Effects of an internet-based cognitive behavioral therapy (iCBT) intervention on improving depressive symptoms and work-related outcomes among nurses in Japan: a protocol for a randomized controlled trial.
Cognitive behavioral therapy
Depression
Internet-based
Prevention
Stress
Stress management
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
07 08 2019
07 08 2019
Historique:
received:
07
11
2018
accepted:
26
07
2019
entrez:
9
8
2019
pubmed:
9
8
2019
medline:
11
4
2020
Statut:
epublish
Résumé
Depression is a major problem among nurses; hence, it is important to develop a primary prevention strategy to manage depression among nurses. This randomized controlled trial (RCT) study aims to investigate the effects of a newly developed internet-based cognitive behavioral therapy (iCBT) program on depressive symptoms, measured at baseline and three- and six-month follow-ups, among nurses in Japan. Nurses working at three university hospitals, one public hospital, and twelve private hospitals who meet inclusion criteria will be recruited and randomized either to the intervention group or the control group (planned N = 525 for each group). The newly developed iCBT program for nurses consists of six modules, which cover different components of cognitive behavioral therapy (CBT); transactional stress model (in module 1), self-monitoring skills (in module 2), behavioral activation skills (in module 3), cognitive restructuring skills (in modules 4 and 5), relaxation skills (in module 5), and problem-solving skills (in module 6). Participants in the intervention group will be asked to read these modules within 9 weeks. The primary outcome will be depressive symptoms as assessed by the Beck Depression Inventory-II (BDI-II) at baseline, three-, and six-month follow-ups. The greatest strength of this study is that it is the first RCT to test the effectiveness of the iCBT program in improving depressive symptoms among nurses. A major limitation is that all measurements, including major depressive episodes, are self-reported and may be affected by situational factors at work and participants' perceptions. This trial was registered at the University Hospital Medical Information Network clinical trials registry (UMIN-CTR; ID = UMIN000033521 ) (Date of registration: August 1, 2018).
Sections du résumé
BACKGROUND
Depression is a major problem among nurses; hence, it is important to develop a primary prevention strategy to manage depression among nurses. This randomized controlled trial (RCT) study aims to investigate the effects of a newly developed internet-based cognitive behavioral therapy (iCBT) program on depressive symptoms, measured at baseline and three- and six-month follow-ups, among nurses in Japan.
METHODS
Nurses working at three university hospitals, one public hospital, and twelve private hospitals who meet inclusion criteria will be recruited and randomized either to the intervention group or the control group (planned N = 525 for each group). The newly developed iCBT program for nurses consists of six modules, which cover different components of cognitive behavioral therapy (CBT); transactional stress model (in module 1), self-monitoring skills (in module 2), behavioral activation skills (in module 3), cognitive restructuring skills (in modules 4 and 5), relaxation skills (in module 5), and problem-solving skills (in module 6). Participants in the intervention group will be asked to read these modules within 9 weeks. The primary outcome will be depressive symptoms as assessed by the Beck Depression Inventory-II (BDI-II) at baseline, three-, and six-month follow-ups.
DISCUSSION
The greatest strength of this study is that it is the first RCT to test the effectiveness of the iCBT program in improving depressive symptoms among nurses. A major limitation is that all measurements, including major depressive episodes, are self-reported and may be affected by situational factors at work and participants' perceptions.
TRIAL REGISTRATION
This trial was registered at the University Hospital Medical Information Network clinical trials registry (UMIN-CTR; ID = UMIN000033521 ) (Date of registration: August 1, 2018).
Identifiants
pubmed: 31391029
doi: 10.1186/s12888-019-2221-5
pii: 10.1186/s12888-019-2221-5
pmc: PMC6686442
doi:
Banques de données
UMIN-CTR
['UMIN000033521']
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
245Références
Annu Rev Med. 2011;62:397-409
pubmed: 20690827
J Occup Health. 2017 May 25;59(3):237-246
pubmed: 28302927
Int J Methods Psychiatr Res. 2008;17(3):152-8
pubmed: 18763695
PLoS One. 2017 Dec 21;12(12):e0189904
pubmed: 29267334
Telemed J E Health. 2012 Mar;18(2):137-44
pubmed: 22381060
PLoS One. 2011;6(12):e28299
pubmed: 22174786
Int J Nurs Stud. 1999 Apr;36(2):163-9
pubmed: 10376226
Int J Methods Psychiatr Res. 2015 Sep;24(3):204-12
pubmed: 24677699
J Clin Nurs. 2012 Jul;21(13-14):2064-71
pubmed: 22384849
Clin Psychol Rev. 2009 Jul;29(5):449-58
pubmed: 19450912
J Contin Educ Nurs. 2013 Sep;44(9):406-14
pubmed: 23799789
J Occup Health Psychol. 1998 Oct;3(4):322-55
pubmed: 9805280
J Adv Nurs. 2003 Dec;44(6):633-42
pubmed: 14651686
J Occup Health. 2013;55(2):47-55
pubmed: 23327888
Psychiatry Res. 2005 Jun 30;135(3):229-35
pubmed: 15996749
Occup Environ Med. 2003 Jan;60(1):10-5
pubmed: 12499451
Am J Nurs. 2012 Feb;112(2):30-8; quiz 48, 39
pubmed: 22261652
Psychiatry Res. 2002 Jul 31;110(3):291-9
pubmed: 12127479
J Occup Health Psychol. 2008 Jan;13(1):69-93
pubmed: 18211170
Psychiatry Clin Neurosci. 2011 Aug;65(5):434-41
pubmed: 21851452
Psychiatry Clin Neurosci. 2005 Aug;59(4):441-52
pubmed: 16048450
Workplace Health Saf. 2016 Oct;64(10):488-511
pubmed: 30209987
Int J Methods Psychiatr Res. 2004;13(2):93-121
pubmed: 15297906
J Occup Health. 2017 May 25;59(3):215-236
pubmed: 28320977
Int J Ment Health Nurs. 2004 Dec;13(4):255-61
pubmed: 15660594
Am J Public Health. 2001 Feb;91(2):270-6
pubmed: 11211637
Int J Behav Med. 1995;2(4):358-75
pubmed: 16250773
Clin Nurse Spec. 2012 May-Jun;26(3):177-82
pubmed: 22504476
Behav Res Ther. 2012 Aug;50(7-8):463-8
pubmed: 22659155
Curr Psychiatry Rep. 2010 Dec;12(6):547-52
pubmed: 20872100
F1000 Med Rep. 2010 Jul 14;2:
pubmed: 20948835
Appl Nurs Res. 2016 Nov;32:18-25
pubmed: 27969025
Issues Ment Health Nurs. 2009 May;30(5):320-6
pubmed: 19437251
J Med Internet Res. 2017 Jul 26;19(7):e271
pubmed: 28747293
PLoS One. 2014 May 20;9(5):e97167
pubmed: 24844530
Health Commun. 2011 Oct;26(7):676-8
pubmed: 21660790
J Med Internet Res. 2005 Mar 31;7(1):e11
pubmed: 15829473
Stress Health. 2012 Feb;28(1):1-10
pubmed: 22259153
J Occup Environ Med. 2003 Feb;45(2):156-74
pubmed: 12625231
Cochrane Database Syst Rev. 2015 Apr 07;(4):CD002892
pubmed: 25847433
BMJ. 2012 Apr 18;344:e2598
pubmed: 22517917
Behav Res Methods. 2007 May;39(2):175-91
pubmed: 17695343
J Abnorm Psychol. 1971 Aug;78(1):107-26
pubmed: 4938262
PLoS One. 2014 Jun 17;9(6):e100100
pubmed: 24936656
Ann Intern Med. 2013 Feb 5;158(3):200-7
pubmed: 23295957
Arch Gen Psychiatry. 1988 Dec;45(12):1069-77
pubmed: 2848472
Aust N Z J Psychiatry. 2009 Jun;43(6):571-8
pubmed: 19440890
Psychol Med. 2009 May;39(5):705-12
pubmed: 18812006
Nord J Psychiatry. 2011 Dec;65(6):354-64
pubmed: 21770842
Psychol Med. 2016 Mar;46(4):683-97
pubmed: 26620157
Psychol Bull. 1992 Jul;112(1):155-9
pubmed: 19565683
Psychol Med. 2007 Mar;37(3):319-28
pubmed: 17112400
Psychol Med. 2002 Aug;32(6):959-76
pubmed: 12214795