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The efficacy of the internet-based stress recovery intervention FOREST for nurses amid the COVID-19 pandemic: A randomized controlled trial
Vilnius Univ, Lithuania; Vilnius Univ, Lithuania.
Vilnius Univ, Lithuania.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Biomedical and Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Karolinska Inst, Sweden.ORCID iD: 0000-0003-4753-6745
Vilnius Univ, Lithuania.
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2023 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 138, article id 104408Article in journal (Refereed) Published
Abstract [en]

Background: The COVID-19 pandemic demanded exceptional physical and mental effort from healthcare workers worldwide. Since healthcare workers often refrain from seeking professional psychological support, internet-delivered interventions could serve as a viable alternative option.Objective: We aimed to investigate the effects of a therapist-guided six-week CBT-based internet-delivered stress recovery intervention among medical nurses using a randomized controlled trial design. We also aimed to assess program usability.Methods: 168 nurses working in a healthcare setting (Mage = 42.12, SDage = 11.38; 97 % female) were included in the study. The intervention group included 77 participants, and the waiting list control group had 91 participants. Self-report data were collected online at three timepoints: pre-test, post-test, and three-month follow-up. The primary outcome was stress recovery. Secondary outcomes included measures of perceived stress, anxiety and depression symptoms, psychological well-being, posttraumatic stress and complex posttraumatic stress symp-toms, and moral injury.Results: We found that the stress recovery intervention FOREST improved stress recovery, including psychologi-cal detachment (d = 0.83 [0.52; 1.15]), relaxation (d = 0.93 [0.61, 1.25]), mastery (d = 0.64 [0.33; 0.95]), and control (d = 0.46 [0.15; 0.76]). The effects on psychological detachment, relaxation, and mastery remained stable at the three month follow-up. The intervention was also effective in reducing its users stress (d = -0.49 [-0.80;-0.18]), anxiety symptoms (d = -0.31 [-0.62;-0.01]), depression symptoms (d = -0.49 [-0.80;-0.18]) and increasing psychological well-being (d = 0.53 [0.23; 0.84]) with the effects on perceived stress, depression symptoms, and well-being remaining stable at the three-month follow-up. High user satisfac-tion and good usability of the intervention were also reported.Conclusions: The present study demonstrated that an internet-bas ed intervention for healthcare staff could increase stress recovery skills, promote psychological well-being, and reduce stress, anxiety, and depression symptoms, with most of the effects being stable over three months.Trial registration: NCT04817995 (https://clinicaltrials.gov/ct2/show/NCT04817995). Registration date: March 30, 2021. Date of first recruitment: April 1, 2021.(c) 2022 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
PERGAMON-ELSEVIER SCIENCE LTD , 2023. Vol. 138, article id 104408
Keywords [en]
Efficacy; Internet-based intervention; Nurses; RCT; Stress recovery
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-191171DOI: 10.1016/j.ijnurstu.2022.104408ISI: 000906329100001PubMedID: 36527859OAI: oai:DiVA.org:liu-191171DiVA, id: diva2:1729918
Note

Funding Agencies|European Regional Development Fund [01.2.2-LMT-K-718-03-0072]; Research Council of Lithuania (LMTLT)

Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2024-04-16

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PsychologyFaculty of Arts and SciencesDepartment of Biomedical and Clinical SciencesFaculty of Medicine and Health Sciences
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