Examining the Effectiveness of Web-Based Interventions to Enhance Resilience in Health Care Professionals: Systematic Review

Henshall, Catherine; Ostinelli, Edoardo G; Harvey, Jade; Davey, Zoe; Aghanenu, Bemigho; Cipriani, Andrea; Attenburrow, Mary-Jane

doi:10.2196/34230

Cited by 7 publications

(4 citation statements)

References 56 publications

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“…Despite this, we managed to recruit on time and reach our target, implement the REsOluTioN program successfully, and collect data at the relevant time points. Hence, our study has provided initial evidence that it is acceptable to implement web-based resilience-enhancement programs with similar design features within busy health care settings; this has been identified in the wider literature prior to the pandemic [ 35 ], but to our knowledge has not been tested since COVID-19. Thus, these findings will enable larger scale studies to test the effectiveness of web-based resilience programs for nurses in terms of increasing resilience and psychological well-being.…”

Section: Discussionmentioning

confidence: 95%

“…However, there is limited evidence regarding how these benefits are provided and which types of programs work for which staff and in what context. A recent review examining the use of web-based resilience-enhancement interventions showed them to have potential value in clinical practice settings by supporting staff who experienced prolonged workplace stress [ 35 ]. This is particularly important as the development of effective and evidence-based web-based programs can play a vital role in the current pandemic climate, where face-to-face training or meetings are often restricted or not allowed [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

“…The web-based training program, Resilience Enhancement Online Training for Nurses (REsOluTioN), was based on a face-to-face resilience-enhancement training program that had been previously piloted with nurses [ 6 , 29 ]. The design of the training program was also informed by a systematic review examining the effectiveness of web-based interventions to enhance resilience in health care professionals [ 35 ] and focus groups with nurses to gather information on what they felt should be the key features of such training programs [ 38 ]. During the focus group discussions, nurses viewed web-based programs aimed at enhancing resilience positively, highlighting potential benefits around combating burnout, managing stress, regaining work-life balance, mentorship, and building networks of support.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a Web-Based Resilience Enhancement Training for Nurses: Pilot Randomized Controlled Trial

et al. 2023

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Background Global workforce challenges faced by health care providers are linked to low levels of job satisfaction, recruitment, retention, and well-being, with detrimental impacts on patient care outcomes. Resilience-building programs can provide support for staff who endure highly stressful environments, enhance resilience, and support recruitment and retention, with web-based formats being key to increasing accessibility. Objective We aimed to examine participants’ engagement with a newly developed Resilience Enhancement Online Training for Nurses (REsOluTioN), explore its acceptability, and compare levels of resilience and psychological well-being in nurses who completed REsOluTioN with those who did not. Methods We carried out a pilot randomized trial (1:1), conducted at a single site (mental health and community trust in South England) between August 2021 and May 2022. Local research ethics approvals were obtained. Nurses were invited to participate and were randomly assigned to a waitlist group or REsOluTioN group. Training lasted for 4 weeks, consisting of prereading, web-based facilitated sessions, and mentorship support. We evaluated trial engagement, acceptability of training, and pre-post changes in resilience, measured by the Brief Resilience Scale, and psychological well-being, measured by the Warwick Edinburgh Mental Wellbeing Scale. Qualitative participant feedback was collected. Consolidated Standards of Reporting Trials 2010 extension guidelines for reporting pilot and feasibility trials were used. Results Of 108 participants recruited, 93 completed the study. Participants’ mean age was 44 (SD 10.85) years. Most participants were female (n=95, 88.8%), White (n=95, 88.8%), and worked in community settings (n=91, 85.0%). Sixteen facilitated and 150 mentoring sessions took place. Most REsOluTioN program participants reported the sessions helped improve their resilience (n=24, 72.8%), self-confidence (n=24, 72.7%), ability to provide good patient care (n=25, 75.8%), relationships with colleagues (n=24, 72.7%), and communication skills (n=25, 75.8%). No statistically significant differences between training and control groups and time on well-being (F1,91=1.44, P=.23, partial η2=0.02) and resilience scores (F1,91=0.33, P=.57, partial η2=0.004) were revealed; however, there were positive trends toward improvement in both. Nurse participants engaged with the REsOluTioN program and found it acceptable. Most found web-based training and mentoring useful and enjoyed learning, reflection, networking, and participatory sessions. Conclusions The REsOluTioN program was acceptable, engaging, perceived as useful, and nurses were keen for it to be implemented to optimize resilience, psychological health, communication, and workplace environments. The study has evidenced that it is acceptable to implement web-based resilience programs with similar design features within busy health care settings, indicating a need for similar programs to be carefully evaluated. Mentorship support may also be a key in optimizing resilience. Trial limitations include small sample size and reduced statistical power; a multicenter randomized controlled trial could test effectiveness of the training on a larger scale. Trial Registration ClinicalTrials.gov NCT05074563; https://clinicaltrials.gov/ct2/show/NCT05074563 International Registered Report Identifier (IRRID) RR2-10.2196/37015

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation of a Web-Based Resilience Enhancement Training for Nurses: Pilot Randomized Controlled Trial

et al. 2023

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“…Emerging research from the COVID-19 pandemic suggests a similar or worse trajectory (2,4). Facilitating access to effective treatment and psychosocial support is critical to mitigating negative impacts on mental health, minimizing distress, and reducing burnout (5,6).…”

Section: Introductionmentioning

confidence: 99%

Increasing access to mental health supports for healthcare workers during the COVID-19 pandemic and beyond through a novel coaching program

et al. 2022

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The COVID-19 pandemic led to heightened anxiety, distress, and burnout among healthcare workers and faculty in academic medicine. Penn Medicine launched Coping First Aid (CFA) in March 2020 in response to the pandemic. Informed by Psychological First Aid principles and therapeutic micro skills, CFA was designed as a tele-mental healthcare service for health system employees and their families delivered by trained lay volunteer coaches under the supervision of licensed mental health clinicians. We present an overview of the model, feasibility and utilization data, and preliminary implementation and effectiveness outcomes based on cross sectional coach (n = 22) and client (n = 57) self-report surveys with a subset of program users in the first year. A total of 44 individuals completed training and were certified to coach. Over the first 24 months of the program, 513 sessions occurred with 273 clients (119 sessions were no-shows or canceled). Follow-up appointments were recommended in 52.6% (n = 270) of sessions and 21.2% (n = 109) of clients were referred for professional mental health care. Client survey respondents reported CFA was helpful; 60% were very or extremely satisfied, and 74% indicated they would recommend the program. Our preliminary findings suggest that CFA was feasible to implement and most clients found the service beneficial. CFA provides a model for rapidly developing and scaling mental health supports during and beyond the pandemic.

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Digital Staff Support Interventions for the Psychological Wellbeing of Healthcare Professionals: A Systematic Review

Paleri,

Valmaggia,

Kaleva

et al. 2024

J. technol. behav. sci.

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Healthcare professionals experience stressful events which impact on overall wellbeing. The rise of digital interventions marks an opportunity to support healthcare professionals in their psychological wellbeing. This systematic review aims to assess the feasibility, acceptability and effectiveness of digital interventions for healthcare professionals in mental and physical healthcare to improve psychological wellbeing (PROSPERO CRD42023394966). Four electronic databases (Embase, MEDLINE, PsycINFO and Web of Science) were searched, from inception, until 10 June 2024. The review was carried out according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Effective Public Health Practice Project (EPHPP) tool was used to assess the methodological quality of studies. Thirty-five studies were included (N = 5364, published 2004–2024), including 13 randomised controlled trials. The majority of the studies were carried out in Europe and North America (mostly UK and USA). Digital interventions varied across format (e.g. web based, virtual reality based) and content type (e.g. biofeedback training). The most frequently used format for digital interventions were smartphone apps with the most common digital intervention type being general stress management programmes. Thirty-three studies indicated significant changes in at least one wellbeing measure, such as depression, anxiety, stress, resilience or compassion. On the EPHPP, 4 studies were rated strong, 14 were rated as moderate and 17 were rated as weak. Evidence suggests that digital interventions are a feasible, acceptable and effective approach to support wellbeing in healthcare professionals, although there are significant methodological limitations. Further research would benefit from stronger methodological designs, maximising participant engagement, and greater, more diverse sample sizes.

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Examining the Effectiveness of Web-Based Interventions to Enhance Resilience in Health Care Professionals: Systematic Review

Cited by 7 publications

References 56 publications

Implementation of a Web-Based Resilience Enhancement Training for Nurses: Pilot Randomized Controlled Trial

Implementation of a Web-Based Resilience Enhancement Training for Nurses: Pilot Randomized Controlled Trial

Increasing access to mental health supports for healthcare workers during the COVID-19 pandemic and beyond through a novel coaching program

Digital Staff Support Interventions for the Psychological Wellbeing of Healthcare Professionals: A Systematic Review

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