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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Remote stress management programme | Experimental | Ten-hour, three-course stress management programme with a psychologist via video conferencing over 2 months |
|
| Waiting list | No Intervention | No intervention during the study duration. However, after the end of the study, after the last evaluations, participants in this control cluster will be offered the opportunity to follow the stress management programme. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stress management | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Participation rate | 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. | From enrollment to the end of the study at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptance rate | Ratio between the total number of eligible healthcare workers and the number of healthcare worker who accept to be enrolled in the study. | At enrollment |
| Retention rate | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Residents' level of agitation in the specialised care units | Perceived residents' level of agitation by the healtcare workers assessed by the score on the Cohen-Mansfield Agitation Inventory | Baseline and 3 months |
| Health-related quality of life of residents in the specialised care units |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fariba Kabirian, MD | France Chief Medical Officer, Clariane | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Korian La Colombe | Gigean | France | 34770 | France | ||
| Korian Le Clos de l'orchidée |
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| ID | Term |
|---|---|
| D000073397 | Occupational Stress |
| ID | Term |
|---|---|
| D009784 | Occupational Diseases |
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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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.
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| From enrollment to the end of the study at 3 months |
| Adherence | Average number of visits attended by each participant. | From the beginning to the end of the study, at 3 months |
| Quality of the intervention | 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. | At the end of the intervention, at 3 months |
| Cost of the programme | 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 | From enrollment to the end of the study at 3 months |
| Heart rate variability | Recording of resting heart rate variability assessed by RMSSD, SDNN, LF and HF markers. | Baseline and 3 months |
| Occupational stress | Score on the Work Place Stress Scale | Baseline, 2 months and 3 months |
| Overall stress | Score on the Perceived Stress Scale-10 | Baseline, 2 months and 3 months |
| Job satisfaction | Score on the Overall Job Satisfaction Scale | Baseline, 2 months and 3 months |
| Risk of burn-out | Score on the Malasch Burnout Inventory | Baseline, 2 months and 3 months |
| Quality of life | Score on the World Health Organization Quality of Life questionnaire | Baseline, 2 months and 3 months |
| Self-rated health | Score on the self-rated health scale | Baseline, 2 months and 3 months |
| Anxiety | Score on the Generalized Anxiety Disorder 7-Item | Baseline, 2 months and 3 months |
| Perceptions of the quality of patient care | Score on the Victorian Patient Satisfaction Questionnaire | Baseline, 2 months and 3 months |
| Substance use | Usual substance use (tobacco, alcohol, drugs...), assessed by a questionnaire that records the type of substance and frequency of use. | Baseline, 2 months and 3 months |
| Knowledge and mastery of stress management tools | Score on a multiple-choice questionnaire specially designed for the study | Baseline, 2 months 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. |
| Baseline and 3 months |
| Behavioural and psychological symptoms of dementia in the residents of the specialised care units | Residents' behavioural and psychological symptoms of dementia as perceived by healthcare workers, as assessed by the "Neuropsychiatric inventory" questionnaire | Baseline and 3 months |
| Narbonne |
| Occitanie |
| 11100 |
| France |
| Korian Parc de l'abbaye | Saint-Cyr-l'École | Île-de-France Region | 78210 | France |
| Korian Parc des dames | Saint-Germain-en-Laye | Île-de-France Region | France |