Efficacy of the my health too online cognitive behavioral therapy program for healthcare workers during the COVID-19 pandemic: A randomized controlled trial

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-03-19 DOI:10.1016/j.invent.2024.100736

Amaury C. Mengin , Nathalie Nourry , François Severac , Fabrice Berna , Doha Bemmouna , Mădălina Elena Costache , Aurélie Fritsch , Isabelle Frey , Fabienne Ligier , Nadia Engel , Philippe Greth , Anastasia Khan , Jean-Christophe Chauvet-Gelinier , Guillaume Chabridon , Emmanuel Haffen , Magali Nicolier , Anna Zinetti-Bertschy , Pierre Vidailhet , Luisa Weiner

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Abstract

Background

Healthcare workers' mental health has been impacted by the COVID-19 pandemic, emphasizing the need for mental health interventions in this population. Online cognitive behavioral therapy (CBT) is efficient to reduce stress and may reach numerous professionals. We developed “MyHealthToo”, an online CBT program to help reduce stress among healthcare workers during the COVID-19 pandemic.

Objective

The aim of our study is to investigate the efficacy of an online CBT program on stress and mental health conditions among healthcare workers during a health crisis.

Methods

We performed a multicentric randomized controlled trial among 155 participants allocated either to the experimental or active control group (bibliotherapy). The primary outcome was the decrease of perceived stress scores (PSS-10) post-treatment. Secondary outcomes included depression, insomnia and PTSD symptoms along with self-reported resilience and ruminations. Assessments were scheduled pretreatment, mid-treatment (4 weeks), post-treatment (8 weeks), and at 1-month and 4-months follow-up.

Results

For both interventions, mean changes on the PSS-10 were significant post-therapy (W8), as at 1-month (W12) and 4-months (W24) follow-ups. The between-group comparison showed no difference at any time point (ps > 0.88). Work-related ruminations significantly decreased in the experimental group with a significant between-group difference at W8 (Δ = −1.83 [−3.57; −0.09], p = 0.04). Posttraumatic stress symptoms significantly decreased in the experimental group with a significant between-group difference at W12 (Δ = −1.41 [−2.68; −0.14], p = 0.03). The decrease in work-related ruminations at W8 mediated the decrease in posttraumatic stress symptoms at W12 (p = 0.048).

Conclusion

The “MyHealthToo” online CBT intervention may help reduce ruminations about work and posttraumatic stress symptoms among healthcare workers during a major health crisis. Work-related ruminations may represent a relevant target of online interventions to improve mental health among healthcare workers.

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在 COVID-19 大流行期间，针对医护人员的 my health too 在线认知行为疗法项目的疗效：随机对照试验

医护人员的心理健康受到了 COVID-19 大流行病的影响，强调了对这一人群进行心理健康干预的必要性。在线认知行为疗法（CBT）可有效减轻压力，并可惠及众多专业人员。我们开发了一个名为 "MyHealthToo "的在线 CBT 程序，以帮助医护人员在 COVID-19 大流行期间减轻压力。我们的研究旨在调查在线 CBT 程序对健康危机期间医护人员的压力和心理健康状况的影响。我们在 155 名参与者中开展了一项多中心随机对照试验，将他们分配到实验组或积极对照组（书目疗法）。主要结果是治疗后感知压力得分（PSS-10）的下降。次要结果包括抑郁、失眠和创伤后应激障碍症状，以及自我报告的复原力和反思。评估安排在治疗前、治疗中期（4 周）、治疗后（8 周）以及 1 个月和 4 个月的随访中进行。对于两种干预方法，PSS-10 的平均值在治疗后（第 8 周）、1 个月（第 12 周）和 4 个月（第 24 周）随访时都有显著变化。组间比较显示，在任何时间点都没有差异（s > 0.88）。实验组与工作相关的反思明显减少，在 W8 时组间差异显著（Δ = -1.83 [-3.57; -0.09], = 0.04）。实验组的创伤后应激症状明显减少，在 W12 时组间差异显著（Δ = -1.41 [-2.68; -0.14], = 0.03）。在 W8 阶段，与工作相关的反思的减少对 W12 阶段创伤后应激症状的减少起到了中介作用 ( = 0.048)。MyHealthToo "在线 CBT 干预疗法可能有助于减少医护人员在重大健康危机期间对工作的反思和创伤后应激症状。与工作相关的反思可能是改善医护人员心理健康的在线干预的一个相关目标。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions