Exploring reasons for usage discontinuation in an internet-delivered stress recovery intervention: A qualitative study

Nomeikaite, Auguste; Gelezelyte, Odeta; Berger, Thomas; Andersson, Gerhard; Kazlauskas, Evaldas

doi:10.1016/j.invent.2023.100686

Cited by 4 publications

(1 citation statement)

References 55 publications

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“…However, findings in these studies also indicated that only half of the included participants familiarized themselves with the full content of the intervention. A qualitative study of early dropouts revealed that many identified barriers to engagement, such as a lack of time or motivation and unmet expectations or needs [6]. Across a range of diagnoses, better adherence has emerged as a predictor of better outcomes in internet interventions for adults [7].…”

Section: Introduction Backgroundmentioning

confidence: 99%

The Role of Tailored Timing and Frequency Prompts on the Efficacy of an Internet-Delivered Stress Recovery Intervention for Healthcare Workers: A Randomized Controlled Trial (Preprint)

Nomeikaite,

Gelezelyte,

Böttche

et al. 2024

Preprint

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BACKGROUND Prompts offer a promising strategy to promote client engagement in internet-delivered cognitive behavioral therapy (ICBT). However, if the prompts do not meet the needs of clients, they can potentially be more obtrusive rather than helpful. OBJECTIVE The aim of this study was to test if prompts tailored based on timing and frequency, aligned with pre-intervention goal setting, can increase usage and the efficacy of a therapist-supported ICBT stress recovery intervention for healthcare workers. METHODS The two-arm randomized controlled trial included 87 healthcare workers (98.9% female, aged 19-68 years: M = 39.61, SD = 11.49): 43 in the standard intervention group and 44 in the tailored prompts group. The primary outcome measure was the Recovery Experiences Questionnaire (REQ), and the secondary outcomes were the Perceived Stress Scale (PSS-4), the Patient Health Questionnaire (PHQ-4), and the World Health Organization-Five Well-Being Index (WHO-5). The self-report data were collected online at pre-intervention (September 2022), post-intervention (October 2022), and 6-month follow-up (May 2023). RESULTS The results showed that tailored prompts, although appreciated by the majority (95.5%), did not improve intervention usage indicators, such as the number of logins (P = .364), modules completed (P = .482), exercises completed (P = .297), or the time spent using the program (P = .567). Similarly, tailored prompts did not increase the effects of the intervention in terms of stress recovery skills (Cohens d ranging from 0.31 to 0.85), perceived stress (d: -0.08; -0.70), depression (d: -0.11; -0.38), anxiety (d: -0.32; -0.64) or psychological well-being (d: 0.26; 0.46). In addition, the standard intervention group showed greater long-term stress recovery effects than the group using the internet-delivered intervention supplemented by tailored prompts (β = -0.24, P = .029). CONCLUSIONS Although the study confirmed the efficacy of the program, the merits of tailored prompts in ICBT for stress recovery were not supported. Future research is needed to test the effects of the stress recovery intervention supplemented by goal setting and tailored prompts. CLINICALTRIAL The trial has been registered on ClinicalTrials.gov (NCT05553210).

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Section: Introduction Backgroundmentioning

confidence: 99%

The Role of Tailored Timing and Frequency Prompts on the Efficacy of an Internet-Delivered Stress Recovery Intervention for Healthcare Workers: A Randomized Controlled Trial (Preprint)

Nomeikaite,

Gelezelyte,

Böttche

et al. 2024

Preprint

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Assessing the clinical utility of inertial sensors for home monitoring in Parkinson’s disease: a comprehensive review

Sapienza,

Tsurkalenko,

Giraitis

et al. 2024

npj Parkinsons Dis.

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This review screened 296 articles on wearable sensors for home monitoring of people with Parkinson’s Disease within the PubMed Database, from January 2017 to May 2023. A three-level maturity framework was applied for classifying the aims of 59 studies included: demonstrating technical efficacy, diagnostic sensitivity, or clinical utility. As secondary analysis, user experience (usability and patient adherence) was evaluated. The evidences provided by the studies were categorized and stratified according to the level of maturity. Our results indicate that approximately 75% of articles investigated diagnostic sensitivity, i.e. correlation of sensor-data with clinical parameters. Evidence of clinical utility, defined as improvement on health outcomes or clinical decisions after the use of the wearables, was found only in nine papers. A third of the articles included reported evidence of user experience. Future research should focus more on clinical utility, to facilitate the translation of research results within the management of Parkinson’s Disease.

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Beyond effectiveness in eHealth trials: Process evaluation of a stepped-care programme to support healthcare workers with psychological distress (RESPOND-HCWs)

Mediavilla,

García-Vázquez,

McGreevy

et al. 2024

DIGITAL HEALTH

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Objectives This study presents the process evaluation of an effective stepped-care programme of eHealth interventions (Doing What Matters in Times of Stress [DWM] and Problem Management Plus [PM+]) for healthcare workers (HCWs) with psychological distress (RESPOND-HCWs trial) conducted in Spain. The aim is to analyse the context in which the programme was delivered, assess key implementation outcomes and explore mechanisms of action. Methods We used mixed methods. Quantitative data came from routine randomised control trial monitoring and structured observation, and qualitative data were collected using semi-structured, in-depth interviews with trial participants ( n = 12) and decision-makers ( n = 7) and a focus group discussion with intervention providers ( n = 7). We conducted a descriptive analysis of quantitative data using R software and a thematic analysis of qualitative data using NVivo. Results Context analysis revealed implementation barriers, including unrealistic expectations of participants about the programme and mental health-related stigma. The flexibility of interventions and the opportunity for mental health actions were enabling factors. Implementation outcomes showed that the trial was feasible, appropriate and timely, and that the intervention was delivered with minimal protocol deviations and good acceptance among participants. Mechanisms of action included confidence in the positive effect of the intervention, a good therapeutic relationship and specific intervention components. Conclusions These results supplement the outcome evaluation and can help inform large-scale implementation in similar settings. Specific recommendations include increasing mental health awareness and reducing stigma in the implementation setting, including a short orientation session and ensuring flexibility in schedules and peer support. Trial registration number NCT04980326.

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Exploring reasons for usage discontinuation in an internet-delivered stress recovery intervention: A qualitative study

Cited by 4 publications

References 55 publications

The Role of Tailored Timing and Frequency Prompts on the Efficacy of an Internet-Delivered Stress Recovery Intervention for Healthcare Workers: A Randomized Controlled Trial (Preprint)

The Role of Tailored Timing and Frequency Prompts on the Efficacy of an Internet-Delivered Stress Recovery Intervention for Healthcare Workers: A Randomized Controlled Trial (Preprint)

Assessing the clinical utility of inertial sensors for home monitoring in Parkinson’s disease: a comprehensive review

Beyond effectiveness in eHealth trials: Process evaluation of a stepped-care programme to support healthcare workers with psychological distress (RESPOND-HCWs)

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