Internet interventions · 2026
resiLIR HCP: A self-guided digital resilience intervention for healthcare professionals focusing on self-care and self-compassion - A randomized controlled trial.
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von Boros Lisa, Schäfer Sarah K, Werner Tabea, Pank Carolina, Koehler Friederike, Zappalà Federico, Wirth Benedikt E, Zimmermann Tobias, Moos Michael, Gottfriedsen Lars, Scherrer Alexander, Helmreich Isabella, Lieb Klaus, Wessa Michèle, Tüscher Oliver
Аннотация
BACKGROUND: Healthcare professionals (HCPs) experience high occupational stress, contributing to mental health problems and workforce attrition. Scalable, low-threshold digital resilience interventions may alleviate this burden.
OBJECTIVE: This randomized controlled trial evaluated the effectiveness of resiLIR HCP, a 6-week, self-guided, web-based intervention focusing on self-care and self-compassion with brief daily exercises, in promoting HCP resilience.
METHODS: HCPs (N = 234, IG: n = 118, CG: n = 116) were randomized to the intervention or a waitlist control group. Online assessments were conducted at baseline, mid-intervention, post-intervention, and at 3-, 6-, and 12-month follow-ups. The primary outcome was resilience operationalized as time-varying stressor reactivity. Secondary outcomes included resilience- and work-related outcomes. Intervention effects were primarily evaluated from baseline to post-intervention and 3-month follow-up. Analyses followed per-protocol (PP) and intention-to-treat (ITT) approaches. Preregistration: NCT05812716.
RESULTS: PP analyses (IG: n = 45, CG: n = 84) revealed significant group × time intervention effects on stressor reactivity at post-intervention, which attenuated at follow-up. Significant effects at post-intervention were observed for self-care, self-compassion, self-efficacy, and psychological distress, whereas effects on depressive and anxiety symptoms were not robust after adjustment for multiple testing. No significant effects were found for work-related outcomes. ITT analyses did not reveal any significant effects, neither for the primary outcome nor secondary outcomes after adjusting for multiple testing. Only 43.2% met the predefined adherence criterion.
CONCLUSIONS: PP analyses revealed beneficial effects of resiLIR HCP, whereas ITT analyses provided weaker evidence. Limited adherence and non-significant effects on work-related outcomes highlight the need to enhance engagement and integrate digital interventions into multi-level prevention strategies.
OBJECTIVE: This randomized controlled trial evaluated the effectiveness of resiLIR HCP, a 6-week, self-guided, web-based intervention focusing on self-care and self-compassion with brief daily exercises, in promoting HCP resilience.
METHODS: HCPs (N = 234, IG: n = 118, CG: n = 116) were randomized to the intervention or a waitlist control group. Online assessments were conducted at baseline, mid-intervention, post-intervention, and at 3-, 6-, and 12-month follow-ups. The primary outcome was resilience operationalized as time-varying stressor reactivity. Secondary outcomes included resilience- and work-related outcomes. Intervention effects were primarily evaluated from baseline to post-intervention and 3-month follow-up. Analyses followed per-protocol (PP) and intention-to-treat (ITT) approaches. Preregistration: NCT05812716.
RESULTS: PP analyses (IG: n = 45, CG: n = 84) revealed significant group × time intervention effects on stressor reactivity at post-intervention, which attenuated at follow-up. Significant effects at post-intervention were observed for self-care, self-compassion, self-efficacy, and psychological distress, whereas effects on depressive and anxiety symptoms were not robust after adjustment for multiple testing. No significant effects were found for work-related outcomes. ITT analyses did not reveal any significant effects, neither for the primary outcome nor secondary outcomes after adjusting for multiple testing. Only 43.2% met the predefined adherence criterion.
CONCLUSIONS: PP analyses revealed beneficial effects of resiLIR HCP, whereas ITT analyses provided weaker evidence. Limited adherence and non-significant effects on work-related outcomes highlight the need to enhance engagement and integrate digital interventions into multi-level prevention strategies.