will comprise a range of questionnaires to measure well-being, psychological distress, and other key variables. The planned analyses will estimate group-by-time interaction effects to test the hypothesis that mental health will increase over time in the intervention condition relative to the active control condition.

RESULTS

The Thrive program was delivered to a small number of wards at the hospital between February 2021 and July 2021, and it will be delivered to the remaining wards from October 2021 to December 2021. A power calculation has recommended a sample size of at least 200 participants in total. A linear mixed model will be used to estimate the interaction effects.

CONCLUSIONS

This trial seeks to evaluate a new web-based well-being program for health care workers at a major public hospital. It will contribute to the growing body of research on mental well-being and ways to promote it.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry ACTRN12621000027819; https://tinyurl.com/58wwjut9.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/34005.

摘要

背景

心理健康已不仅被理解为没有精神疾病，还包括存在心理幸福感，近期的干预措施旨在提高不同人群的幸福感。医护人员这一群体值得特别关注，他们的职业面临着高度压力，尤其是在持续的新冠疫情背景下。一项基于神经科学的针对医护人员的网络幸福感项目——“茁壮成长”项目——已全新开发出来，以促进有助于大脑健康和整体心理幸福感的习惯与活动。

目的

本文描述了一项随机对照试验的方案，其目的是将“茁壮成长”项目与积极对照条件进行比较，以衡量该项目在增加澳大利亚一家指定医院医护人员的幸福感和减轻心理困扰症状方面是否有效。

方法

该试验将包括两组（干预组与积极对照组），并在12周内进行4次测量。在第0、4、8和12周各进行一次调查，幸福感项目将在第1 - 7周提供（通过网络视频演示或数字宣传册）。4次调查中的每次都将包括一系列问卷，以测量幸福感、心理困扰及其他关键变量。计划进行的分析将估计组间时间交互效应，以检验相对于积极对照条件，干预条件下心理健康将随时间增加这一假设。