Journal of occupational health · 2025
Effects of a smartphone-based stress management program on work performance, sick leave, and intention to leave among nurses during COVID-19 in Vietnam and Thailand: an analysis of secondary outcomes of a randomized controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Sakuraya Asuka, Tran Thuy Thi Thu, Sripo Narisara, Watanabe Kazuhiro, Imamura Kotaro, Boonyamalik Plernpit, Sasaki Natsu, Tienthong Thanate, Asaoka Hiroki, Iida Mako, Nguyen Quynh Thuy, Nguyen Nga Thi, Vu Thai Son, Ngo Thuy Thi, Luyen Tham Thi, Nguyen Long Duc, Nguyen Nga Thi Viet, Nguyen Binh Thanh, Matsuyama Yutaka, Takemura Yukie, Nishi Daisuke, Tsutsumi Akizumi, Nguyen Huong Thanh, Kaewboonchoo Orawan, Kawakami Norito
Аннотация
OBJECTIVES: The purpose of this secondary analysis of data from a previous randomized controlled trial (RCT) was to investigate whether an internet-based cognitive behavioral therapy (iCBT) stress management program improved work performance, sick leave, and intention to leave among nurses in Vietnam and Thailand during the COVID-19 pandemic.
METHODS: Full-time nurses were recruited from hospitals in Vietnam and Thailand. A 2-arm, parallel-group, RCT was conducted. The intervention groups were provided a 7-week self-guided iCBT program. As secondary outcomes, work performance (on-the-job performance and quality of nursing care), sick leave days, and intention to leave the profession and the organization were assessed at baseline and 3-month and 6-month follow-ups in each group.
RESULTS: A total of 1203 participants were randomly allocated to the intervention and the control group. The program significantly improved on-the-job performance at 3-month follow-up (P = .0499), although the effect was nonsignificant at 6-month follow-up; Cohen's d was 0.16 and 0.04, respectively. The program also significantly reduced sick leave at 6-month follow-up (coefficient = -0.21; 95% CI, -0.36 to -0.07; prevalence ratio 0.81), although the effect at 3 months was nonsignificant. However, the effects of the intervention on the quality of nursing care and the intention to leave the profession or the organization were not significant.
CONCLUSIONS: A smartphone-based iCBT stress management program improved on-the-job performance at 3-month follow-up and decreased sick leave days at 6-month follow-up among hospital nurses in Vietnam and Thailand during the COVID-19 pandemic.
METHODS: Full-time nurses were recruited from hospitals in Vietnam and Thailand. A 2-arm, parallel-group, RCT was conducted. The intervention groups were provided a 7-week self-guided iCBT program. As secondary outcomes, work performance (on-the-job performance and quality of nursing care), sick leave days, and intention to leave the profession and the organization were assessed at baseline and 3-month and 6-month follow-ups in each group.
RESULTS: A total of 1203 participants were randomly allocated to the intervention and the control group. The program significantly improved on-the-job performance at 3-month follow-up (P = .0499), although the effect was nonsignificant at 6-month follow-up; Cohen's d was 0.16 and 0.04, respectively. The program also significantly reduced sick leave at 6-month follow-up (coefficient = -0.21; 95% CI, -0.36 to -0.07; prevalence ratio 0.81), although the effect at 3 months was nonsignificant. However, the effects of the intervention on the quality of nursing care and the intention to leave the profession or the organization were not significant.
CONCLUSIONS: A smartphone-based iCBT stress management program improved on-the-job performance at 3-month follow-up and decreased sick leave days at 6-month follow-up among hospital nurses in Vietnam and Thailand during the COVID-19 pandemic.