The healthcare industry is inherently demanding, stressful, and, at times, emotionally draining. On a typical day, many workers must make rapid and critical decisions, manage numerous demands, team conflicts, and challenging situations with patients and their families. For some health care workers (HCW), the current pandemic - COVID-19 - has also exacerbated these challenges. Providing psychological support is key in alleviating stress among HCWs, yet the situation does not require therapy because HCWs do not principally suffer from a mental disorder. RECHARGE was specifically developed for HCWs and is an abbreviated online version of Problem Management Plus, an evidence-based intervention that helps to cope with stress in times of crisis. As a brief psychological intervention for adults affected by adversity emerging from stress exposure, RECHARGE teaches people three well-documented strategies to manage acute stress (a: managing stress, b: managing worry, c: meaningful activity). It includes psychoeducation, arousal reduction techniques, managing worries and problem-solving skills, behavioral activation, and enhancement of meaningful activities, which are all based on the principles of cognitive-behavioral therapy. The aim of this study is to evaluate the efficacy of RECHARGE to reduce stress in HCWs and enhance their work performance. Participants in this randomized controlled trial (RCT) study are randomly assigned to either RECHARGE or the active control group. To this end, stress including symptoms of burnout, worries, anxiety, depression, PTSD, and work performance will be measured at baseline, post-intervention, and at a 2 and 6 month follow up.
Behavioral: RECHARGE
RECHARGE is an abbreviated and adapted version of Problem Management Plus (PM+), an evidence-based intervention that helps to cope with stress in times of crisis. Recharge is specifically developed for HCWs as a brief psychological intervention for adults affected by adversity emerging from stress exposure and teaches people three well-documented strategies to manage acute stress. The strategies are: a) managing stress, b) managing worry, c) meaningful activity. It includes psychoeducation, arousal reduction techniques, managing worries and problem-solving skills, behavioural activation, enhancement of meaningful activities, and relapse prevention, which are all based on the principles of cognitive-behavioural therapy.
RECHARGE is delivered online in a 1 to 1 setting between coach and participant. Trained peers (medical doctors, nurses, psychologists) act as coaches.
Behavioral: Self Study
HCWs are referred to a few recommended webpages that outline well-validated, adaptive coping strategies for managing stress.
Inclusion Criteria:
- Anxiety and depression checklist (K10) score of 16 or higher
- Healthcare worker
- Sufficient German language comprehension
- Access to teleconferencing platform
Exclusion Criteria:
- Currently participating in a similar study
- Currently in psychotherapeutic treatment / coaching
- Currently on sick leave for more than 2 weeks
Klinik für Konsiliarpsychiatrie und Psychosomatik
Zürich, Switzerland
Investigator: Naser Morina, PhD
Contact: +41 44 255 52 80
naser.morina@usz.ch
Naser Morina, PhD
+41442555280
naser.morina@usz.ch
Sonja Weilenmann, PhD
+41 44 255 52 52
sonja.weilenmann@usz.ch
Naser Morina, PhD, Principal Investigator
University of Zurich