Effectiveness of a mental health stepped-care programme for healthcare workers with psychological distress in crisis settings: a multicentre randomised controlled trial
Entity
UAM. Departamento de PsiquiatríaPublisher
BMJ Publishing GroupDate
2023-06-01Citation
10.1136/bmjment-2023-300697
BMJ Mental Health 26.1 (2023): e300697
ISSN
2755-9734 (online)DOI
10.1136/bmjment-2023-300697Funded by
The RESPOND project was funded by the European Commission under Horizon 2020 - the Framework Programme for Research and Innovation (2014– 2020) (grant number: 101016127). The work of RM was funded by the State Plan for Scientific and Technical Research and Innovation 2021–2023 of the Spanish Agencia Estatal de Investigación (FJC2021-047610-I), the Acción Estratégica en Salud programme of the Instituto de Salud Carlos III (CD22/00061), and the Centro de Investigación Biomédica en Red (CB/07/09/0013). The work of MF-N was funded by the Acción Estratégica en Salud programme of the Instituto de Salud Carlos III (CD20/00036)Project
info:eu-repo/grantAgreement/EC/H2020/101016127/EU//RESPONDEditor's Version
http://dx.doi.org/10.1136/bmjment-2023-300697Subjects
COVID-19; adult psychiatry; anxiety disorders; depression & mood disorders; MedicinaNote
The dataset that supports the findings of this study are available upon reasonable request at the Universidad Autónoma de Madrid data repository, e‐cienciaDatos in https://doi.org/10.21950/HN1HNOArtículo escrito por un elevado número de autores, solo se referencian el que aparece en primer lugar, el nombre del grupo de colaboración, si le hubiere, y los autores pertenecientes a la UAM
Rights
© Author(s) (or their employer(s)) 2023Abstract
Evidence-based mental health interventions to support healthcare workers (HCWs) in crisis settings are scarce. Objective To evaluate the capacity of a mental health intervention in reducing anxiety and depression symptoms in HCWs, relative to enhanced care as usual (eCAU), amidst the COVID-19 pandemic. Methods We conducted an analyst-blind, parallel, multicentre, randomised controlled trial. We recruited HCWs with psychological distress from Madrid and Catalonia (Spain). The intervention arm received a stepped-care programme consisting of two WHO-developed interventions adapted for HCWs: Doing What Matters in Times of Stress (DWM) and Problem Management Plus (PM+). Each intervention lasted 5 weeks and was delivered remotely by non-specialist mental health providers. HCWs reporting psychological distress after DWM completion were invited to continue to PM+. The primary endpoint was self-reported anxiety/depression symptoms (Patient Health Questionnaire-Anxiety and Depression Scale) at week 21. Findings Between 3 November 2021 and 31 March 2022, 115 participants were randomised to stepped care and 117 to eCAU (86% women, mean age 37.5). The intervention showed a greater decrease in anxiety/depression symptoms compared with eCAU at the primary endpoint (baseline-adjusted difference 4.4, 95% CI 2.1 to 6.7; standardised effect size 0.8, 95% CI 0.4 to 1.2). No serious adverse events occurred. Conclusions Brief stepped-care psychological interventions reduce anxiety and depression during a period of stress among HCWs. Clinical implications Our results can inform policies and actions to protect the mental health of HCWs during major health crises and are potentially rapidly replicable in other settings where workers are affected by global emergencies
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Google Scholar:Mediavilla Torres, Roberto
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Bravo Ortiz, María Fe
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Bayón Pérez, Carmen
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Ayuso Mateos, José Luis
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RESPOND Consortium
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Except where otherwise noted, this item's license is described as © Author(s) (or their employer(s)) 2023
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