RecruitingNot ApplicableNCT05526235

A Scalable Psychological Intervention to Reduce Psychological Distress Among Workers of Assisted Living Facilities

Reducing the Psychosocial Impact of the Covid-19 Pandemic on Workers of Assisted Living Facilities

Sponsor

Fundació Sant Joan de Déu

Enrollment

150 participants

Start Date

Sep 27, 2022

Study Type

INTERVENTIONAL

Conditions

Psychological Distress Depression Anxiety

Summary

The current study is a randomized controlled trial (RCT) that aims to evaluate the effectiveness of a stepped-care program (Doing What Matters \[DWM\] and Problem Management Plus \[PM+\]) in reducing anxiety and depression symptoms amongst long-term care workers (LTCWs), following changes in care due to the COVID-19 pandemic.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a brief, scalable psychological support program designed to reduce stress and burnout in workers at assisted living facilities and home care workers in Catalonia, Spain. **You may be eligible if...** - You are 18 or older - You work in a long-term care facility or as a home care worker in Catalonia - You are experiencing elevated psychological distress, measured by scoring above 15.9 on a standard distress questionnaire (K10) - You can provide digital or written consent **You may NOT be eligible if...** - You have an acute medical condition that requires hospitalization - You have an immediate risk of suicide or an urgent mental health crisis - You have a severe mental illness such as a psychotic disorder or severe substance dependence - You have severe cognitive impairment (such as advanced dementia) - You are currently receiving specialized psychological treatment (like CBT or EMDR) - You are taking psychiatric medication at an unstable dose (changed within the last 2 months) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALDoing What Matters (DWM)

The original DWM program consists of a self-help guide called 'Doing What Matters in Times of Stress', that is complemented with pre-recorded audio exercises. The audio material imparts key information about stress management and guides participants through individual exercises. Additionally, participants are guided by a briefly trained helper. In this study, DWM will be delivered as an online intervention. The DWM intervention, i.e. both the audio recordings and the self-help guide, has been adapted for use on a smartphone or other device with internet access. The format of DWM is innovative in that it seeks to ensure that key intervention components are delivered as intended through the use of pre-recorded audio, without the burden of extensive training and supervision. In the online application tool a new module is released every week so participants will be asked to go through the entire DWM intervention within 5 weeks with weekly guidance from a helper.

BEHAVIORALProblem Management Plus (PM+)

PM+ is a new, brief, psychological intervention program based on cognitive behavioral therapy (CBT) techniques. The manual involves the following empirically supported elements: problem solving plus stress management, behavioral activation, facing fears, and accessing social support. Across the five 90-minute sessions participants may talk to trained non-professional. PM+ has four core features, and it is brief. In this study, the delivery mode of the PM+ intervention will be flexible, with remote delivery in phases of the pandemic when physical distancing rules apply. This is a future-oriented attempt towards a more holistic mental health care system that can flexibly switch between modes of delivery (e.g. remotely (e.g. Zoom) or face-to), depending on the needs and the specific containment measures that apply, and the specific preferences and needs of the participant.

BEHAVIORALPsychological First Aid (PFA)

PFA is a brief intervention consisting of a 15-min call that assess the immediate concerns and needs of an individual in order to connect individuals to help and resources.