CO-ADAPT: Adaptive Environments and Conversational Agent Based Approaches for Healthy Ageing and Work Ability

Study Overview
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Brief Summary
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The purpose of this study is to identify effective methodologies to help people improve their ability to adapt to psychological stress.

Detailed Description
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The subjects involved will follow a Stress Management Training (SMT) to learn some techniques to manage stress in the workplace and to increase the effectiveness of the intervention will use an APP and a Conversational Agent (CA) an Artificial Intelligence (AI). The purpose of the smartphone Application (APP) and CA will be to help people identify their thoughts, help them understand their emotions and the events that generated them. The data collected and analyzed will be integrated into artificial intelligence to improve understanding of what people are writing. Based on these analyses, it will be possible to identify the many different variables that interact in cases where a subject shows signs of stress related to adapting to change in the work environment and possible resilience factors that contribute to decreasing the state of stress. Tests will be administered at the beginning, at the end of the meetings, and 3 months after the end of the sessions. Subjects will be divided into various groups to understand whether APP and CA have a significant impact in increasing psychological well-being and stress coping strategies.

Official Title
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CO-ADAPT: Adaptive Environments and Conversational Agent Based Approaches for Healthy Ageing and Work Ability

Conditions
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Work Related Stress, Psychologic Adaptation

Intervention / Treatment
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* Behavioral: SMT
* Device: App CA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: whitecollar Normal or moderate levels of anxiety and stress A sufficient level of education to understand study procedures and be able to communicate with site personnel at least 40 to 70 years old Exclusion Criteria: High levels of depression combined with other psychological risk indices (such as suicidal thoughts) Current use of narcotics or other substances

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: Subjects who will participate in the study voluntarily will be given some pre-intervention tests (T1) to assess their psychological well-being, to understand the main coping strategies they employ to manage stress, general stress, and the presence of cognitive impairment. Questionnaires will be used to collect data and exclude those subjects who do not meet the inclusion criteria. Subjects included in the research will be randomly divided into 4 groups, one group will receive a standard 8 SMT (Stress Management Training) psychological interviews, one group will receive 8 (SMT) psychological interviews and subjects will use an APP together with a CA (Conversational Agent), one group will receive only the APP and the CA, one group will be placed in waiting-list. After the closing of the pathway (T2) the subjects will receive the same questionnaires they received at the beginning and again after 3 months (T3).
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: SMT Group<br>This group will receive a standard 8 SMT (Stress Management Training) psychological interviews | Behavioral: SMT<br>* Standard 8 SMT (Stress Management Training) psychological interviews.<br>|
| Experimental: SMT+CA<br>This group will receive a standard 8 SMT (Stress Management Training) psychological interviews and subjects will use an APP together a CA (Conversational Agent) an Artificial Intelligence. | Behavioral: SMT<br>* Standard 8 SMT (Stress Management Training) psychological interviews.<br>Device: App CA<br>* An APP together a CA (Conversational Agent).<br>|
| Experimental: Only CA<br>This group will receive only an APP together a CA (Conversational Agent) an Artificial Intelligence. | Device: App CA<br>* An APP together a CA (Conversational Agent).<br>|
| No Intervention: Waiting-List<br>This group will not receive any intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| An improvement of the scales contained in the OSI questionnaire | The Occupational Stress Indicator (OSI) test is a validated tool to detect sources of stress, coping styles, and the effects of stress on the job. | Up to day 60 | 
| An average improvement in Perceived Stress Scale (PSS) test scores | The Perceived Stress Scale (PSS) test is a validated test for detecting general stress levels. | Up to day 60 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| An improvement in levels of general psychological well-being Symptom Check List-90-Revised (SCL-90-R) | The Symptom Check List-90-Revised (SCL-90-R) test is a validated test for the detection of some psychological scales such as anxiety, depression and the level of general psychological well-being. | Up to day 60 | 
| An improvement in levels of GAD-7 test scores | The GAD-7 test is a validated test for the detection of generalized anxiety disorder. GAD-7 total score for the seven items ranges from 0 to 21. Higher scores mean worse outcome. | Up to day 60 | 
| An improvement in levels of PHQ-8 test scores | The PHQ-8 test is a validated test for the detection of depression. The PHQ-8 is scored just like the PHQ-9 and its total score ranges from 0 to 24. Higher scores mean worse outcome. | Up to day 60 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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work related stress, Psychological Adaptation