Occupational Stress
Conditions
Keywords
stress management, virtual classroom, risk of burnout, behavioural and psychological symptoms of dementia
Brief summary
The aim of this cluster-randomised pilot study is to assess the feasibility of a remote stress management programme to reduce occupational stress in healthcare workers in specialised care units of nursing homes. Secondary aims are to assess the effectiveness of the programme in reducing stress in care workers and reducing behavioural and psychological symptoms of dementia in residents. Participants randomised to the experimental cluster will follow the stress management programme delivered in a virtual classroom. Participants randomised to the control cluster will be placed on a waiting list. The primary outcome measure will be the participation rate in the study. Other secondary outcomes will include measures of heart rate variability (as a marker of physiological stress) and scores on specific questionnaires for stress, anxiety and risk of burnout in nursing staff in the specialised care units, and behavioural and psychological symptoms of dementia and quality of life in residents in the specialised care units. Both clusters will complete the same assessments. Participants in the experimental cluster will follow a three-course programme with a psychologist via videoconferencing over a period of 2 months. After the study's final evaluation visit, which will take place one month after the programme, participants in the control cluster will be offered the opportunity to follow the same programme.
Interventions
BEHAVIORALStress management
Ten-hour, three-course stress management programme with a psychologist via video conferencing over a 2 month period. The classes will be delivered in small groups of maximum seven care workers. Carers can be brought together in the same room, but the speaker will necessarily be at a distance, via videoconferencing. The formation will adress the following issues: i) Understanding the mechanisms of stress, ii) Identifying sources of stress and triggers, iii) Anticipate stressful situations and use their resources to prevent them, and iv) Use the most appropriate stress-reduction techniques, depending on their sensitivity.
Sponsors
GCS CIPS
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Cluster-randomised pilot study with four specialised care units of nursing homes and two clusters. Two specialised care units will be randomized in the experimental cluster, and the other ones will be randomized in the control cluster.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Having a caring relationship with residents (e.g. nurses, nursing assistants) * Working in the specialised care unit of the nursing home * Working in the nursing home for at least 3 months on the date of inclusion and whose employment contract does not end within 3 months of the date of inclusion. * Obtaining express written informed consent, after a period of reflection
Exclusion criteria
* Person in a period of relative exclusion in relation to another protocol * Person who is not affiliated to or does not benefit from a social security scheme. * Pregnant or lactating woman * Participant unable to give consent * Person deprived of liberty by judicial or administrative decision * Person unable to understand, speak, read and write French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participation rate | From enrollment to the end of the study at 3 months | Participation rate defined as the ratio of the number of participants who completed all study visits to the number of care professionals who agreed to participate. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Retention rate | From enrollment to the end of the study at 3 months | Ratio between the number of care professionals still present at the last visit of the study and the number of care professionals included in the study |
| Perceptions of the quality of patient care | Baseline, 2 months and 3 months | Score on the Victorian Patient Satisfaction Questionnaire |
| Substance use | Baseline, 2 months and 3 months | Usual substance use (tobacco, alcohol, drugs...), assessed by a questionnaire that records the type of substance and frequency of use. |
| Knowledge and mastery of stress management tools | Baseline, 2 months and 3 months | Score on a multiple-choice questionnaire specially designed for the study |
| Job satisfaction | Baseline, 2 months and 3 months | Score on the Overall Job Satisfaction Scale |
| Risk of burn-out | Baseline, 2 months and 3 months | Score on the Malasch Burnout Inventory |
| Quality of life | Baseline, 2 months and 3 months | Score on the World Health Organization Quality of Life questionnaire |
| Self-rated health | Baseline, 2 months and 3 months | Score on the self-rated health scale |
| Anxiety | Baseline, 2 months and 3 months | Score on the Generalized Anxiety Disorder 7-Item |
| Cost of the programme | From enrollment to the end of the study at 3 months | Total cost of the stress management program including the costs incurred to enable the employee to follow the training and/or the costs incurred to replace the absence of the employee in the service |
| Acceptance rate | At enrollment | Ratio between the total number of eligible healthcare workers and the number of healthcare worker who accept to be enrolled in the study. |
| Adherence | From the beginning to the end of the study, at 3 months | Average number of visits attended by each participant. |
| Quality of the intervention | At the end of the intervention, at 3 months | Feedback on the relevance of the training and its contribution through semi-directive interviews and focus groups in participants and in managers and directors of the nursing homes. |
| Heart rate variability | Baseline and 3 months | Recording of resting heart rate variability assessed by RMSSD, SDNN, LF and HF markers. |
| Occupational stress | Baseline, 2 months and 3 months | Score on the Work Place Stress Scale |
| Overall stress | Baseline, 2 months and 3 months | Score on the Perceived Stress Scale-10 |
Other
| Measure | Time frame | Description |
|---|---|---|
| Behavioural and psychological symptoms of dementia in the residents of the specialised care units | Baseline and 3 months | Residents' behavioural and psychological symptoms of dementia as perceived by healthcare workers, as assessed by the Neuropsychiatric inventory questionnaire |
| Health-related quality of life of residents in the specialised care units | Baseline and 3 months | Residents' health-related quality of life as perceived by healthcare workers, as assessed by scores on the 'Quality of Life in Late Stage Dementia' questionnaire. |
| Residents' level of agitation in the specialised care units | Baseline and 3 months | Perceived residents' level of agitation by the healtcare workers assessed by the score on the Cohen-Mansfield Agitation Inventory |
Countries
France
Outcome results
None listed