The Efficacy of Mobile Video Counseling for Employees With Emotional Labor

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to verify the effectiveness of mobile video counseling for workers. Subjects who can participate in the screening evaluation are assigned to one of face-to-face counseling group, mobile counseling group, and self-treatment group. The mobile counseling group and the face-to-face counseling group counseld with a total of 4 times, 50 minutes at a time, once a week, and the self-treatment group provides self-education by providing the stress education kit.

Detailed Description
-----------------
After screening, Pre-evaluation is conducted on the subjects who agreed to participate in the study. Pre-assessment includes questionnaires related to stress, emotional labor, resilience, sleep, etc., and includes stress-related physiological measures using HRV, 2 lead EEG. After the pre-evaluation, the test group will conduct a counseling program with a psychologist for 50 minutes at a time, once a week, for a total of 4 sessions (one month for a period). The place should be placed in a quiet place where the subject thinks comfortably and is designated as the same place to exclude the influence by the place, but the subject does not have to visit the hospital. In the offline counseling group, four counseling sessions are held with the psychologist off-line for a total of 4 counseling sessions, 50 minutes at a time, once a week after the same pre-evaluation. As a self-care control, counseling is not provided and self-learning materials are provided once a week. Mobile counseling group and offline counseling group visit the hospital within one week after termination and within 4 to 5 weeks after pre-evaluation in self-care control group. Also, to see if the effect of mobile counseling is continued even after counseling is completed, visit the counseling clinic one month after counseling is over and conduct the same test. The data obtained from this study showed that the mobile counseling program measured the change in the clinical scale and heart rate variability and EEG such as the stress and resilience of the subjects, and the self-care group using the offline counseling group and stress data and stress related psychological and physiological And compare the effects on the improvement of the indicator.

Official Title
-----------------
The Efficacy of a Mobile Video Counseling Targeted for Stress Reduction and Resilience Enhancement in Employees With Emotional Labor

Conditions
-----------------
Stress, Psychological

Intervention / Treatment
-----------------
* Behavioral: Stress management counseling


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Workers over the age of 19 and under 65 In the Perceived Stress Scale 14 points or more If you are currently taking medication due to psychiatric illnesses such as depression, anxiety disorder, insomnia, etc., if the stabilizer is expected to have no change in drug dose during the clinical trial If you understand the protocol and voluntarily agree to participate If you have an Android phone Exclusion Criteria: Age under 19, adult over 65 If you have dementia, intellectual disability, or other cognitive impairment If you have convulsive disorder, stroke, or other neurological disorder If you have psychosis such as schizophrenia or bipolar disorder or you have a history If you have a disease that can affect the reliability of HRV test, such as heart disease or lung disease. Has received non-pharmacological psychiatric or counseling treatment within the current or last 6 months.

Ages Eligible for Study
-----------------
Minimum Age: 19 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Healthy individuals recruited through advertisement
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mobile Video Counseling<br>Utilize mobile imaging equipment, receive a total of 4 stress management consultations every 50 minutes at a time, once a week. | Behavioral: Stress management counseling<br>* stress management counseling based on CBT and relaxation<br>|
| Active Comparator: Offline Counseling<br>Receive a total of 4 stress management counseling, once a week for 50 minutes each session. | Behavioral: Stress management counseling<br>* stress management counseling based on CBT and relaxation<br>|
| No Intervention: Selfcare<br>Use stress management materials to manage yourself. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline Perceived Stress Scale (PSS) score at 4, 8 weeks | 14-item scale developed by Cohen et al. (1983) that emphasizes subjective perception of stress. Measures the degree of perceived unforeseeable, uncontrollable, and overwhelming experience of stress in the past month. | Baseline and after 4, 8 weeks later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline Heart rate variability (HRV) and Change from baseline Eletroencephalogram (EEG) score at 4, 8 weeks | The instrument measures the EEG from the headset forehead sensor (EEG measurement of the prefrontal lobe, 2 channel EEG) and measures the pulse at the earlobe (measure the pulse rate in the earlobe vessel using a light sensor). The results of EEG and heart rate variability were calculated by measuring for 5 minutes. | Baseline and after 4, 8 weeks later | 
| Change from baseline Korean Emotional Labor Assessment Tool score at 4, 8 weeks | The total of 26 items were Emotional expression and control 5 items, organizational monitoring and management system 4 items, forced customer response 4 items, emotional damage 6 items, organizational protection system 7 items, and organizational protection system is reverse coding and summed up. 4 point Likert scale (1 = not at all, 5 = very much), and the possible total score ranges from 26 to 130 points. The higher the score, the more emotional labor means. | Baseline and after 4, 8 weeks later | 
| Change from baseline Korean abbreviation of Occupational Stress Scale (KOSS) score at 4, 8 weeks | total of 24 items were used, and each item was not at all (from 1 point) to very much (5 points). The higher the score, the more the job stress means. Job demand, Insufficient job control, job insecurity, interpersonal conflict, Organizational system, Lack of reward and Occupational climate. | Baseline and after 4, 8 weeks later | 
| Change from baseline Patient Health Questionnaire 9 (PHQ-9) score at 4, 8 weeks | The total score is 0 to 27, and the higher the total score, the more severe the depressive symptoms. Cutpoints of 5, 10, 15 and 20 represent the thresholds for mild, moderate, moderate severe, and severe depression, respectively. | Baseline and after 4, 8 weeks later | 
| Change from baseline Brief resilience scale (BRS) score at 4, 8 weeks | It is composed of 6 questions and is evaluated on the 5-point scale (1: not at all, 5: very much) | Baseline and after 4, 8 weeks later | 
| Change from baseline Athens Insomnia Scale (AIS) score at 4, 8 weeks | total score of 6 points was used as a breakpoint, this Using the quality index of Pittsburgh Sleep, which is widely used to evaluate the quality of sleep | Baseline and after 4, 8 weeks later | 
| Change from baseline Depression, Anxiety, Stress Scale (DASS) score at 4, 8 weeks | A total of 21 questions, depression, anxiety, and stress were assessed on a 4-point scale (0: not at all, 3: very or almost always). In this study, only 7 items relating to anxiety were extracted. The lowest score is from 0 to the maximum score of 21, and the higher the score, the more severe anxiety. Anxiety scores above 8 indicate significant anxiety symptoms | Baseline and after 4, 8 weeks later | 
| Change from baseline Connor-Davidson Resilience Scale (CD-RISC) score at 4, 8 weeks | A total of 25 items were assessed as a 5-point Likert scale (0: not at all, 4: very much). A score of 0-100 means higher resilience | Baseline and after 4, 8 weeks later | 
| Change from baseline Maslach Burnout Inventory-General Survey (MBI-GS) score at 4, 8 weeks | Evaluate on a total of 16 questions on a 7 point scale (1 point = not at all, 7 points = very much). The higher the total score, the greater the degree of job exhaustion. | Baseline and after 4, 8 weeks later | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Resilience, Mobile video counseling, Emotiona labor