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Title: Effects of two types of smartphone-based stress management programmes on depressive and anxiety symptoms among hospital nurses in Vietnam : a protocol for three-arm randomised controlled trial
Authors: Zhang, Melvyn Wei Bin
Imamura, Kotaro
Tran, Thuy Thi Thu
Nguyen, Huong Thanh
Kuribayashi, Kazuto
Sakuraya, Asuka
Nguyen, Anh Quoc
Bui, Thu Minh
Nguyen, Quynh Thuy
Nguyen, Kien Trung
Nguyen, Giang Thi Huong
Tran, Xuyen Thi Ngoc
Truong, Tien Quang
Minas, Harry
Sekiya, Yuki
Sasaki, Natsu
Tsutsumi, Akizumi
Kawakami, Norito
Keywords: DRNTU::Science::Medicine
Issue Date: 2019
Source: Imamura, K., Tran, T. T. T., Nguyen, H. T., Kuribayashi, K., Sakuraya, A., Nguyen, A. Q., . . . Kawakami, N. (2019). Effects of two types of smartphone-based stress management programmes on depressive and anxiety symptoms among hospital nurses in Vietnam : a protocol for three-arm randomised controlled trial. BMJ Open, 9(4), e025138-. doi:10.1136/bmjopen-2018-025138
Series/Report no.: BMJ Open
Abstract: Introduction : Due to an increasing demand for healthcare in low-income and middle-income countries in Asia, it is important to develop a strategy to manage work-related stress in healthcare settings, particularly among nurses in these countries. The purpose of this three-arm randomised controlled trial (RCT) is to examine the effects of a newly developed smartphone-based multimodule stress management programme on reducing severity of depressive and anxiety symptoms as primary outcomes at 3-month and 7-month follow-ups among hospital nurses in Vietnam. Methods and analysis : The target study population will be registered nurses working in a large general hospital (which employs approximately about 2000 nurses) in Vietnam. They will be invited to participate in this study. Participants who fulfil the eligibility criteria will be randomly allocated to the free-choice, multimodule stress management (intervention group A, n=360), the internet cognitive behavioural therapy (iCBT), that is, fixed-order stress management (intervention group B, n=360), or a treatment as usual control group (n=360). Two types (free-choice and fixed sequential order) of smartphone-based six-module stress management programmes will be developed. Participants in the intervention groups will be required to complete one of the programmes within 10 weeks after the baseline survey. The primary outcomes are depressive and anxiety symptoms, measured by using the Depression Anxiety and Stress Scales (DASS) at 3-month and 7 month follow-ups. Ethics and dissemination : The study procedures have been approved by the Research Ethics Review Board of Graduate School of Medicine/Faculty of Medicine, the University of Tokyo (no 11991) and the Ethical Review Board for Biomedical Research of Hanoi University of Public Health (no 346/2018/YTCC-HD3). If a significant effect of the intervention programmes will be found in the RCT, the programmes will be made available to all nurses in the hospital including the control group. If the positive effects are found in this RCT, the e-stress management programmes will be disseminated to all nurses in Vietnam.
DOI: 10.1136/bmjopen-2018-025138
Rights: © 2019 Author(s). Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:
Fulltext Permission: open
Fulltext Availability: With Fulltext
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