Online Cognitive Behavioral Therapy (CBT) for Stress Disorders in Health Workers Involved in the Care of Patients During the Covid-19 Epidemic

Study Overview
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Brief Summary
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Some preliminary epidemiological research conduct in China in health workers involved in the care of Covid-19 patients has shown high rates of depression (>50%), generalized anxiety disorder (>44%), insomnia (>36%) and stress symptoms (>73%), which negatively impact their well-being as well as their ability to work effectively . These rates were observed during the epidemic peak, but they can also have a long-term mental health effect, both individually, but also in a systemic manner , similar to what has been reported relative to the SARS-CoV-1 . Cognitive behavioral therapy (CBT) is recognized as an effective treatment for stress-reduction, as well as for the prevention of multiple mental health problems in at-risk individuals . Moreover, CBT has been found to be effective in brief online formats , which could make it feasible during the current Covid-19 epidemic. To our knowledge, there are no online CBT programmes targeting stress problems in health workers involved in the care of patients during the current epidemic context. The aim of our study is to evaluate the efficacy of the online CBT programme we have developped to specifically address immediate perceived stress in health workers, as well as the prevention of mental health problems at 3- and 6-months follow-up

Official Title
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Efficacy of an Online Cognitive Behavioral Therapy (CBT) Programme Aiming at Reducing the Stress of Health Workers Involved in the Care of Patients During the Covid-19 Epidemic: a Randomized-controlled Trial

Conditions
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Stress - Prevention of Sleep Disorders, PTSD and Depression

Intervention / Treatment
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* Behavioral: Online cognitive behavioral therapy (CBT)
* Behavioral: Online bibliotherapy programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Health worker Male or Female Aged 18-70 Able to understand the French language Exclusion Criteria: PSS < 16 Suicidal ideation assessed as < 3 on the item 9 of the PHQ-9 legally able to provide informed consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 7 sessions of the online CBT programme<br> | Behavioral: Online cognitive behavioral therapy (CBT)<br>* 7 sessions of Cognitive Behavioural Therapy (CBT) online + possibility to contact the psychological hotline<br>|
| Active Comparator: Bibliotherapy<br> | Behavioral: Online bibliotherapy programme<br>* online bibliotherapy programme on the Ma Santé website Also with explanatory sheets and tools to improve stress management and the possibility of contacting the Psychological Hotline<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Significant score reduction at the Perceived Stress Scale |  | T0 inclusion | 
| Significant score reduction at the Perceived Stress Scale |  | T1 (3-month follow-up) | 
| Significant score reduction at the Perceived Stress Scale |  | T1 (up to 8 weeks treatment) | 
| Significant score reduction at the Perceived Stress Scale |  | T2 (6-month follow-up) |