Efficacy of a smartphone-based intervention - "Holidaily" - promoting recovery behaviour in workers after a vacation: study protocol for a randomised controlled trial.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
26 Aug 2020
Historique:
received: 19 11 2019
accepted: 05 08 2020
entrez: 27 8 2020
pubmed: 28 8 2020
medline: 1 12 2020
Statut: epublish

Résumé

While work-related rumination increases the risk of acute stressors developing into chronic load reactions and adverse health, mental detachment has been suggested as a way to interrupt this chain. Despite the importance of mentally detaching from work during leisure time, workers seem to struggle to disengage and, instead, experience the constant mental representation of work-related stressors, regardless of their absence. Those who struggle with work-related rumination could benefit from an easy-access intervention that fosters mental detachment by promoting recreational activities. Especially during vacations, workers appear to naturally engage in sufficient recovery activities; however, this beneficial behaviour is not sustained. The smartphone app-based intervention "Holidaily" promotes recovery behaviour and, thus, mental detachment from work with the intension of extending the beneficial effects of workers' vacations into their daily working life. This randomised-controlled trial (RCT) evaluates the efficacy of "Holidaily". The Holidaily app is a German stand-alone program for mobile devices with either Android/iOS operating systems. The sample includes workers, who are awaiting to go on vacation and are randomly assigned to either the intervention (IG) or a waitlist-control group (CG). The IG receives two weeks pre-vacation access to Holidaily, while the CG receives access two weeks post-vacation. On a daily basis participants in the IG are provided with three options promoting recreational activities and beneficial recovery experiences. Online questionnaires are distributed to all participants at several timepoints. The primary outcome measure assesses participants' work-related rumination (Irritation Scale). A significant difference two weeks post-vacation is expected, favouring the IG. Secondary outcomes include symptoms of depression, insomnia severity, emotional exhaustion, thinking about work, recovery experiences, vacation specifics, work and personal characteristics. To help explain the intervention's effect, explorative analyses will investigate the mediation properties of the frequency of engaging in recreational activities and the moderation properties of Holidaily users' experiences. If successful, workers will maintain their recovery behaviour beyond their vacation into daily working life. Findings could, therefore, provide evidence for low-intensity interventions that could be very valuable from a public-health perspective. App-based interventions have greater reach; hence, more workers might access preventative tools to protect themselves from developing adverse health effects linked to work-related rumination. Further studies will still be needed to investigate whether the vacation phenomenon of "lots of fun quickly gone" can be defied and long-term benefits attained. German Clinical Trials Registration DRKS00013650 . Registered retrospectively 15.01.2018.

Sections du résumé

BACKGROUND BACKGROUND
While work-related rumination increases the risk of acute stressors developing into chronic load reactions and adverse health, mental detachment has been suggested as a way to interrupt this chain. Despite the importance of mentally detaching from work during leisure time, workers seem to struggle to disengage and, instead, experience the constant mental representation of work-related stressors, regardless of their absence. Those who struggle with work-related rumination could benefit from an easy-access intervention that fosters mental detachment by promoting recreational activities. Especially during vacations, workers appear to naturally engage in sufficient recovery activities; however, this beneficial behaviour is not sustained. The smartphone app-based intervention "Holidaily" promotes recovery behaviour and, thus, mental detachment from work with the intension of extending the beneficial effects of workers' vacations into their daily working life.
METHODS METHODS
This randomised-controlled trial (RCT) evaluates the efficacy of "Holidaily". The Holidaily app is a German stand-alone program for mobile devices with either Android/iOS operating systems. The sample includes workers, who are awaiting to go on vacation and are randomly assigned to either the intervention (IG) or a waitlist-control group (CG). The IG receives two weeks pre-vacation access to Holidaily, while the CG receives access two weeks post-vacation. On a daily basis participants in the IG are provided with three options promoting recreational activities and beneficial recovery experiences. Online questionnaires are distributed to all participants at several timepoints. The primary outcome measure assesses participants' work-related rumination (Irritation Scale). A significant difference two weeks post-vacation is expected, favouring the IG. Secondary outcomes include symptoms of depression, insomnia severity, emotional exhaustion, thinking about work, recovery experiences, vacation specifics, work and personal characteristics. To help explain the intervention's effect, explorative analyses will investigate the mediation properties of the frequency of engaging in recreational activities and the moderation properties of Holidaily users' experiences.
DISCUSSION CONCLUSIONS
If successful, workers will maintain their recovery behaviour beyond their vacation into daily working life. Findings could, therefore, provide evidence for low-intensity interventions that could be very valuable from a public-health perspective. App-based interventions have greater reach; hence, more workers might access preventative tools to protect themselves from developing adverse health effects linked to work-related rumination. Further studies will still be needed to investigate whether the vacation phenomenon of "lots of fun quickly gone" can be defied and long-term benefits attained.
TRIAL REGISTRATION BACKGROUND
German Clinical Trials Registration DRKS00013650 . Registered retrospectively 15.01.2018.

Identifiants

pubmed: 32843021
doi: 10.1186/s12889-020-09354-5
pii: 10.1186/s12889-020-09354-5
pmc: PMC7448331
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

1286

Références

JMIR Ment Health. 2016 Mar 01;3(1):e7
pubmed: 26932350
J Med Internet Res. 2018 Jun 06;20(6):e10120
pubmed: 29875087
J Psychosom Res. 2006 Feb;60(2):113-24
pubmed: 16439263
Behav Res Ther. 2011 Mar;49(3):186-93
pubmed: 21238951
J Psychosom Res. 2015 Nov;79(5):391-8
pubmed: 26526314
Behav Res Methods. 2007 May;39(2):175-91
pubmed: 17695343
Occup Environ Med. 2003 Jun;60 Suppl 1:i3-9
pubmed: 12782740
J Appl Psychol. 1998 Aug;83(4):577-85
pubmed: 9729927
Internet Interv. 2016 Nov 02;6:89-106
pubmed: 30135818
Work. 2019;62(4):553-561
pubmed: 31104041
J Occup Health Psychol. 2017 Jul;22(3):365-380
pubmed: 28358572
J Occup Health. 2007 May;49(3):224-34
pubmed: 17575403
Psychol Med. 2017 Jun;47(8):1342-1356
pubmed: 28122650
Psychol Methods. 2002 Jun;7(2):147-77
pubmed: 12090408
Behav Res Ther. 2017 Nov;98:39-57
pubmed: 27865431
J Appl Psychol. 2016 Feb;101(2):302-11
pubmed: 26375961
NPJ Digit Med. 2019 Dec 2;2:118
pubmed: 31815193
J Psychiatr Res. 2018 Jan;96:100-107
pubmed: 28992526
Front Psychol. 2017 Jan 13;7:2072
pubmed: 28133454
Front Psychol. 2019 Dec 06;10:2745
pubmed: 31866915
Br J Clin Psychol. 2004 Sep;43(Pt 3):245-65
pubmed: 15333231
J Med Internet Res. 2020 Jan 7;22(1):e13346
pubmed: 31909725
JMIR Serious Games. 2017 Jun 07;5(2):e13
pubmed: 28592397
Psychoneuroendocrinology. 2018 Sep;95:63-73
pubmed: 29803182
Psychol Bull. 2008 Mar;134(2):163-206
pubmed: 18298268
World Psychiatry. 2017 Oct;16(3):287-298
pubmed: 28941113
Clin Psychol Rev. 2010 Mar;30(2):217-37
pubmed: 20015584
Am J Cardiol. 2012 Dec 15;110(12):1711-6
pubmed: 22975465
Int J Environ Res Public Health. 2019 Aug 20;16(16):
pubmed: 31434205
PLoS One. 2017 Mar 31;12(3):e0173403
pubmed: 28362821
BMC Med Res Methodol. 2014 Apr 09;14:49
pubmed: 24712304
Scand J Work Environ Health. 2003 Dec;29(6):444-51
pubmed: 14712852
J Pers Soc Psychol. 1988 Jun;54(6):1063-70
pubmed: 3397865
Health Psychol Rev. 2016 Sep;10(3):277-96
pubmed: 26854092
Health Psychol. 2015 Dec;34S:1240-1251
pubmed: 26651465
J Occup Health Psychol. 2017 Apr;22(2):225-238
pubmed: 27101340
J Appl Psychol. 2008 May;93(3):674-84
pubmed: 18457495
Psychoneuroendocrinology. 2005 Nov;30(10):1043-9
pubmed: 15939546
Br Med J (Clin Res Ed). 1981 Jun 6;282(6279):1847-51
pubmed: 6786649
J Pers Assess. 1985 Feb;49(1):71-5
pubmed: 16367493
J Appl Psychol. 2017 Apr;102(4):682-699
pubmed: 27893255
Int J Behav Nutr Phys Act. 2016 Dec 7;13(1):127
pubmed: 27927218
J Occup Health Psychol. 2007 Jul;12(3):204-21
pubmed: 17638488
Int J Behav Nutr Phys Act. 2016 Mar 10;13:35
pubmed: 26964880
J Occup Health Psychol. 2019 Feb;24(1):127-138
pubmed: 29723001
Stress Health. 2012 Oct;28(4):305-18
pubmed: 22213478
J Posit Psychol. 2010 Mar;5(2):105-121
pubmed: 20539837
Scand J Work Environ Health. 2006 Dec;32(6):482-92
pubmed: 17173204
Gen Hosp Psychiatry. 2018 Jul - Aug;53:119-124
pubmed: 29789141
Int J Environ Res Public Health. 2018 Jan 13;15(1):
pubmed: 29342844
J Med Internet Res. 2016 Oct 31;18(11):e287
pubmed: 27806926
Ann N Y Acad Sci. 1998 May 1;840:33-44
pubmed: 9629234
Mindfulness (N Y). 2018;9(5):1584-1593
pubmed: 30294390
Epidemiology. 2017 Jul;28(4):619-626
pubmed: 28570388
J Appl Psychol. 2001 Jun;86(3):513-24
pubmed: 11419810
J Occup Health Psychol. 2015 Apr;20(2):148-60
pubmed: 25528689
J Biom Biostat. 2017 Feb 24;8(1):1-8
pubmed: 30555734
J Occup Health Psychol. 2012 Jul;17(3):341-53
pubmed: 22746369
Sleep Med. 2001 Jul;2(4):297-307
pubmed: 11438246
J Med Internet Res. 2015 Nov 10;17(11):e253
pubmed: 26554314
BMC Public Health. 2015 Aug 01;15:738
pubmed: 26232123
Stress Health. 2012 Feb;28(1):23-30
pubmed: 22259155
J Affect Disord. 2009 Apr;114(1-3):163-73
pubmed: 18752852
Scand J Work Environ Health. 2019 Nov 1;45(6):560-576
pubmed: 31184758
Scand J Work Environ Health. 2015 Mar;41(2):164-74
pubmed: 25590336
Lancet. 2012 Oct 27;380(9852):1491-7
pubmed: 22981903
JMIR Mhealth Uhealth. 2015 Mar 11;3(1):e27
pubmed: 25760773
Int J Occup Med Environ Health. 2015;28(1):8-19
pubmed: 26159942
Scand J Work Environ Health. 2006 Dec;32(6):431-42
pubmed: 17173200
J Med Internet Res. 2011 Dec 31;13(4):e126
pubmed: 22209829
Psychol Bull. 2016 Mar;142(3):231-259
pubmed: 26689087
J Adolesc Health. 2015 Oct;57(4):433-40
pubmed: 26210856
J Occup Health. 2009;51(1):13-25
pubmed: 19096200
JMIR Mhealth Uhealth. 2019 Jan 15;7(1):e12297
pubmed: 30664494
J Occup Health Psychol. 2018 Jul;23(3):428-442
pubmed: 28358570
J Occup Health Psychol. 2005 Oct;10(4):393-414
pubmed: 16248688
Neurosci Biobehav Rev. 2017 Dec;83:252-266
pubmed: 29111334

Auteurs

Alexandra Smyth (A)

Department of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University of Lueneburg, Universitaetsallee 1, 21335, Lueneburg, Germany. alexandra.smyth@stud.leuphana.de.

Jessica de Bloom (J)

Department of Human Resource Management and Organizational Behavior, University of Groningen, Groningen, Netherlands.
Department of Psychology, Tampere University, Tampere, Finland.

Christine Syrek (C)

Department of Occupational Psychology, University of Applied Sciences Bonn-Rhein Sieg, Rheinbach, Germany.

Markus Domin (M)

Department of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University of Lueneburg, Universitaetsallee 1, 21335, Lueneburg, Germany.
Department of Electrical Engineering and Computer Science, Technische Hochschule Luebeck, Luebeck, Germany.

Monique Janneck (M)

Department of Electrical Engineering and Computer Science, Technische Hochschule Luebeck, Luebeck, Germany.

Jo Annika Reins (JA)

Department of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University of Lueneburg, Universitaetsallee 1, 21335, Lueneburg, Germany.

Dirk Lehr (D)

Department of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University of Lueneburg, Universitaetsallee 1, 21335, Lueneburg, Germany.

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