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Emotional DistressCUIDA-TENCT04958941

CUIDA-TE, an APP for the Emotional Management

A study testing Experimental: Intervention group in people with Emotional Distress and Burnout, Professional, run by University of Valencia at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to develop and validate an Ecological Momentary Intervention APP for healthcare workers, in order to face of work-related stresses generated by the COVID-19 pandemic. Read more about this study

Who is it for?
Ages 18 to 67 yearsHealthy volunteers can take part
What is being tested?
Experimental: Intervention group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
340 participants
Where
1 siteSpain
Study dates
14 Nov 2022to 31 Jul 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 67 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • to be a healthcare worker in active (from 18 until 67 years)
  • to have a smartphone with Internet access and Android operating system.

Who cannot join

  • to be in psychological treatment at the time of the recruitment

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • University of Valencia

    Valencia, 46010

Other trials in Spain

About this study

Official title: CUIDA-TE, an APP for the Emotional Management of the Healthcare Professionals

The aim of this study is to develop and validate an Ecological Momentary Intervention APP for healthcare workers, in order to face of work-related stresses generated by the COVID-19 pandemic.

Read the detailed description

The COVID-19 pandemic has had a very high emotional impact on healthcare workers. Ecological momentary interventions (EMI) can offer an intervention in real time, when the emotion arises. CUIDA-TE is an EMI APP based on principles of different transdiagnostic cognitive behavioral interventions focused on emotion regulation. The effectiveness of CUIDA-TE will be investigated in the current study. A two-arms randomized controlled trial (RCT) will be conducted. At least 182 healthcare workers will be randomly assigned to a 2-month immediate intervention group (CUIDA-TE APP, n= 91), or a control group (no assessment or intervention, n=91). The CUIDA-TE consists of an app-based EMI that estimates and intervenes based on ecological momentary assessment data of five emotional states: joy, fatigue, sadness, anxiety, anger, as well as sleep quality, sleep quantity, burnout, perceived stress, and self-perception of coping skills. The primary outcome is the PHQ-9. Secondary outcomes include ERQ, DERS, OASIS, BRS, SUS, and ProQOL questionnaires. Primary and secondary outcomes will be obtained at pre- and post-intervention measurements, and at 3-month follow-up measurement.

Being tested
Experimental: Intervention group
Medical subject headings
Burnout, Professional, Stress, Psychological

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Experimental: Intervention groupBehavioural

    Also called CUIDA-TE APP

    During 2 months participants will be able to asses their mood and practice in real time their emotional regulation skills with an ecological momentary interventions APP.

Study groups in NCT04958941
Study groupRoleWhat they receive
Intervention groupExperimentalThe group will receive the ecological momentary intervention (CUIDA-TE APP). This intervention will allow the individual to learn and practice adaptive ways to regulate their emotions. The protocol contains the following components: Distraction, acceptation skills, re-appraisal and problem-solving skills.
Receives: Behavioral: Experimental: Intervention group
Control groupNo interventionThis condition is a waiting list control group with no intervention. The participants will wait for a period of 3 months. They will be offered the possibility of receiving the intervention APP (CUIDA-TE) after the waiting list period.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assess change in Brief Patient Health Questionnaire Mood Scale (PHQ-9)

    The PHQ-9 assess depression construct and includes nine items: (1) anhedonia; (2) depressed mood; (3) trouble sleeping; (4) feeling tired; (5) change in appetite; (6) guilt, self-blame, or worthlessness; (7) trouble concentrating; (8) feeling slowed down or restless; and (9) thoughts of being better off dead or hurting oneself. PHQ-9 score can range from 0 to 27, since each of the 9 items can be scored from 0 (not at all) to 3 (nearly every day). The PHQ-9 score is divided in the following severity categories: 5-9 (mild depression), 10-14 (modera depression), 15-19 (moderately severe depression) and 20 or greater (severe depression).

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

  2. Assess change in Emotion Regulation Questionnaire (ERQ)

    A 10-item scale designed to measure respondents' tendency to regulate their emotions in two ways: (1) Cognitive Reappraisal and (2) Expressive Suppression. Respondents answer each item on a 7-point Likert-type scale ranging from 1 (strongly disagree) to 7 (strongly agree). High score indicates more likely to use this kind of emotion regulation strategies (Reappraisal Items: 1, 3, 5, 7, 8, 10; Suppression Items: 2, 4, 6, 9).

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

  3. Assess change in Difficulties in Emotion Regulation Scale (DERS)

    The DERS is a 36-item self-report measure of six facets of emotion regulation. Spanish validated version (Hervás \& Jódar, 2008) has 28-items rated on a scale of 1 to 5. Higher scores indicate more difficulty in emotion regulation.

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

  4. Assess change in Brief Resilience Scale (BRS)

    The BRS is a 6-item self-report measure to assess the ability to bounce back or recover from stress. The items are rated on a 5-point scale (1 = strongly disagree; 5 = strongly agree). Range from 6 (low resilience) to 30 (high resilience).

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

  5. Assess change in Burnout

    Three items for assessing burnout in medical professionals. Higher score indicate more perceived burnout.

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

  6. Assess change in ProQOL-V

    The ProQOL (Professional Quality of Life Scale) was developed as a measure of both the negative and positive effects of working with those who have experienced traumatic stress. The ProQOL has sub-scales for compassion satisfaction, burnout, and compassion fatigue.The responses are rated on 5-point scale, indicating the frequency of each item in the last 30 days (1 = never, 2 = rarely, 3= Sometimes, 4= Often and 5 = Very Often). Higher scores on the compassion satisfaction scale represent a greater satisfaction related to the ability of the professional to be an effective caregiver in his/her job. Higher scores on the burnout scale mean a higher risk for burnout and higher scores in secondary traumatic stress indicate the professional is higher exposed to traumatic events.

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

  7. Assess in usability with the System Usability Scale

    The System Usability Scale (SUS; Brooke, 1996) is a reliable, 10-item questionnaire that assess the usability of a technology application. The items are rated from 1 ("Strongly disagree") to 5 ("Strongly agree"). The scale is corrected with a formula that allows to obtain scores between 0 -100 points. Unacceptable usability (with SUS scores below 50) could indicate that a user had difficulties while using the program and could be interpreted as a barrier for the clinical effect.

    Measured: At 2 months (post intervention)

  8. Assess change in Overall Anxiety Severity and Impairment Scale (OASIS)

    The OASIS is a 5-item self-report measure to assess anxiety severity and impairment

    Measured: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)

Secondary outcomes (10)
  1. Joy daily item integrated in the APP mobile

    Item to assess joy/happiness daily through APP mobile. User will rate the item rating between 0 (No happiness) to 10 (Extremely happiness)

    EXAMPLE ITEM:

    Please, indicate the intensity of your CURRENT HAPPINESS 0= No happiness-------------------------------10= Extremely happy

    Item taken from mobile APP validated in Suso-Ribera C, Castilla D, Zaragozá I, Ribera-Canudas MV, Botella C, García-Palacios A. Validity, reliability, feasibility, and usefulness of pain monitor. Clin J Pain. 2018;34(10):900-8.

    Measured: During intervention process up to 2 months

  2. Fatigue daily item integrated in the APP mobile

    Item to assess Fatigue daily through APP mobile. User will rate the item rating between 0 (No Fatigue) to 10 (Extreme fatigue)

    EXAMPLE ITEM:

    Please, indicate the intensity of your CURRENT FATIGUE 0= No fatigue--------------------------------10= Extreme fatigue

    Item taken from mobile APP validated in Suso-Ribera C, Castilla D, Zaragozá I, Ribera-Canudas MV, Botella C, García-Palacios A. Validity, reliability, feasibility, and usefulness of pain monitor. Clin J Pain. 2018;34(10):900-8.00-8.

    Measured: During intervention process up to 2 months

  3. Sadness daily item integrated in the APP mobile

    Item from mobile APP validated in Suso-Ribera C, Castilla D, Zaragozá I, Ribera-Canudas MV, Botella C, García-Palacios A. Validity, reliability, feasibility, and usefulness of pain monitor. Clin J Pain. 2018;34(10):900-8.

    Measured: During intervention process up to 2 months

  4. Anxiety daily item integrated in the APP mobile

    Item to assess Anxiety daily through APP mobile. User will rate the item rating between 0 (No Anxiety) to 10 (Extremely Anxious)

    EXAMPLE ITEM:

    Please, indicate the intensity of your CURRENT ANXIETY 0= No anxiety-----------------------------10= Extremely anxious

    Item taken from mobile APP validated in Suso-Ribera C, Castilla D, Zaragozá I, Ribera-Canudas MV, Botella C, García-Palacios A. Validity, reliability, feasibility, and usefulness of pain monitor. Clin J Pain. 2018;34(10):900-8.

    Item from mobile APP validated in Suso-Ribera C, Castilla D, Zaragozá I, Ribera-Canudas MV, Botella C, García-Palacios A. Validity, reliability, feasibility, and usefulness of pain monitor. Clin J Pain. 2018;34(10):900-8.

    Measured: During intervention process up to 2 months

  5. anger daily item integrated in the APP mobile

    Item to assess Anger daily through APP mobile. User will rate the item rating between 0 (No Anger) to 10 (Extremely Angry)

    EXAMPLE ITEM:

    Please, indicate the intensity of your CURRENT ANGER 0= No anger-------------------------------10= Extremely angry

    Item from mobile APP validated in Suso-Ribera C, Castilla D, Zaragozá I, Ribera-Canudas MV, Botella C, García-Palacios A. Validity, reliability, feasibility, and usefulness of pain monitor. Clin J Pain. 2018;34(10):900-8.

    Measured: During intervention process up to 2 months

  6. sleep quality daily item integrated in the APP mobile

    Item to assess sleep quanlity daily through APP mobile. User will rate if the work have interfered with the quality of sleep rating between 0 (No interference) to 10 (maximum interference)

    EXAMPLE ITEM:

    Has WORK interfered with the quality of your SLEEP tonight? 0 = No Interference----------------------10 = Maximum Interference

    Item elaborated AD HOC for this study

    Measured: During intervention process up to 2 months

  7. sleep quantity daily item integrated in the APP mobile

    Item to assess sleep quantity daily through APP mobile. The user will rate the number of hours of sleep each day.

    EXAMPLE ITEM:

    How many hours have you slept in the last 24 hours?

    Item elaborated AD HOC for this study

    Measured: During intervention process up to 2 months

  8. burnout daily item integrated in the APP mobile

    Item to assess the degree of perceived burnout daily through APP mobile. User will rate the item rating between 0 (Totally disagree) to 10 (Totally agree)

    EXAMPLE ITEM:

    Please, indicate your degree of agreement with the next statement: "I am burned out from my work" 0= totally disagree----------------------------------------10= totally agree

    Item adapted from West CP, Dyrbye LN, Sloan JA, Shanafelt TD. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. JGen Intern Med. 2009; 24(12):1318-1321. https://doi.org/10.1007/s11606-009-1129-z PMID: 19802645

    Measured: During intervention process up to 2 months

  9. perceived stress daily item integrated in the APP mobile

    Item to assess perceived stress daily through APP mobile. User will rate the item rating between 0 (No stress) to 10 (Extremely stressed)

    EXAMPLE ITEM:

    Please, indicate the intensity of your CURRENT STRESS 0= No stress------------------------------10= Extremely stressed

    Item created AD HOC for this study.

    Measured: During intervention process up to 2 months

  10. self-perception of coping skills daily item integrated in the APP mobile

    Item to assess perceived self-perception of coping skills daily through APP mobile.

    User will rate the item rating between 0 (No capable) to 10 (Extremely capable)

    EXAMPLE ITEM:

    To what extent do you feel CAPABLE OF COPING with your problems right now? 0= No capable---------------------------------10= Extremely capable

    Item created AD HOC for this study.

    Measured: During intervention process up to 2 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jul 2021
  2. Study start14 Nov 2022
  3. Primary completion30 Apr 2023
  4. Study completion31 Jul 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
340 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04958941
Sponsor's protocol ID
UValencia_RCT_CUIDATE
Acronym
CUIDA-TE
Status last verified
Jan 2024
First submitted
9 Jun 2021
Last updated
17 Jan 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Castilla D, Navarro-Haro MV, Suso-Ribera C, Diaz-Garcia A, Zaragoza I, Garcia-Palacios A. Ecological momentary intervention to enhance emotion regulation in healthcare workers via smartphone: a randomized controlled trial protocol. BMC Psychiatry. 2022 Mar 5;22(1):164. doi: 10.1186/s12888-022-03800-x.

    PubMed 35248015

Questions about this trial

What is this clinical trial studying?

A study testing Experimental: Intervention group in people with Emotional Distress and Burnout, Professional, run by University of Valencia at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assess change in Brief Patient Health Questionnaire Mood Scale (PHQ-9) (time frame: Change from baseline(PRE), at 2 months (post intervention)and at 3 months (follow-up)). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04958941, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jan 2024.

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