Anxiety Depression, Health Behavior, Job Stress, Work Related Stress
Conditions
Keywords
heart rate variability, health behaviour, anxiety, depression, job stress, well-being, health coaching
Brief summary
This pilot study will evaluate possible intervention components to be included in a future stress management and health behaviour change trial and to pilot test their feasibility and acceptability in a small sample.
Detailed description
Work is one of the greatest contributors to chronic stress. Chronic stress is a critical risk factor leading to several negative work- and health-related outcomes. Developing scalable stress-management interventions will improve workers' health and wellness. The purpose of this project is to develop an optimized a stress reduction behavioural coaching and biofeedback intervention to supplement an existing mHealth platform (consisting of behavioural web-based modules). By testing coaching and biofeedback, this project can determine what level of interaction with a trained coach is necessary to optimally reduce workers' stress, and improve their health and well-being. To achieve this purpose, the multiphase optimization strategy (MOST) will be employed to develop, optimize, and evaluate the efficacy of this intervention. The three-phases include: preparation (selecting which intervention components are feasible to examine), optimization (determining the optimized package of components), and evaluation (evaluating the efficacy of the optimized package through a randomized control trial). This trial will cover the first phase of the MOST protocol. This pilot study will evaluate possible intervention components to be included in a future stress management and health behaviour change trial and to pilot test their feasibility and acceptability in a small sample. Preparation phase objectives: 1.1 Determine which candidate components will be tested in a later optimization phase and at what dose they will be tested 1.2 Examine the feasibility of delivering the different components 1.3 Examine the acceptability of delivering the different components 1.4 Evaluate whether the outcomes can be feasibly measured Design overview: A 2\^4 (2x2x2x2) factorial experiment will run in the next phase of this project to test all combinations of four candidate components turned on and off with 16 different conditions. In the present study, we will ask 16 participants to each participate in and evaluate one of the sixteen conditions. The four candidate components being tested are: Daily resting HRV biofeedback, Momentary HRV biofeedback, Behavioural initiation coaching, and Practice with feedback coaching. Additionally, all participants will be asked to use complete the 8-week health behaviour change and stress management program on the Core health mHealth platform. Participants will be randomized to completing one of the sixteen conditions while completing the eight-week CoreHealth program.
Interventions
BEHAVIORALCore Health Program
8-week structured stress management and health behaviour change program
BEHAVIORALDaily resting HRV
Take regular HRV readings in the morning
BEHAVIORALMomentary HRV feedback
Take regular HRV readings throughout the day when stressed and perform mindfulness activity
BEHAVIORALBehavioural initiation coaching
15-minute health coaching session in first week of program to help participant set goals and create an action plan
BEHAVIORALPractice with feedback coaching
15-minute health coaching session in week 2 or 4 of program to help participant review goals and modify action plans if needed
Sponsors
Mitacs
Brock University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years and older * Able to read and comprehend English * Have smart phone (Android or iPhone 8 or higher) * Self-report BMI under 40 * report at least Moderate daily stress
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility and acceptability of intervention components | Assessment taken immediately after the intervention | Acceptability and Feasibility of Intervention Measure (Scale range 1\[completely disagree\] to 5 \[completely agree\] with higher scores being better; Weiner et al., 2017) |
| Participant perceptions of intervention components | Assessment taken immediately after the intervention | Semi-structured interview questions to evaluate experiences, likes, dislikes, potential changes, and perceived feasibility |
| Health coach perceptions of intervention delivery | Assessment taken immediately after the intervention | Semi-structured interview questions to evaluate experiences, likes, dislikes, potential changes, and perceived feasibility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate variability | Assessment taken immediately before and after the intervention | 7-day device-measured HRV |
| Completion of survey measures | Assessment taken immediately before and after the intervention | % of questionnaire measures answered and % missing data |
| User engagement | continuously collected during 8-week intervention | number of times participants access the Core Health platform |
Countries
Canada
Outcome results
None listed