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基于理论的干预对医护人员韧性、社会资本、心理幸福感和促进健康生活方式影响的随机对照试验研究方案。

The study protocol for the randomized controlled trial of the effects of a theory-based intervention on resilience, social capital, psychological wellbeing, and health-promoting lifestyle in healthcare workers.

机构信息

Department of Health Education and Promotion, School of Health, Shiraz University of Medical Sciences, Razi Ave., PO. Box 71536-75541, Shiraz, Iran.

Department of Psychology, Liverpool Hope University, Liverpool, UK.

出版信息

BMC Psychol. 2023 Mar 6;11(1):59. doi: 10.1186/s40359-023-01098-2.

DOI:10.1186/s40359-023-01098-2
PMID:36879329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9986862/
Abstract

BACKGROUND

The workplace has been identified as a key determinant of health status. There is evidence of innumerable health problems among employees, particularly healthcare workers. Against this background, a holistic-systemic approach together with a good theoretical framework is required to reflect on this issue, and to support the design of effective interventions to promote the health and wellbeing of the given population. The present study aims to evaluate the effectiveness of an educational intervention in improving resilience, social capital, psychological wellbeing, and health-promoting lifestyle in healthcare workers, utilizing the Social Cognitive Theory integrated into the PRECEDE-PROCEED model.

METHODS

This randomized controlled trial will be performed on a large sample of the employees working in two healthcare centers in the city of Shiraz, Iran. The study will proceed with the healthcare workers of one city being given the educational intervention and the healthcare workers of the other city serving as a control group. Using a census method, all healthcare workers in the two cities will be informed of the trial and its purpose, and then invitations to join the study will be issued. The minimum sample size required has been calculated as 66 individuals in each healthcare centers. Recruitment to the trial will by systematic random sampling of eligible employees who submit an expression of interest in joining the trial, and subsequently give informed consent. Data will be collected through a self-administered survey instrument at three stages: at baseline, and both immediately and three months after the intervention. The experimental group members should participate in at least eight of the ten weekly educational sessions of the intervention and complete the surveys in the three stages. There is no educational intervention for the control group, and they simply experience some routine programs, and complete the surveys at the same three timepoints.

DISCUSSION

The findings will provide evidence for the possible effectiveness of a theory-based educational intervention to improve resilience, social capital, psychological wellbeing, and health-promoting lifestyle among healthcare workers. If the educational intervention is found to be effective, then its protocol will be exploited in other organizations to boost resilience. Trial registration IRCT20220509054790N1.

摘要

背景

工作场所已被确定为健康状况的关键决定因素。有证据表明,员工,尤其是医护人员,存在无数健康问题。有鉴于此,需要采用整体系统方法和良好的理论框架来反思这一问题,并支持设计有效的干预措施,以促进特定人群的健康和福祉。本研究旨在利用整合到 PRECEDE-PROCEED 模型中的社会认知理论,评估教育干预对提高医护人员韧性、社会资本、心理健康和促进健康生活方式的有效性。

方法

这项随机对照试验将在伊朗设拉子市的两个医疗中心的大量员工中进行。该研究将对一个城市的医护人员进行教育干预,而另一个城市的医护人员则作为对照组。通过普查方法,将向两个城市的所有医护人员告知试验及其目的,然后发出参加研究的邀请。每个医疗中心都需要计算至少 66 名医护人员的最小样本量。通过系统随机抽样,对有兴趣参加试验的合格员工进行招募,并随后获得知情同意。通过在三个阶段使用自我管理的调查问卷收集数据:基线、干预后立即和三个月后。实验组的成员应参加至少十次每周教育课程中的八次,并在三个阶段完成调查。对照组没有教育干预,他们只需参加一些常规活动,并在相同的三个时间点完成调查。

讨论

研究结果将为基于理论的教育干预措施在提高医护人员的韧性、社会资本、心理健康和促进健康生活方式方面的有效性提供证据。如果教育干预被证明有效,那么其方案将在其他组织中得到利用,以增强韧性。试验注册:IRCT20220509054790N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c4/9987109/c3bb9f7549bc/40359_2023_1098_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c4/9987109/e5cf2e6752fb/40359_2023_1098_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c4/9987109/c3bb9f7549bc/40359_2023_1098_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c4/9987109/e5cf2e6752fb/40359_2023_1098_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c4/9987109/c3bb9f7549bc/40359_2023_1098_Fig2_HTML.jpg

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