Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.

López-Del-Hoyo, Yolanda; Fernández-Martínez, Selene; Pérez-Aranda, Adrián; Barceló-Soler, Alberto; Guzman-Parra, Jose; Varela-Moreno, Esperanza; Campos, Daniel; Monreal-Bartolomé, Alicia; Beltrán-Ruiz, María; Moreno-Küstner, Berta; Mayoral-Cleries, Fermín; García-Campayo, Javier

Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.

The World Health Organization has formally recognized that healthcare professionals are at risk of developing mental health problems; finding ways to reduce their stress is mandatory to improve both their quality of life and, indirectly, their job performance. In recent years, particularly since the...

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Detalhes bibliográficos
Autores:	López-Del-Hoyo, Yolanda, Fernández-Martínez, Selene, Pérez-Aranda, Adrián, Barceló-Soler, Alberto, Guzman-Parra, Jose, Varela-Moreno, Esperanza, Campos, Daniel, Monreal-Bartolomé, Alicia, Beltrán-Ruiz, María, Moreno-Küstner, Berta, Mayoral-Cleries, Fermín, García-Campayo, Javier
Formato:	artículo
Fecha de publicación:	2022
País:	España
Recursos:	Instituto de Salud Carlos III (ISCIII)
Repositorio:	Repisalud
Idioma:	inglés
OAI Identifier:	oai:repisalud.isciii.es:20.500.12105/18853
Acesso em linha:	http://hdl.handle.net/20.500.12105/18853
Access Level:	acceso abierto
Palavra-chave:	Acceptance Cluster randomized trial Compassion Cost-utility EHealth Healthcare workers Implementation Mindfulness Stress

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spelling	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.López-Del-Hoyo, YolandaFernández-Martínez, SelenePérez-Aranda, AdriánBarceló-Soler, AlbertoGuzman-Parra, JoseVarela-Moreno, EsperanzaCampos, DanielMonreal-Bartolomé, AliciaBeltrán-Ruiz, MaríaMoreno-Küstner, BertaMayoral-Cleries, FermínGarcía-Campayo, JavierAcceptanceCluster randomized trialCompassionCost-utilityEHealthHealthcare workersImplementationMindfulnessStressThe World Health Organization has formally recognized that healthcare professionals are at risk of developing mental health problems; finding ways to reduce their stress is mandatory to improve both their quality of life and, indirectly, their job performance. In recent years, particularly since the COVID-19 pandemic outbreak, there has been a proliferation of online interventions with promising results. The purpose of the present study is twofold: to test the effectiveness of an online, self-guided intervention, MINDxYOU, to reduce the stress levels of healthcare workers; and to conduct an implementation study of this intervention. Additionally, an economic evaluation of the intervention will be conducted. The current study has a hybrid effectiveness-implementation type 2 design. A stepped wedge cluster randomized trial design will be used, with a cohort of 180 healthcare workers recruited in two Spanish provinces (Malaga and Zaragoza). The recruitment stage will commence in October 2022. Frontline health workers who provide direct care to people in a hospital, primary care center, or nursing home setting in both regions will participate. The effectiveness of the intervention will be studied, with perceived stress as the main outcome (Perceived Stress Scale), while other psychopathological symptoms and process variables (e.g., mindfulness, compassion, resilience, and psychological flexibility) will be also assessed as secondary outcomes. The implementation study will include analysis of feasibility, acceptability, adoption, appropriateness, fidelity, penetration, and sustainability. The incremental costs and benefits, in terms of quality-adjusted life years, will be examined by means of cost-utility and cost-effectiveness analyses. MINDxYOU is designed to reduce healthcare workers' stress levels through the practice of mindfulness, acceptance, and compassion, with a special focus on how to apply these skills to healthy habits and considering the particular stressors that these professionals face on a daily basis. The present study will show how implementation studies are useful for establishing the framework in which to address barriers to and promote facilitators for acceptability, appropriateness, adoption, feasibility, fidelity, penetration, and sustainability of online interventions. The ultimate goal is to reduce the research-to-practice gap. This study was registered in ClinicalTrials.gov on 29/06/2022; registration number: NCT05436717.20242024-02-2720222022-11-1020222022-11-10research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/18853reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/188532026-06-12T12:43:37Z
dc.title.none.fl_str_mv	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
title	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
spellingShingle	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial. López-Del-Hoyo, Yolanda Acceptance Cluster randomized trial Compassion Cost-utility EHealth Healthcare workers Implementation Mindfulness Stress
title_short	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
title_full	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
title_fullStr	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
title_full_unstemmed	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
title_sort	Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.
dc.creator.none.fl_str_mv	López-Del-Hoyo, Yolanda Fernández-Martínez, Selene Pérez-Aranda, Adrián Barceló-Soler, Alberto Guzman-Parra, Jose Varela-Moreno, Esperanza Campos, Daniel Monreal-Bartolomé, Alicia Beltrán-Ruiz, María Moreno-Küstner, Berta Mayoral-Cleries, Fermín García-Campayo, Javier
author	López-Del-Hoyo, Yolanda
author_facet	López-Del-Hoyo, Yolanda Fernández-Martínez, Selene Pérez-Aranda, Adrián Barceló-Soler, Alberto Guzman-Parra, Jose Varela-Moreno, Esperanza Campos, Daniel Monreal-Bartolomé, Alicia Beltrán-Ruiz, María Moreno-Küstner, Berta Mayoral-Cleries, Fermín García-Campayo, Javier
author_role	author
author2	Fernández-Martínez, Selene Pérez-Aranda, Adrián Barceló-Soler, Alberto Guzman-Parra, Jose Varela-Moreno, Esperanza Campos, Daniel Monreal-Bartolomé, Alicia Beltrán-Ruiz, María Moreno-Küstner, Berta Mayoral-Cleries, Fermín García-Campayo, Javier
author2_role	author author author author author author author author author author author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv	Acceptance Cluster randomized trial Compassion Cost-utility EHealth Healthcare workers Implementation Mindfulness Stress
topic	Acceptance Cluster randomized trial Compassion Cost-utility EHealth Healthcare workers Implementation Mindfulness Stress
description	The World Health Organization has formally recognized that healthcare professionals are at risk of developing mental health problems; finding ways to reduce their stress is mandatory to improve both their quality of life and, indirectly, their job performance. In recent years, particularly since the COVID-19 pandemic outbreak, there has been a proliferation of online interventions with promising results. The purpose of the present study is twofold: to test the effectiveness of an online, self-guided intervention, MINDxYOU, to reduce the stress levels of healthcare workers; and to conduct an implementation study of this intervention. Additionally, an economic evaluation of the intervention will be conducted. The current study has a hybrid effectiveness-implementation type 2 design. A stepped wedge cluster randomized trial design will be used, with a cohort of 180 healthcare workers recruited in two Spanish provinces (Malaga and Zaragoza). The recruitment stage will commence in October 2022. Frontline health workers who provide direct care to people in a hospital, primary care center, or nursing home setting in both regions will participate. The effectiveness of the intervention will be studied, with perceived stress as the main outcome (Perceived Stress Scale), while other psychopathological symptoms and process variables (e.g., mindfulness, compassion, resilience, and psychological flexibility) will be also assessed as secondary outcomes. The implementation study will include analysis of feasibility, acceptability, adoption, appropriateness, fidelity, penetration, and sustainability. The incremental costs and benefits, in terms of quality-adjusted life years, will be examined by means of cost-utility and cost-effectiveness analyses. MINDxYOU is designed to reduce healthcare workers' stress levels through the practice of mindfulness, acceptance, and compassion, with a special focus on how to apply these skills to healthy habits and considering the particular stressors that these professionals face on a daily basis. The present study will show how implementation studies are useful for establishing the framework in which to address barriers to and promote facilitators for acceptability, appropriateness, adoption, feasibility, fidelity, penetration, and sustainability of online interventions. The ultimate goal is to reduce the research-to-practice gap. This study was registered in ClinicalTrials.gov on 29/06/2022; registration number: NCT05436717.
publishDate	2022
dc.date.none.fl_str_mv	2022 2022-11-10 2022 2022-11-10 2024 2024-02-27
dc.type.none.fl_str_mv	research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	http://hdl.handle.net/20.500.12105/18853
url	http://hdl.handle.net/20.500.12105/18853
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
dc.source.none.fl_str_mv	reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII)
instname_str	Instituto de Salud Carlos III (ISCIII)
reponame_str	Repisalud
collection	Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Effectiveness and implementation of an online intervention (MINDxYOU) for reducing stress and promote mental health among healthcare workers in Spain: a study protocol for a stepped-wedge cluster randomized trial.

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