Effects of two types of smartphone-based stress management programmes on depressive and anxiety symptoms among hospital nurses in Vietnam: a protocol for three-arm randomised controlled trial
Effects of two types of smartphone-based stress management programmes on depressive and anxiety symptoms among hospital nurses in Vietnam: a protocol for three-arm randomised controlled trial
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DOI：
10.1136/bmjopen-2018-025138
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发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Kawakami, Norito
中科院分区：
文献类型：
--
作者：
Imamura, Kotaro;Thuy Thi Thu Tran;Kawakami, Norito
由于亚洲低收入和中等收入国家对医疗保健的需求不断增加，因此制定一项战略来管理医疗保健环境中与工作相关的压力非常重要，特别是在这些国家的护士中。这项三臂随机对照试验（RCT）的目的是研究一种新开发的基于智能手机的多模块压力管理计划对降低抑郁和焦虑症状严重程度的影响，作为越南医院护士3个月和7个月随访的主要结果。方法和分析目标研究人群将是在大型综合医院工作的注册护士（约有2000名护士）。他们将被邀请参加这项研究。符合资格标准的参与者将被随机分配到自由选择、多模块压力管理（干预组A，n=360）、互联网认知行为疗法（iCBT），即固定顺序压力管理（干预组B，n=360）或常规治疗对照组（n=360）。将开发两种类型（自由选择和固定顺序）的基于智能手机的六模块压力管理方案。干预组的参与者将被要求在基线调查后10周内完成其中一项方案。主要结果是抑郁和焦虑症状，在3个月和7个月的随访中使用抑郁焦虑和压力量表（DASS）进行测量。东京大学（编号11991）和河内公共卫生大学生物医学研究伦理审查委员会（编号346/2018/YTCC-HD 3）。如果在随机对照试验中发现干预方案的显著效果，则将向医院的所有护士（包括对照组）提供这些方案。如果在这项随机对照试验中发现了积极的效果，电子压力管理计划将传播给越南的所有护士。试验注册号UMIN 000033139;初步结果。
Introduction Due to an increasing demand for healthcare in low-income and middle-income countries in Asia, it is important to develop a strategy to manage work-related stress in healthcare settings, particularly among nurses in these countries. The purpose of this three-arm randomised controlled trial (RCT) is to examine the effects of a newly developed smartphone-based multimodule stress management programme on reducing severity of depressive and anxiety symptoms as primary outcomes at 3-month and 7-month follow-ups among hospital nurses in Vietnam.Methods and analysis The target study population will be registered nurses working in a large general hospital (which employs approximately about 2000 nurses) in Vietnam. They will be invited to participate in this study. Participants who fulfil the eligibility criteria will be randomly allocated to the free-choice, multimodule stress management (intervention group A, n=360), the internet cognitive behavioural therapy (iCBT), that is, fixed-order stress management (intervention group B, n=360), or a treatment as usual control group (n=360). Two types (free-choice and fixed sequential order) of smartphone-based six-module stress management programmes will be developed. Participants in the intervention groups will be required to complete one of the programmes within 10 weeks after the baseline survey. The primary outcomes are depressive and anxiety symptoms, measured by using the Depression Anxiety and Stress Scales (DASS) at 3-month and 7 month follow-ups.Ethics and dissemination The study procedures have been approved by the Research Ethics Review Board of Graduate School of Medicine/Faculty of Medicine, the University of Tokyo (no 11991) and the Ethical Review Board for Biomedical Research of Hanoi University of Public Health (no 346/2018/YTCC-HD3). If a significant effect of the intervention programmes will be found in the RCT, the programmes will be made available to all nurses in the hospital including the control group. If the positive effects are found in this RCT, the e-stress management programmes will be disseminated to all nurses in Vietnam.Trial registration number UMIN000033139; Pre-results.