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| Name | Class |
|---|---|
| Wellcome Trust | OTHER |
| Uppsala University | OTHER |
| Intensive Care Society (Communication Department) | UNKNOWN |
| University of Nottingham |
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Frontline healthcare staff are frequently exposed to traumatic events at work (e.g., witnessing patients die), amplified by the COVID-19 pandemic. A significant proportion experience intrusive memories of these events that pop suddenly into mind: they can disrupt functioning and can contribute to post-traumatic stress disorder. Previous research has shown that a brief behavioural intervention can reduce the number of intrusive memories after a traumatic event. In this study we will test the effect of a digital imagery-competing task, a digital music-listening task and treatment as usual (TAU) for National Health Service (NHS) staff with intrusive memories of work-related traumatic events from the pandemic. We test the effect on the number of intrusive memories (primary outcome), and other clinical symptoms (PTSD, anxiety, depression, and insomnia), in addition to work functioning, general functioning and quality of life (secondary outcomes). Intervention feasibility, acceptability and implementation will also be explored (additional outcomes). We will recruit approximately 150 NHS staff (via the Intensive Care Society, social media and direct advertising by NHS Trusts) with intrusive memories of traumatic events experienced during the COVID-19 pandemic.
The study is funded by the Wellcome Trust (223016/Z/21/Z).
A statistical analysis plan will be prepared prior to the first interim analysis using Bayesian analyses for statistical inference.
Regular monitoring will be performed by P1vital Products to verify that the study is conducted, and data are generated, documented and reported in compliance with the protocol, GCP and the applicable regulatory requirements. Quality assurance representatives from the Sponsor may carry out an audit of the study in compliance with regulatory guidelines and relevant standard operating procedures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brief digital imagery-competing task | Experimental | Access to a brief digital imagery-competing task for 24 weeks (first 4 weeks with optional researcher support). |
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| Brief digital music-listening task | Experimental | Access to a brief digital music-listening task for 24 weeks (first 4 weeks with optional researcher support). |
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| Treatment As Usual | Experimental | Access to routine care that participants would otherwise receive if having intrusive memories of traumatic events for 24 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brief digital imagery-competing task | Behavioral | First session guided by a researcher: A memory cue followed by playing a computer game with mental rotation instructions. Option to engage in self-administered/guided sessions after the first session. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Intrusive Memories of Traumatic Event(s) | Number of intrusive memories of traumatic event(s) recorded by participants in a brief daily online diary for 7 days. | Run-in/screening week, Week 4 (all arms) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Intrusive Memories of Traumatic Event(s) | Number of intrusive memories of traumatic event(s) recorded by participants in a brief daily online diary for 7 days. | Run-in/Screening week, Weeks 12 and 24 (all arms) |
| PTSD Checklist for DSM-5 (PCL-5) |
| Measure | Description | Time Frame |
|---|---|---|
| Changes to Health and Work - Dichotomous Outcomes | The 9-item questionnaire will be used to assess the occurrence and number of any new traumatic events, any additional stressful life events (e.g. relationship problems, financial problems), new treatments received, untoward medical occurrences, changes to the job, or changes to the number of hours worked per week since the last assessment. Dichotomous outcomes are presented below, and discrete outcomes with count data are presented under "Changes to health and work - discrete outcomes". |
Inclusion Criteria:
Exclusion Criteria:
• Have fewer than three intrusive memories during the run-in week.
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| Name | Affiliation | Role |
|---|---|---|
| Emily Holmes | Uppsala University (UU), Sweden | Study Director |
| Amy Beckenstrom | P1vital Products, Wallingford | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| P1vital Products Ltd | Wallingford | Oxfordshire | OX10 8BA | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41720573 | Derived | Beckenstrom AC, Bonsall MB, Markham A, Slade O, Ramineni V, Iyadurai L, Islam Z, Highfield J, Jaki T, Goodwin GM, Dias R, Daniels R, Malik A, Summers C, Kingslake J, Holmes EA. A digital imagery-competing task intervention for stopping intrusive memories in trauma-exposed health-care staff during the COVID-19 pandemic in the UK: a Bayesian adaptive randomised clinical trial. Lancet Psychiatry. 2026 Mar;13(3):233-247. doi: 10.1016/S2215-0366(25)00397-9. |
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The Study Protocol and Statistical Analysis Plan will be shared on the Open Science Framework, together with an anonymised database of individual participant data, data dictionary, and analysis scripts.
The Study Protocol and Statistical Analysis Plan were uploaded to the Open Science Framework (OSF) prior to the last participant completing the last visit.
Results of the study will be shared through open access publications. On publication of the main study results, the associated database of individual participant data (anonymised), data dictionary, and analysis scripts will be made available on OSF.
The information described above will be shared indefinitely and with no end date on the OSF platform.
The information described above will be made available on the OSF indefinitely.
OSF is an open source web application that is freely accessible to the public and scientific community.
Prior to randomisation, nine participants were excluded for having fewer than three IMs in the baseline IM diary, eight were lost to follow-up, and six withdrew prior to randomisation. These participants are detailed in the 'Run-in week only (non-randomised)' arm in the Participant Flow.
Between 08 December 2022 and 15 September 2023, 176 participants were screened via online questionnaires, with 122 eligible participants subsequently providing informed consent and commencing the run-in/screening week.
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| ID | Title | Description |
|---|---|---|
| FG000 | Brief Digital Music-listening Task | Access to a brief digital music-listening task for 24 weeks (first 4 weeks with optional researcher support). Brief digital music-listening task: First session guided by a researcher: Information about the composer's music followed by listening to classical music. Option to engage in self-administered/guided sessions after the first session. |
| FG001 | Brief Digital Imagery-competing Task | Access to a brief digital imagery-competing task for 24 weeks (first 4 weeks with optional researcher support). Brief digital imagery-competing task: First session guided by a researcher: A memory cue followed by playing a computer game with mental rotation instructions. Option to engage in self-administered/guided sessions after the first session. |
| FG002 | Treatment As Usual | Access to routine care that participants would otherwise receive if having intrusive memories of traumatic events for 24 weeks. |
| FG003 | Run-in Week Only (Non-randomised) | This study used a run-in week to establish a baseline number of intrusive memories over a seven-day period. Participants were randomised if they completed the run-in week, recorded at least three intrusive memories during the run-in week, and completed baseline questionnaires. N=23 participants commenced the run-in week and could not be randomised to experimental arm. No data are available for those participants were not randomised. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
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| Run-In/Screening Week |
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| Baseline Questionnaires/Randomisation |
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| Receive Treatment/TAU Equivalent (Day 0) |
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| Week 4 |
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| Week 12 |
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| Week 24 |
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All participants randomised to an experimental condition (groups combined, n=99)
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| ID | Title | Description |
|---|---|---|
| BG000 | Brief Digital Music-listening Task | Access to a brief digital music-listening task for 24 weeks (first 4 weeks with optional researcher support). Brief digital music-listening task: First session guided by a researcher: Information about the composer's music followed by listening to classical music. Option to engage in self-administered/guided sessions after the first session. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Intrusive Memories of Traumatic Event(s) | Number of intrusive memories of traumatic event(s) recorded by participants in a brief daily online diary for 7 days. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Median | Inter-Quartile Range | Number of intrusive memories | Run-in/screening week, Week 4 (all arms) |
|
Adverse events were surveyed throughout the trial, from enrolment to Week 24.
All participants were asked to report adverse events, including any additional stressful life events or new treatments, with both passive (reported throughout the trial) and active surveillance (open ended questions at 4, 12 and 24 weeks).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Brief Digital Music-listening Task | Access to a brief digital music-listening task for 24 weeks (first 4 weeks with optional researcher support). Brief digital music-listening task: First session guided by a researcher: Information about the composer's music followed by listening to classical music. Option to engage in self-administered/guided sessions after the first session. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Endometriosis | Reproductive system and breast disorders | Systematic Assessment | Participant reported being hospitalised due to endometriosis, unrelated to study procedures |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| SARS-CoV-2 Infection | Infections and infestations | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Emily Holmes | Uppsala University (UU), Sweden | 0046 73 712145 | emily.holmes@uu.se |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 12, 2024 | Feb 5, 2026 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 14, 2024 | Feb 5, 2026 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| OTHER |
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| Brief digital music-listening task | Behavioral | First session guided by a researcher: Information about the composer's music followed by listening to classical music. Option to engage in self-administered/guided sessions after the first session. |
|
| Treatment As Usual | Other | Access to routine care that participants would otherwise receive if having intrusive memories of traumatic events. |
|
This 20-item measure assesses symptoms of PTSD over the last week. Items are rated on a 5-point scale ranging from 0 ("not at all") to 4 ("extremely"). Scores are summed to give a total severity score (ranging 0 to 80), with greater scores indicating greater symptom severity. |
| Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Sleep Condition Indicator (SCI) | This 2-item scale measures sleep problems against the DSM-5 criteria for insomnia disorder. Item responses are each scored 0-4, with scores from 0 to 2 indicating threshold criteria for insomnia disorder. Total score ranges 0-8, with a higher score indicating better sleep. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Generalised Anxiety Disorder 2-item Scale (GAD-2) | This 2-item short-form self-report measure assesses symptoms of anxiety. Items are rated for how often they have bothered the respondent over the last two weeks, from 0 ("not at all") to 3 ("nearly every day"). Total score is the sum of both items and ranges from 0 to 6, with greater scores indicating greater symptom severity. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Patient Health Questionnaire 2-item Version (PHQ-2) | This 2-item short-form self-report measure assesses symptoms of depression. Items are rated for how often they have bothered the respondent over the last two weeks, from 0 ("not at all") to 3 ("nearly every day"). Total score is the sum of both items and ranges from 0 to 6, with greater scores indicating greater symptom severity. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Scale of Work Engagement and Burnout (SWEBO) - Work Engagement Total Score | This 19-item self-report measure assesses work engagement and burnout. The work engagement subscale consists of 10 items assessing three dimensions (vigour, attentiveness, dedication). The burnout subscale consists of 9 items assessing three dimensions (exhaustion, disengagement and inattentiveness). Respondents rate how often they have felt each descriptive in the past two weeks, from 1 (not at all) to 4 (all the time). The work engagement subscale total score is calculated as a mean of items (range 1-4), with greater scores indicating greater work engagement. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Scale of Work Engagement and Burnout (SWEBO) - Work Burnout Total Score | This 19-item self-report measure assesses work engagement and burnout. The work engagement subscale consists of 10 items assessing three dimensions (vigour, attentiveness, dedication). The burnout subscale consists of 9 items assessing three dimensions (exhaustion, disengagement and inattentiveness). Respondents rate how often they have felt each descriptive in the past two weeks, from 1 (not at all) to 4 (all the time). The work burnout subscale total score is calculated as a mean of items (range 1-4), with greater scores indicating greater work burnout. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Sickness Absence | Single item assessing self-reported number of sick days taken from work in the last 4 weeks. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Intention to Leave Job | 3 items assess participants' intention to leave their job e.g. "I think a lot about leaving the job", each rated from 1 (strongly agree) to 5 (strongly disagree). The total score ranges 3 to 15, with a lower score indicating stronger intention to leave the job. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Mobility | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The mobility item is scored on a 5-point ordinal scale from "I have no problems in walking about" to "I am unable to walk about". | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Self Care | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The self care item is scored on a 5-point ordinal scale from "I have no problems washing or dressing myself" to "I am unable to wash or dress myself". | Baseline, Week 4, Week 12 and Week 24 |
| 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Usual Activities | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The usual activities item is scored on a 5-point ordinal scale from "I have no problems doing my usual activities" to "I am unable to do my usual activities". | Baseline, Week 4, Week 12 and Week 24 |
| 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Pain / Discomfort | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The pain / discomfort item is scored on a 5-point ordinal scale from "I have no pain or discomfort" to "I have extreme pain or discomfort". | Baseline, Week 4, Week 12 and Week 24 |
| 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Anxiety / Depression | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The anxiety / depression item is scored on a 5-point ordinal scale from "I am not anxious or depressed" to "I am extremely anxious or depressed". | Baseline, Week 4, Week 12 and Week 24 |
| 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Overall Health | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief measure for assessing general quality of life and health status. Respondents rate their overall health today on a visual analogue scale from 0 (the worst health you can imagine) to 100 (the best health you can imagine). | Baseline, Week 4, Week 12 and Week 24 |
| World Health Organization Disability Assessment Schedule 12-item Version (WHODAS 2.0) | The 12-item, self-report version of the WHODAS 2.0 will be used to assess difficulties in relation to the impact of intrusive memories. Respondents rate how much difficulty they have had in each area in the past 30 days, from 0 (none) to 4 (extreme or cannot do). The overall score is calculated as a percentage of the maximum possible score (i.e., 48 points), with greater scores indicating greater impairment. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Intrusive Memory Ratings: Item 1. Approximately How Often Did Intrusive Memories of the Traumatic Event Pop Into Your Mind? | This questionnaire assesses a number of intrusive memories characteristics, including frequency (Item 1: 7-point categorical response from 'never' to 'many times a day'); distress (Item 2: 0=not at all to 10=extremely); disruption to concentration (Item 3: 0=not at all to 10=extremely); interference (Item 4: how much (0=not at all to 10=extremely), and Item 4a: for how long (6-point response from '<1min' to '>60mins')); impact on work functioning (Item 5: how much (0=not at all to 10=extremely) and Item 6: in what ways (open text response)); impact on functioning in other areas of life (Item 7: how much (0=not at all to 10=extremely) and in what ways (Item 8: open text response)). Here we present Item 1 assessing the frequency of intrusive memories on a 7-point scale from 'never' to 'many times a day'. Other items from this questionnaire are presented below. | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
| Intrusive Memory Ratings: Item 4a. Duration of Interference | This questionnaire assesses a number of intrusive memories characteristics, including frequency (Item 1: 7-point categorical response from 'never' to 'many times a day'); distress (Item 2: 0=not at all to 10=extremely); disruption to concentration (Item 3: 0=not at all to 10=extremely); interference (Item 4: how much (0=not at all to 10=extremely), and Item 4a: for how long (6-point response from '<1min' to '>60mins')); impact on work functioning (Item 5: how much (0=not at all to 10=extremely) and Item 6: in what ways (open text response)); impact on functioning in other areas of life (Item 7: how much (0=not at all to 10=extremely) and in what ways (Item 8: open text response)). Here we present Item 4a assessing the for how long intrusive memories interfered with what participants were doing on a 7-point scale from '<1 min' to '>60 mins'. Other items from this questionnaire are presented below. | Baseline, Week 4, Week 12 and Week 24 (all arms) |
| Intrusive Memory Ratings: Distress (Item 2), Disruption to Concentration (Item 3), Interference (Item 4), Impact on Work Functioning (Item 5), and Impact on Functioning in Other Areas of Life (Item 7) | This questionnaire assesses a number of intrusive memories characteristics, including frequency (Item 1: 7-point categorical response from 'never' to 'many times a day'); distress (Item 2: 0=not at all to 10=extremely); disruption to concentration (Item 3: 0=not at all to 10=extremely); interference (Item 4: how much (0=not at all to 10=extremely), and Item 4a: for how long (6-point response from '<1min' to '>60mins')); impact on work functioning (Item 5: how much (0=not at all to 10=extremely) and Item 6: in what ways (open text response)); impact on functioning in other areas of life (Item 7: how much (0=not at all to 10=extremely) and in what ways (Item 8: open text response)). Here we present data for the five items scored on an 11-point scale (0=not at all to 10=extremely) assessing distress (Item 2), disruption to concentration (Item 3), interference (Item 4), impact on work functioning (Item 5), and impact on functioning in other areas of life (Item 7). | Baseline, Week 4, Week 12 and Week 24 (all arms) |
| 4 weeks, 12 weeks and 24 weeks (all arms) |
| Changes to Health and Work - Discrete Outcomes | The 9-item questionnaire will be used to assess the occurrence and number of any new traumatic events, any additional stressful life events (e.g. relationship problems, financial problems), new treatments received, untoward medical occurrences, changes to the job, or changes to the number of hours worked per week since the last assessment. Discrete outcomes are presented below, and dichotomous outcomes are presented under "Changes to health and work - dichotomous outcomes". | 4 weeks, 12 weeks and 24 weeks (all arms) |
| Feedback Questionnaire | A 12-item questionnaire assessing participants' experience of using the brief cognitive task. The first ten items assess how easy, helpful, distressing, burdensome and acceptable participants found the brief cognitive task, how willing they would be to use it in the future, how confident they would be in recommending it to a friend and how much they feel it could be used to support staff within the NHS, each rated from 0 (not at all) to 10 (very). The last two items ask how the brief cognitive task could be improved, and for any other comments or suggestions about the brief cogntive task, both with an open response. | After 4 weeks (brief imagery-competing task and brief music listening task arms only) |
| Feedback Questionnaire (Total Score) | A 12-item questionnaire assessing participants' experience of using the brief cognitive task. The first ten items assess how easy, helpful, distressing, burdensome and acceptable participants found the brief cognitive task, how willing they would be to use it in the future, how confident they would be in recommending it to a friend and how much they feel it could be used to support staff within the NHS, each rated from 0 (not at all) to 10 (very); items for distress and burden are reverse scored from 0 (very) to 10 (not at all). The last two items ask how the brief cognitive task could be improved, and for any other comments or suggestions about the brief cognitive task, both with an open response. A total score of the eight categorical items is presented (range 0 - 80), with greater scores indicating more favourable feedback towards the allocated digital task. | After 4 weeks (brief imagery-competing task and brief music listening task arms only) |
| Optional Qualitative Interview | This semi-structured interview will consist of a number of questions designed to gain an in-depth understanding of participants' experience of using the brief cognitive task, including acceptability, improvement suggestions, and potential barriers/facilitators to implementation. | Week 4 and Week 24 (brief imagery competing task and brief music listening task arms only) |
| Weekly Work Pattern, Number of Days Worked | One item asses the number of days worked in the last week (both with responses from 0 to 7 days). | Baseline, Week 4, Week 12 and Week 24 |
| Weekly Work Pattern, Number of Night Shifts Worked | One item asses the number of night shifts worked in the last week (both with responses from 0 to 7). | Baseline, Week 4, Week 12 and Week 24 |
| Expectancy of Intervention Effect (Credibility and Expectancy Questionnaire, CEQ) - Categorical Items | The Credibility and Expectancy Questionnaire (CEQ) consists of 6 items. Items 1, 2, 3, and 5 were assessed on a 9-point integer scale ranging from 1 ("not at all") to 9 ("very"). Items 4 and 6 were assessed on an 11-point scale (response range of 0-100%) and, for comparability, were converted to the same 9-point scale as other items. CEQ total score was calculated by summing all six items producing a possible total score range of 6-54; with greater scores indicating greater credibility and expectancy of intervention effect. Participants completed the Credibility and Expectancy Questionnaire (CEQ) after being informed of treatment allocation (Day 0). | Day 0 (post-randomisation) |
| Expectancy of Intervention Effect (Credibility and Expectancy Questionnaire, CEQ) - Total Score | The Credibility and Expectancy Questionnaire (CEQ) consists of 6 items. Items 1, 2, 3, and 5 were assessed on a 9-point integer scale ranging from 1 ("not at all") to 9 ("very"). Items 4 and 6 were assessed on an 11-point scale (response range of 0-100%) and, for comparability, were converted to the same 9-point scale as other items. CEQ total score was calculated by summing all six items producing a possible total score range of 6-54; with greater scores indicating greater credibility and expectancy of intervention effect. Participants completed the Credibility and Expectancy Questionnaire (CEQ) after being informed of treatment allocation (Day 0). | Day 0 (post-randomisation) |
| Lost to Follow-up |
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| Withdrawal by Subject |
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| Withdrawn - sponsor decision not to randomise further participants after conclusion of recruitment |
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| COMPLETED |
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| NOT COMPLETED |
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| COMPLETED |
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| NOT COMPLETED |
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| COMPLETED |
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| NOT COMPLETED |
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| COMPLETED |
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| NOT COMPLETED |
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| COMPLETED |
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| NOT COMPLETED |
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| BG001 | Brief Digital Imagery-competing Task | Access to a brief digital imagery-competing task for 24 weeks (first 4 weeks with optional researcher support). Brief digital imagery-competing task: First session guided by a researcher: A memory cue followed by playing a computer game with mental rotation instructions. Option to engage in self-administered/guided sessions after the first session. |
| BG002 | Treatment As Usual | Access to routine care that participants would otherwise receive if having intrusive memories of traumatic events for 24 weeks. Treatment As Usual: Access to routine care that participants would otherwise receive if having intrusive memories of traumatic events. |
| BG003 | Total | Total of all reporting groups |
| Years |
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| Sex/Gender, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Highest level of education | Count of Participants | Participants |
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| Marital Status | Count of Participants | Participants |
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| Hours working per week | Mean | Standard Deviation | Hours (per week) |
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| Time as healthcare professional | Mean | Standard Deviation | Years |
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| Employment status | Count of Participants | Participants |
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| NHS Job Role | Count of Participants | Participants |
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| Health Background | Count of Participants | Participants |
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| Categories of Work-Related Traumatic Events Experienced | Count of Participants | Participants |
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| Experiences of Prior Trauma | Mean | Standard Deviation | Number of events |
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| Timeframe of Work-Related Traumatic Events Experienced | Count of Participants | Participants |
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Access to a brief digital music-listening task for 24 weeks (first 4 weeks with optional researcher support). Brief digital music-listening task: First session guided by a researcher: Information about the composer's music followed by listening to classical music. Option to engage in self-administered/guided sessions after the first session. |
| OG002 | Brief Digital Imagery-competing Task | Access to a brief digital imagery-competing task for 24 weeks (first 4 weeks with optional researcher support). Brief digital imagery-competing task: First session guided by a researcher: A memory cue followed by playing a computer game with mental rotation instructions. Option to engage in self-administered/guided sessions after the first session. |
|
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| Secondary | Number of Intrusive Memories of Traumatic Event(s) | Number of intrusive memories of traumatic event(s) recorded by participants in a brief daily online diary for 7 days. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Median | Inter-Quartile Range | Number of intrusive memories | Run-in/Screening week, Weeks 12 and 24 (all arms) |
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| Secondary | PTSD Checklist for DSM-5 (PCL-5) | This 20-item measure assesses symptoms of PTSD over the last week. Items are rated on a 5-point scale ranging from 0 ("not at all") to 4 ("extremely"). Scores are summed to give a total severity score (ranging 0 to 80), with greater scores indicating greater symptom severity. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
|
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| Secondary | Sleep Condition Indicator (SCI) | This 2-item scale measures sleep problems against the DSM-5 criteria for insomnia disorder. Item responses are each scored 0-4, with scores from 0 to 2 indicating threshold criteria for insomnia disorder. Total score ranges 0-8, with a higher score indicating better sleep. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Generalised Anxiety Disorder 2-item Scale (GAD-2) | This 2-item short-form self-report measure assesses symptoms of anxiety. Items are rated for how often they have bothered the respondent over the last two weeks, from 0 ("not at all") to 3 ("nearly every day"). Total score is the sum of both items and ranges from 0 to 6, with greater scores indicating greater symptom severity. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Patient Health Questionnaire 2-item Version (PHQ-2) | This 2-item short-form self-report measure assesses symptoms of depression. Items are rated for how often they have bothered the respondent over the last two weeks, from 0 ("not at all") to 3 ("nearly every day"). Total score is the sum of both items and ranges from 0 to 6, with greater scores indicating greater symptom severity. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Scale of Work Engagement and Burnout (SWEBO) - Work Engagement Total Score | This 19-item self-report measure assesses work engagement and burnout. The work engagement subscale consists of 10 items assessing three dimensions (vigour, attentiveness, dedication). The burnout subscale consists of 9 items assessing three dimensions (exhaustion, disengagement and inattentiveness). Respondents rate how often they have felt each descriptive in the past two weeks, from 1 (not at all) to 4 (all the time). The work engagement subscale total score is calculated as a mean of items (range 1-4), with greater scores indicating greater work engagement. | Analyses were completed on an intention-to-treat basis. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Scale of Work Engagement and Burnout (SWEBO) - Work Burnout Total Score | This 19-item self-report measure assesses work engagement and burnout. The work engagement subscale consists of 10 items assessing three dimensions (vigour, attentiveness, dedication). The burnout subscale consists of 9 items assessing three dimensions (exhaustion, disengagement and inattentiveness). Respondents rate how often they have felt each descriptive in the past two weeks, from 1 (not at all) to 4 (all the time). The work burnout subscale total score is calculated as a mean of items (range 1-4), with greater scores indicating greater work burnout. | Analyses were completed on an intention-to-treat basis. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Sickness Absence | Single item assessing self-reported number of sick days taken from work in the last 4 weeks. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | Days | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Intention to Leave Job | 3 items assess participants' intention to leave their job e.g. "I think a lot about leaving the job", each rated from 1 (strongly agree) to 5 (strongly disagree). The total score ranges 3 to 15, with a lower score indicating stronger intention to leave the job. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Mobility | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The mobility item is scored on a 5-point ordinal scale from "I have no problems in walking about" to "I am unable to walk about". | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Self Care | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The self care item is scored on a 5-point ordinal scale from "I have no problems washing or dressing myself" to "I am unable to wash or dress myself". | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, Week 4, Week 12 and Week 24 |
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| Secondary | 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Usual Activities | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The usual activities item is scored on a 5-point ordinal scale from "I have no problems doing my usual activities" to "I am unable to do my usual activities". | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, Week 4, Week 12 and Week 24 |
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| Secondary | 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Pain / Discomfort | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The pain / discomfort item is scored on a 5-point ordinal scale from "I have no pain or discomfort" to "I have extreme pain or discomfort". | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, Week 4, Week 12 and Week 24 |
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| Secondary | 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Anxiety / Depression | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief, five-item measure for assessing general quality of life and health status. Items assess mobility, self-care, usual activities, pain/discomfort and anxiety/depression each on a 5-point scale. The anxiety / depression item is scored on a 5-point ordinal scale from "I am not anxious or depressed" to "I am extremely anxious or depressed". | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, Week 4, Week 12 and Week 24 |
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| Secondary | 5-level European Quality of Life 5 Dimension (EQ-5D-5L), Overall Health | The 5-level version of the EuroQol-5D (EQ-5D-5L) is a brief measure for assessing general quality of life and health status. Respondents rate their overall health today on a visual analogue scale from 0 (the worst health you can imagine) to 100 (the best health you can imagine). | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 4, Week 12 and Week 24 |
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| Secondary | World Health Organization Disability Assessment Schedule 12-item Version (WHODAS 2.0) | The 12-item, self-report version of the WHODAS 2.0 will be used to assess difficulties in relation to the impact of intrusive memories. Respondents rate how much difficulty they have had in each area in the past 30 days, from 0 (none) to 4 (extreme or cannot do). The overall score is calculated as a percentage of the maximum possible score (i.e., 48 points), with greater scores indicating greater impairment. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Intrusive Memory Ratings: Item 1. Approximately How Often Did Intrusive Memories of the Traumatic Event Pop Into Your Mind? | This questionnaire assesses a number of intrusive memories characteristics, including frequency (Item 1: 7-point categorical response from 'never' to 'many times a day'); distress (Item 2: 0=not at all to 10=extremely); disruption to concentration (Item 3: 0=not at all to 10=extremely); interference (Item 4: how much (0=not at all to 10=extremely), and Item 4a: for how long (6-point response from '<1min' to '>60mins')); impact on work functioning (Item 5: how much (0=not at all to 10=extremely) and Item 6: in what ways (open text response)); impact on functioning in other areas of life (Item 7: how much (0=not at all to 10=extremely) and in what ways (Item 8: open text response)). Here we present Item 1 assessing the frequency of intrusive memories on a 7-point scale from 'never' to 'many times a day'. Other items from this questionnaire are presented below. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Secondary | Intrusive Memory Ratings: Item 4a. Duration of Interference | This questionnaire assesses a number of intrusive memories characteristics, including frequency (Item 1: 7-point categorical response from 'never' to 'many times a day'); distress (Item 2: 0=not at all to 10=extremely); disruption to concentration (Item 3: 0=not at all to 10=extremely); interference (Item 4: how much (0=not at all to 10=extremely), and Item 4a: for how long (6-point response from '<1min' to '>60mins')); impact on work functioning (Item 5: how much (0=not at all to 10=extremely) and Item 6: in what ways (open text response)); impact on functioning in other areas of life (Item 7: how much (0=not at all to 10=extremely) and in what ways (Item 8: open text response)). Here we present Item 4a assessing the for how long intrusive memories interfered with what participants were doing on a 7-point scale from '<1 min' to '>60 mins'. Other items from this questionnaire are presented below. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Count of Participants | Participants | Baseline, Week 4, Week 12 and Week 24 (all arms) |
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| Secondary | Intrusive Memory Ratings: Distress (Item 2), Disruption to Concentration (Item 3), Interference (Item 4), Impact on Work Functioning (Item 5), and Impact on Functioning in Other Areas of Life (Item 7) | This questionnaire assesses a number of intrusive memories characteristics, including frequency (Item 1: 7-point categorical response from 'never' to 'many times a day'); distress (Item 2: 0=not at all to 10=extremely); disruption to concentration (Item 3: 0=not at all to 10=extremely); interference (Item 4: how much (0=not at all to 10=extremely), and Item 4a: for how long (6-point response from '<1min' to '>60mins')); impact on work functioning (Item 5: how much (0=not at all to 10=extremely) and Item 6: in what ways (open text response)); impact on functioning in other areas of life (Item 7: how much (0=not at all to 10=extremely) and in what ways (Item 8: open text response)). Here we present data for the five items scored on an 11-point scale (0=not at all to 10=extremely) assessing distress (Item 2), disruption to concentration (Item 3), interference (Item 4), impact on work functioning (Item 5), and impact on functioning in other areas of life (Item 7). | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 4, Week 12 and Week 24 (all arms) |
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| Other Pre-specified | Changes to Health and Work - Dichotomous Outcomes | The 9-item questionnaire will be used to assess the occurrence and number of any new traumatic events, any additional stressful life events (e.g. relationship problems, financial problems), new treatments received, untoward medical occurrences, changes to the job, or changes to the number of hours worked per week since the last assessment. Dichotomous outcomes are presented below, and discrete outcomes with count data are presented under "Changes to health and work - discrete outcomes". | Analyses were completed on an intention-to-treat basis. | Posted | Count of Participants | Participants | 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Other Pre-specified | Changes to Health and Work - Discrete Outcomes | The 9-item questionnaire will be used to assess the occurrence and number of any new traumatic events, any additional stressful life events (e.g. relationship problems, financial problems), new treatments received, untoward medical occurrences, changes to the job, or changes to the number of hours worked per week since the last assessment. Discrete outcomes are presented below, and dichotomous outcomes are presented under "Changes to health and work - dichotomous outcomes". | Analyses were completed on an intention-to-treat basis. | Posted | Mean | Standard Deviation | number of events | 4 weeks, 12 weeks and 24 weeks (all arms) |
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| Other Pre-specified | Feedback Questionnaire | A 12-item questionnaire assessing participants' experience of using the brief cognitive task. The first ten items assess how easy, helpful, distressing, burdensome and acceptable participants found the brief cognitive task, how willing they would be to use it in the future, how confident they would be in recommending it to a friend and how much they feel it could be used to support staff within the NHS, each rated from 0 (not at all) to 10 (very). The last two items ask how the brief cognitive task could be improved, and for any other comments or suggestions about the brief cogntive task, both with an open response. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | After 4 weeks (brief imagery-competing task and brief music listening task arms only) |
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| Other Pre-specified | Feedback Questionnaire (Total Score) | A 12-item questionnaire assessing participants' experience of using the brief cognitive task. The first ten items assess how easy, helpful, distressing, burdensome and acceptable participants found the brief cognitive task, how willing they would be to use it in the future, how confident they would be in recommending it to a friend and how much they feel it could be used to support staff within the NHS, each rated from 0 (not at all) to 10 (very); items for distress and burden are reverse scored from 0 (very) to 10 (not at all). The last two items ask how the brief cognitive task could be improved, and for any other comments or suggestions about the brief cognitive task, both with an open response. A total score of the eight categorical items is presented (range 0 - 80), with greater scores indicating more favourable feedback towards the allocated digital task. | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | score on a scale | After 4 weeks (brief imagery-competing task and brief music listening task arms only) |
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| Other Pre-specified | Optional Qualitative Interview | This semi-structured interview will consist of a number of questions designed to gain an in-depth understanding of participants' experience of using the brief cognitive task, including acceptability, improvement suggestions, and potential barriers/facilitators to implementation. | Participants randomised to the brief digital music-listening task or brief digital imagery-competing task who consented to participate in the optional qualitative interview at Week 4 and Week 24. Two participants allocated to the brief digital imagery-competing task completed both week 4 and week 24 qualitative interviews. | Posted | Count of Participants | Participants | Week 4 and Week 24 (brief imagery competing task and brief music listening task arms only) |
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| Other Pre-specified | Weekly Work Pattern, Number of Days Worked | One item asses the number of days worked in the last week (both with responses from 0 to 7 days). | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | Days | Baseline, Week 4, Week 12 and Week 24 |
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| Other Pre-specified | Weekly Work Pattern, Number of Night Shifts Worked | One item asses the number of night shifts worked in the last week (both with responses from 0 to 7). | All analyses were completed on an intention-to-treat basis as a between-group comparison. | Posted | Mean | Standard Deviation | Nights | Baseline, Week 4, Week 12 and Week 24 |
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| Other Pre-specified | Expectancy of Intervention Effect (Credibility and Expectancy Questionnaire, CEQ) - Categorical Items | The Credibility and Expectancy Questionnaire (CEQ) consists of 6 items. Items 1, 2, 3, and 5 were assessed on a 9-point integer scale ranging from 1 ("not at all") to 9 ("very"). Items 4 and 6 were assessed on an 11-point scale (response range of 0-100%) and, for comparability, were converted to the same 9-point scale as other items. CEQ total score was calculated by summing all six items producing a possible total score range of 6-54; with greater scores indicating greater credibility and expectancy of intervention effect. Participants completed the Credibility and Expectancy Questionnaire (CEQ) after being informed of treatment allocation (Day 0). | Analyses were completed on an intention-to-treat basis. | Posted | Mean | Standard Deviation | score on a scale | Day 0 (post-randomisation) |
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| Other Pre-specified | Expectancy of Intervention Effect (Credibility and Expectancy Questionnaire, CEQ) - Total Score | The Credibility and Expectancy Questionnaire (CEQ) consists of 6 items. Items 1, 2, 3, and 5 were assessed on a 9-point integer scale ranging from 1 ("not at all") to 9 ("very"). Items 4 and 6 were assessed on an 11-point scale (response range of 0-100%) and, for comparability, were converted to the same 9-point scale as other items. CEQ total score was calculated by summing all six items producing a possible total score range of 6-54; with greater scores indicating greater credibility and expectancy of intervention effect. Participants completed the Credibility and Expectancy Questionnaire (CEQ) after being informed of treatment allocation (Day 0). | Analyses were completed on an intention-to-treat basis. | Posted | Mean | Standard Deviation | total score on a scale | Day 0 (post-randomisation) |
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| 0 |
| 39 |
| 3 |
| 39 |
| 6 |
| 39 |
| EG001 | Brief Digital Imagery-competing Task | Access to a brief digital imagery-competing task for 24 weeks (first 4 weeks with optional researcher support). Brief digital imagery-competing task: First session guided by a researcher: A memory cue followed by playing a computer game with mental rotation instructions. Option to engage in self-administered/guided sessions after the first session. | 0 | 40 | 3 | 40 | 2 | 40 |
| EG002 | Treatment As Usual | Access to routine care that participants would otherwise receive if having intrusive memories of traumatic events for 24 weeks. | 0 | 20 | 0 | 20 | 0 | 20 |
| EG003 | Run-in Week (Pre-randomised and Non-randomised) | This study used a run-in week to establish a baseline number of intrusive memories over a seven-day period. Participants were randomised if they completed the run-in week, recorded at least three intrusive memories during the run-in week, and completed baseline questionnaires. N=23 participants commenced the run-in week and could not be randomised to experimental arm. No data are available for those participants were not randomised. | 0 | 122 | 0 | 122 | 3 | 122 |
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| Kidney infection | Infections and infestations | Systematic Assessment | Participant reported being hospitalised due to a kidney infection, unrelated to study procedures |
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| Pneumonia | Infections and infestations | Systematic Assessment | Participant reported being hospitalised due to pneumonia, unrelated to study procedures |
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| Post-operative infection (hysteroscopy) | Infections and infestations | Systematic Assessment | Participant reported being hospitalised due to post-operative infection following hysteroscopy. Unrelated to study procedures |
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| Septic shock | Infections and infestations | Systematic Assessment | Participant reported being hospitalised due to septic shock, unrelated to study procedures |
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| Surgery for cervical myelopathy | Surgical and medical procedures | Systematic Assessment | Participant reported undergoing surgery for cervical myelopathy, unrelated to study procedures. |
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| Respiratory illness | Infections and infestations | Systematic Assessment | Participants reported respiratory illness other than SARS-CoV-2 Infection, such as 'colds', 'chest infections' and 'Bronchitis'. |
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Not provided
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| No |
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| No |
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| No |
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| Not selected |
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| Not selected |
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| Not selected |
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| Not selected |
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| Week 12 |
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| Week 12 |
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| Week 12 |
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| Week 4 |
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| Week 12 |
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| I have slight problems in walking about |
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| I have moderate problems in walking about |
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| I have severe problems in walking about |
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| I am unable to walk about |
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| Mobility - Week 4 |
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| Mobility - Week 12 |
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| Mobility - Week 24 |
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| I have slight problems washing or dressing myself |
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| I have moderate problems washing or dressing myself |
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| I have severe problems washing or dressing myself |
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| I am unable to wash or dress myself |
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| Self Care - Week 4 |
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| Self Care - Week 12 |
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| Self Care - Week 24 |
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| I have slight problems doing my usual activities |
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| I have moderate problems doing my usual activities |
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| I have severe problems doing my usual activities |
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| I am unable to do my usual activities |
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| Usual Activities - Week 4 |
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| Usual Activities - Week 12 |
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| Usual Activities - Week 24 |
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| I have slight pain or discomfort |
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| I have moderate pain or discomfort |
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| I have severe pain or discomfort |
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| I have extreme pain or discomfort |
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| Pain / Discomfort - Week 4 |
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| Pain / Discomfort - Week 12 |
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| Pain / Discomfort - Week 24 |
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| I am slightly anxious or depressed |
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| I am moderately anxious or depressed |
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| I am severely anxious or depressed |
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| I am extremely anxious or depressed |
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| Anxiety / Depression - Week 4 |
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| Anxiety / Depression - Week 12 |
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| Anxiety / Depression - Week 24 |
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| Week 12 |
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| Week 24 |
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| Week 4 |
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| Week 12 |
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| Week 24 |
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| Once |
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| Twice |
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| Every other day |
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| Once a day |
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| Several times a day |
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| Many times a day |
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| Week 4 |
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| Week 12 |
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| Week 24 |
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| 1-5 mins |
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| 6-10 mins |
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| 11-30 mins |
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| 31-60 mins |
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| >60 mins |
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| Week 4 |
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| Week 12 |
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| Week 24 |
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| Week 4 - How distressing were your intrusive memories? |
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| Week 12 - How distressing were your intrusive memories? |
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| Week 24 - How distressing were your intrusive memories? |
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| Baseline - How much did they disrupt your concentration? |
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| Week 4 - How much did they disrupt your concentration? |
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| Week 12 - How much did they disrupt your concentration? |
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| Week 24 - How much did they disrupt your concentration? |
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| Baseline - How much did they interfere with what you were doing? |
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| Week 4 - How much did they interfere with what you were doing? |
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| Week 12 - How much did they interfere with what you were doing? |
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| Week 24 - How much did they interfere with what you were doing? |
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| Baseline - How much did your intrusive memories affect your work functioning? |
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| Week 4 - How much did your intrusive memories affect your work functioning? |
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| Week 12 - How much did your intrusive memories affect your work functioning? |
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| Week 24 - How much did your intrusive memories affect your work functioning? |
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| Baseline - How much did your intrusive memories affect your functioning in other areas of your life? |
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| Week 4 - How much did your intrusive memories affect your functioning in other areas of your life? |
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| Week 12 - How much did your intrusive memories affect your functioning in other areas of your life? |
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| Week 24 - How much did your intrusive memories affect your functioning in other areas of your life? |
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| No |
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| Week 12 - Have you experienced or witnessed any new work-related traumatic events? |
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| Week 24 - Have you experienced or witnessed any new work-related traumatic events? |
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| Week 12 - How many new work-related traumatic events have you experienced/witnessed? |
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| Week 24 - How many new work-related traumatic events have you experienced/witnessed? |
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| Week 4 - How many new traumatic events that were not work-related have you experienced/witnessed? |
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| Week 12 - How many new traumatic events that were not work-related have you experienced/witnessed? |
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| Week 24 - How many new traumatic events that were not work-related have you experienced/witnessed? |
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| How burdensome did you find the brief cognitive task? |
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| How distressing did you find the brief cognitive task? |
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| Overall, how acceptable did you find the brief cognitive task? |
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| If you were having intrusive memories in future, how willing would you be to use the cognitive task? |
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| How confident would you be recommending the brief cognitive task to others with intrusive memories? |
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| How much do you feel that this brief cognitive task could be used within NHS Trusts? |
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| Week 4 |
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| Week 12 |
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| Week 24 |
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| Week 4 |
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| Week 12 |
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| Week 24 |
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| How confident would you be recommending this intervention to a friend experiencing similar problems? |
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| By the end of the intervention, how much improvement in intrusive memories do you think will occur? |
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| How much do you really feel that the intervention will help you to reduce your intrusive memories? |
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| How much improvement in your intrusive memories do you really feel will occur? |
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