Effects of a Thermal Spa Short Residential Program for Prevention of Work-related Stress / Burn-out on Biomarkers of Stress - A Proof of Concept Study

Study Overview
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Brief Summary
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Work-related stress is a public health issue. Among the multiple physical and psychological consequences of stress, increased mortality and cardiovascular morbidity seem the main concern. The thermal spa resort of Néris-Les-Bains is one of the five spa resorts in France specialized in the treatment of psychosomatic disorders. Among all these resorts proposing a thermal residential program of three weeks, only one thermal spa resort (Saujon) has a program for occupational burn-out. However, a shorter thermal spa residential program seems more compatible with professional context (availability of individuals), and focusing on work-related stress prevention (before the state of burn-out). The main hypothesis is that a short thermal spa residential program (6 days) of work-related stress prevention will exhibit its efficacy through objective measures of well-being and cardiovascular morbidity.

Detailed Description
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The Therm-Stress protocol was designed to provide a better understanding of the effect of a short spa residential program of work-related stress prevention on the improvement of heart rate variability. In the present protocol, parameters are measured on six occasions (inclusion, 6 days before the start, at the start of the spa, at the end of the spa, at 6 months and at 12 months). Statistical analysis will be performed using Stata software (version 13; Stata-Corp, College Station, Tex., USA). All statistical tests will be two-sided and p<0.05 will be considered significant. After testing for normal distribution (Shapiro-Wilk test), data will be treated either by parametric or non-parametric analyses according to statistical assumptions. Inter-groups comparisons will systematically be performed 1) without adjustment and 2) adjusting on factors liable to be biased between groups. Analysis will be performed using anova or Kruskal-Wallis (KW) tests. When appropriate (p<0.05), a post-hoc test for multiple comparisons (Tukey-Kramer after anova and Dunn post KW) will be used. Linear regression (with logarithmic transformation if necessary) considering an adjustment on covariates fixed according to epidemiological relevance and observance to physical activity will complete the analysis. Comparisons of categorical variables will be performed using Chi-squared or Fischer test. Marascuillo's procedure will be performed for multiple comparisons. Relations between quantitative outcomes will be analyzed using correlation coefficients (Pearson or Spearman). Fisher's Z transformation and William's T2 statistic will be performed to compare correlations between variables and within a single group of subjects. Longitudinal data will be treated using mixt-model analyses in order to treat fixed effects group, time and group x time interaction taking into account between and within participant variability.

Official Title
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Effects of a Thermal Spa Short Residential Program for Prevention of Work-related Stress / Burn-out on Biomarkers of Stress - A Proof of Concept Study

Conditions
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Stress, Burn Out, Heart Rate Variability

Intervention / Treatment
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* Behavioral: 6 days spa residential program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Workers with a visual analog scale of stress greater than 50 mm from 18 years to retirement written informed consent Affiliation to French health care system (for France) Exclusion Criteria: Participant refusal to participate

Ages Eligible for Study
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Minimum Age: 18 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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Participants will be involved in a short-term spa residential program of 6 days combining psychological intervention, physical activity, thermal spa treatment, health education and corrections of eating disorders. After the program, participants will be followed for 12 months. | Behavioral: 6 days spa residential program<br>* 6 days spa residential program combining psychological intervention, physical activity, thermal spa treatment, health education and corrections of eating disorders.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| heart rate variability | To assess the ability of a short spa residential program of management of work-related stress in increasing heart rate variability, a biomarker of both stress and morbidity/mortality. Heart rate variability will be measured by zephyr during 26h recording time | at inclusion (Month1 to Month5) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Variation of biomarkers of stress after the end of the interventional phase. | Evaluate the effectiveness of an individualized thermal intervention on biomarkers of stress among working people. | at inclusion (Month1 to Month5) | 
| Variation of cardiovascular risk after the end of the interventional phase. | Evaluate the effectiveness of an individualized thermal intervention on cardiovascular risk among working people. | at inclusion (Month1 to Month5) | 
| Genetic polymorphisms related to stress | effectiveness of an individualized thermal intervention on genetic polymorphisms related to stress. | at inclusion (Month1 to Month5) | 
| Demographics information | Demographics information will be obtained via a single questionnaire including questions on age, gender, qualification, personal work status, ethnicity, life and occupational events | at inclusion (Month1 to Month5) | 
| Variation of health factors risks after the interventional phase | Evaluate the effectiveness of an individualized thermal intervention on health factors. | at inclusion (Month1 to Month5) | 
| Variation of body composition after the interventional phase | Evaluate the effectiveness of an individualized thermal intervention on body composition. | at inclusion (Month1 to Month5) | 
| Variation of subjective stress measures after the interventional phase | Evaluate the effectiveness of an individualized thermal intervention on subjective stress measures. | at inclusion (Month1 to Month5) | 
| Variation of health biomarkers after the interventional phase | Evaluate the effectiveness of an individualized thermal intervention on Health-related risk assessed by biomarkers. | at inclusion (Month1 to Month5) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prevention, biomarkers, stress, burn out, occupation, work, spa bath