The efficacy of the internet-based stress recovery intervention FOREST for nurses amid the COVID-19 pandemic: A randomized controlled trial

Dumarkaitė, Austėja; Truskauskaitė‐Kunevičienė, Inga; Andersson, Gerhard; Jovarauskaitė, Lina; Jovaisiene, Ieva; Nomeikaitė, Augustė; Kazlauskas, Evaldas

doi:10.1016/j.ijnurstu.2022.104408

Cited by 20 publications

(34 citation statements)

References 19 publications

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“…Higher scores on the REQ-CA and subscales indicate higher stress recovery skills. Previous studies showed good psychometric properties of the REQ in adult samples [15,17].…”

Section: Primary Outcomementioning

confidence: 86%

“…Promising results on the effectiveness [15] of the internet-based stress recovery intervention (FOREST) have been reported previously. On the other hand, FOREST was created for adult healthcare staff.…”

Section: Discussionmentioning

confidence: 98%

“…The Recovery Experience Questionnaire (REQ) [16] will be used to measure stress recovery. The REQ was previously translated into Lithuanian and used in the adult sample in Lithuania [15]. The revised child and adolescent version of the REQ adapted for children and adolescents (REQ-CA) will be used in this study.…”

Section: Primary Outcomementioning

confidence: 99%

“…Findings from the RCT study revealed high effect sizes of the FOREST intervention [15]. The FOREST-A program and design of the study were adapted to the needs of adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…FOREST-A was adapted from the stress recovery program developed specifically for healthcare staff (details of the program and description of content can be found in the study protocol byJovarauskaite et al, 2021). Using the program yielded small to large between-group effects on various mental health outcomes immediately after the intervention and at the three-month follow-up[15]. The program is based on cognitive behavior therapy (CBT), including the third-wave CBTmindfulnessapproach.…”

mentioning

confidence: 99%

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Internet-based stress recovery intervention for adolescents: study protocol for a randomized controlled trial

Želvienė

Kairyte

Dumarkaitė

et al. 2023

Preprint

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Background. Mental health in adolescence are highly related to life-stressors exposure and difficulties in adjusting to stressors. Research reveals a high prevalence of stressors in adolescence. Therefore, interventions for recovery from stress are in high demand. The study aims to evaluate the efficacy of the internet-based stress recovery intervention for adolescents. Methods: A two-arm randomized controlled trial (RCT) on the efficacy of the FOREST-A – an internet-based stress recovery intervention for adolescents – will be conducted. The FOREST-A is an adapted version of stress recovery intervention initially developed for healthcare workers. FOREST-A is a third-wave cognitive behavioral therapy and mindfulness-based internet-delivered 4-week psychosocial intervention, which comprises six modules: Introduction, Relaxation, Psychological detachment, Mastery, Control, and Summary. The intervention will be evaluated using the two-arm RCT with intervention and care as usual (CAU) condition at pre-test, post-test, and 3-month follow-up. The measured outcomes will be stress recovery, adjustment disorder, generalized anxiety and depression symptoms, psychological well-being, and perceived positive social support. Discussion: The study will contribute to the development of internet interventions – easily and broadly accessible tools – for the enhancement of adolescents' recovery from stress skills. Based on the study's findings, further development of the FOREST-A, including upscaling and implementation, is foreseen. Trial registration: ClinicalTrials.gov NCT05688254. Registered on January 6, 2023.

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“…Higher scores on the REQ-CA and subscales indicate higher stress recovery skills. Previous studies showed good psychometric properties of the REQ in adult samples [15,17].…”

Section: Primary Outcomementioning

confidence: 86%

Section: Discussionmentioning

confidence: 98%

Section: Primary Outcomementioning

confidence: 99%

“…Findings from the RCT study revealed high effect sizes of the FOREST intervention [15]. The FOREST-A program and design of the study were adapted to the needs of adolescents.…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Internet-based stress recovery intervention for adolescents: study protocol for a randomized controlled trial

Želvienė

Kairyte

Dumarkaitė

et al. 2023

Preprint

Self Cite

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An experimental study on psychosocial Interventions for Chinese bank employees during the COVID-19: a cognitive-behavioral therapy based on Confucian cultivation ethics

Zhou,

et al. 2024

Curr Psychol

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Toward a Dimensional Contextual Model of Moral Injury: A Scoping Review on Healthcare Workers

Griffin

Weber

Hinkson

et al. 2023

Curr Treat Options Psych

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Purpose of Review Healthcare workers (HCWs) may be exposed to potentially morally injurious events (PMIEs) while on the job and consequently experience acute, functional moral distress to prolonged, impairing moral injury. Recent Findings We reviewed 185 articles on moral distress and/or injury among HCWs. This included 91 empirical studies (approximately 50% of the retained articles), 68 editorials (37%), 18 reviews (10%), and 8 protocol papers (4%). Themes were explored using bibliometric network analysis of keyword co-citation. Empirical studies found evidence of PMIE exposure among a considerable proportion of HCWs. Greater moral distress severity was associated with worse mental and occupational health outcomes, especially among women (vs. men), younger HCWs (vs. older), nurses (vs. physicians), those who worked more hours, and HCWs with less experience. Programs to prevent and treat moral injury among HCWs lack empirical evidence. Summary Efforts to maintain the well-being and effectiveness of HCWs should consider the potential impact of moral injury. To that end, we introduce a dimensional contextual model of moral injury in healthcare settings and discuss recommendations for prevention and treatment.

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The efficacy of the internet-based stress recovery intervention FOREST for nurses amid the COVID-19 pandemic: A randomized controlled trial

Cited by 20 publications

References 19 publications

Internet-based stress recovery intervention for adolescents: study protocol for a randomized controlled trial

Internet-based stress recovery intervention for adolescents: study protocol for a randomized controlled trial

An experimental study on psychosocial Interventions for Chinese bank employees during the COVID-19: a cognitive-behavioral therapy based on Confucian cultivation ethics

Toward a Dimensional Contextual Model of Moral Injury: A Scoping Review on Healthcare Workers

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