Stress, PsychologicalNCT05828693
Systemic Stress Prevention Via Application SysLife© for Companies
A study testing SysLife© and SysLife©, as intervention after closing the RCT-design in people with Stress, Psychological and Stress, Systemic, run by University of Witten/Herdecke at 1 site in Germany.
Trial summary
The purpose of this study is to investigate the efficacy of systemic stress prevention via SysLife© application in a prospective, interventive, balanced, monocentric, explanatory pilot randomized controlled trial (RCT), with participants' subjective stress experience as the primary endpoint. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Stress, Psychological, Stress, Systemic, Application
- What is being tested?
- SysLife© and SysLife©, as intervention after closing the RCT-design
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 49 participants
- Where
- 1 siteGermany
- Study dates
- 29 Jan 2023to 1 May 2024
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Minimum age: 18 years
- Interest in active use of the SysLife© application
- Knowledge of German at native language level or the ability to use German language independently (at least B-level)
- Only persons capable of giving consent will be included in the study
- Written consent to participate after information about the study
Who cannot join
- No written consent
Trial locations and contacts
1 site in 1 country.
Germany1 site
Witten/Herdecke University
Witten, North Rhine-Westphalia, 58455
About this study
Official title: Efficacy of Systemic Stress Prevention Via Application SysLife© for Companies: A Randomized Controlled Feasibility Study
The purpose of this study is to investigate the efficacy of systemic stress prevention via SysLife© application in a prospective, interventive, balanced, monocentric, explanatory pilot randomized controlled trial (RCT), with participants' subjective stress experience as the primary endpoint.
Research Question: Which implementations are necessary, based on the experience from this pilot RCT, to ensure the quality of a subsequent confirmatory RCT?
Hypothesis: We expect improvement of participants' subjective stress experience, goal achievement, systemic functioning in private and organisational social systems while using the SysLife© application.
Read the detailed description
Background: Systemic prevention serves the prophylaxis of disease and/or illness, and/or damage to health. For social subsystems such as professional teams, there however still is a lack of effective preventive or health-promoting interventions. With the Prevention Act introduced in 2015 (Social Security Code, Germany: § 20 para. 1 SGB V), prevention now has to address the social context of people's everyday life as well ("setting/life-world approach"). Positive changes in terms of reduced stress perception or acute exposition to stress factors are supposed to be accompanied by improved systemic, psychological and physical well-being. This RCT will investigate the efficacy of the systemic stress prevention program SysLife© application.
Methods: This prospective, interventive, balanced, monocentric, explanatory pilot RCT compares an experimental group (n = 19) receiving SysLife© application with a control group (n = 19) with subsequent intervention, i.e. the SysLife@ application 4 months after the experimental group. The primary endpoint is the participants' subjective stress experience.
The data collection encompasses 5 measurement points: t1, i.e. baseline for the experimental group; t2: 2-month follow-up; t3: 4-month follow-up for the experimental group and baseline for the control group; t4: 6-month follow-up for the experimental group and 2-month follow-up for the control group; t5: 8-month follow-up for the experimental group and 2-month follow-up for the control group).
This allows for the calculation of trends considering the potential efficacy of the SysLife© application in the RCT design on the one hand (n = 19, 2-study arm approach), and in a cumulative study (n = 38, 1-study arm approach).
Research Question: Which implementations are necessary, based on the experience from this pilot RCT, to ensure the quality of a subsequent confirmatory RCT?
Hypothesis: We expect improvement of participants' subjective stress experience, goal achievement, systemic functioning in private and organisational social systems while using the SysLife© application.
Questionnaires: Stress and Coping Inventory (SCI); Trier Stress Inventory (TICS); Experience in Social Systems (EXIS), Goal Attainment Scaling (GAS). Further items: demographic data, use of additional health care interventions, user behavior and effect of the SysLife© application.
Discussion: To the best of our knowledge, this will be the first prospective, interventive, balanced, monocentric, explanatory pilot RCT comparing SysLife© application with a waiting group. For study purposes, it is a challenge to implement SysLife© application in organizational contexts such as teams: systemic prevention is an innovative health-promoting approach which is not (yet) covered by the German health insurance companies; the SysLife© application is an innovative program in digital health management with high flexibility how to approach it while being standardized in its structure; though companies are increasingly interested in health-promoting interventions for their employees, they are sparing considering the investment of time and financial resources in occupational health care.
- Conditions
- Stress, Psychological, Stress, Systemic, Application
- Being tested
- SysLife©, SysLife©, as intervention after closing the RCT-design
- Keywords
- Stress management, Application, App, Prevention, Systemic therapy
- Medical subject headings
- Stress, Psychological, Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SysLife©Behavioural
Use of the SysLife© application, with 2-, 4-, 6- and 8-month follow-up.
SysLife©, as intervention after closing the RCT-designBehavioural
Use of the SysLife© application after 4-month waiting period, with 2- and 4-month follow-up.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group | Experimental | Use of the SysLife© application, with 2-, 4-, 6- and 8-month follow-up. Receives: Behavioral: SysLife© |
| Waiting group with subsequent intervention | Other | Use of the SysLife© application after 4-month waiting period, with 2- and 4-month follow-up. Receives: Behavioral: SysLife©, as intervention after closing the RCT-design |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline stress and coping at 4 months
Stress and Coping Inventory (SCI; Satow, 2012): Self-report measure to assess psychological and physical stress symptoms; Likert scale: 1 = not modified (positive), 7 = very strongly modified (negative)
Measured: baseline, 4-month follow-up
Change from baseline chronic stress at 4 months
Trier Inventory on Chronic Stress (TICS; Schulz, Schlotz \& Becker, 2004): Self-report measure to assess chronic stress; Likert scale: 0 = never (positive), 4 = very often (negative)
Measured: baseline, 4-month follow-up
Secondary outcomes (5)
Goal Attainment Scaling (GAS; Grosse Holtforth & Grawe, 2002)
Self-report measure to assess participants' previously set goals and their achievement; Visual analogue scale: 0% = not reached at all, 100% = fully achieved
Measured: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Experience in Social Systems (EXIS; Hunger et al., 2017)
Self-report measure to assess systemic functioning in private and organizational social systems; Likert scale: 1 = not at all (negative), 6 = fully (positive)
Measured: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Stress and Coping Inventory (SCI; Satow, 2012)
Self-report measure to assess psychological and physical stress symptoms; Likert scale: 1 = not modified (positive), 7 = very strongly modified (negative)
Measured: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Trier Inventory on Chronic Stress (TICS; Schulz, Schlotz & Becker, 2004)
Self-report measure to assess chronic stress; Likert scale: 0 = never (positive), 4 = very often (negative)
Measured: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Frequency of application use
Program registration of user frequency; 0-1/week = infrequent use; 2-3/week = moderate use; 4-5/week = frequent use; 6-7/week = very frequent use
Measured: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Apr 2023
- Study start29 Jan 2023
- Primary completion1 Mar 2024
- Study completion1 May 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Stress, PsychologicalStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 49 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Witten/Herdecke
- Sponsor type
- University, hospital or other
- Collaborators
- Sysba solutions GmbH, Murtfeldt Kunststoffe GmbH & Co. KG
- Responsible party
- Principal investigator, Christina Hunger-Schoppe, University of Witten/Herdecke
- Investigators
- Christina Hunger-Schoppe, Prof. Dr., Study director, University of Witten/Herdecke
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05828693
- Sponsor's protocol ID
- SysLife©
- Status last verified
- May 2024
- First submitted
- 12 Dec 2022
- Last updated
- 8 May 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hunger C, Bornhauser A, Link L, Geigges J, Voss A, Weinhold J, Schweitzer J. The Experience in Personal Social Systems Questionnaire (EXIS.pers): Development and Psychometric Properties. Fam Process. 2017 Mar;56(1):154-170. doi: 10.1111/famp.12205. Epub 2016 Feb 8.
PubMed 26858173Barth, I., Immel, N. & Hunger-Schoppe, C. (2023). Systemische Prävention. [in print, Publisher: Kohlhammer]
Satow, L. (2012). Stress and Coping Inventory (SCI). available under: http://www.drsatow.de/tests/stress-und-coping-inventar/
Schulz, P., Schlotz, W. & Becker, P. (2004). Trier Inventory for Chronic Stress. Göttingen: Hogrefe.
Grosse M, Grawe K. BERN INVENTORY OF TREATMENT GOALS: PART 1. Development and First Application of a Taxonomy of Treatment Goal Themes. Psychother Res. 2002 Mar 1;12(1):79-99. doi: 10.1080/713869618.
PubMed 22471333
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Systemic Stress Prevention Via Application SysLife© for Companies: A Randomized Controlled Feasibility Study
- ClinicalTrials.gov ID
- NCT05828693
- Acronym / sponsor ID
- SysLife©
- Conditions
- Stress, Psychological, Stress, Systemic, Application
- Keywords
- Stress management, Application, App, Prevention, Systemic therapy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 49 participants (actual)
- Lead sponsor
- University of Witten/HerdeckeUniversity, hospital or other
- Collaborators
- Sysba solutions GmbH, Murtfeldt Kunststoffe GmbH & Co. KG
- Study start
- 29 Jan 2023 (actual)
- Primary completion
- 1 Mar 2024 (actual)
- Study completion
- 1 May 2024 (actual)
- First posted
- 25 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to investigate the efficacy of systemic stress prevention via SysLife© application in a prospective, interventive, balanced, monocentric, explanatory pilot randomized controlled trial (RCT), with participants' subjective stress experience as the primary endpoint.
Research Question: Which implementations are necessary, based on the experience from this pilot RCT, to ensure the quality of a subsequent confirmatory RCT?
Hypothesis: We expect improvement of participants' subjective stress experience, goal achievement, systemic functioning in private and organisational social systems while using the SysLife© application.
Detailed description
Background: Systemic prevention serves the prophylaxis of disease and/or illness, and/or damage to health. For social subsystems such as professional teams, there however still is a lack of effective preventive or health-promoting interventions. With the Prevention Act introduced in 2015 (Social Security Code, Germany: § 20 para. 1 SGB V), prevention now has to address the social context of people's everyday life as well ("setting/life-world approach"). Positive changes in terms of reduced stress perception or acute exposition to stress factors are supposed to be accompanied by improved systemic, psychological and physical well-being. This RCT will investigate the efficacy of the systemic stress prevention program SysLife© application.
Methods: This prospective, interventive, balanced, monocentric, explanatory pilot RCT compares an experimental group (n = 19) receiving SysLife© application with a control group (n = 19) with subsequent intervention, i.e. the SysLife@ application 4 months after the experimental group. The primary endpoint is the participants' subjective stress experience.
The data collection encompasses 5 measurement points: t1, i.e. baseline for the experimental group; t2: 2-month follow-up; t3: 4-month follow-up for the experimental group and baseline for the control group; t4: 6-month follow-up for the experimental group and 2-month follow-up for the control group; t5: 8-month follow-up for the experimental group and 2-month follow-up for the control group).
This allows for the calculation of trends considering the potential efficacy of the SysLife© application in the RCT design on the one hand (n = 19, 2-study arm approach), and in a cumulative study (n = 38, 1-study arm approach).
Research Question: Which implementations are necessary, based on the experience from this pilot RCT, to ensure the quality of a subsequent confirmatory RCT?
Hypothesis: We expect improvement of participants' subjective stress experience, goal achievement, systemic functioning in private and organisational social systems while using the SysLife© application.
Questionnaires: Stress and Coping Inventory (SCI); Trier Stress Inventory (TICS); Experience in Social Systems (EXIS), Goal Attainment Scaling (GAS). Further items: demographic data, use of additional health care interventions, user behavior and effect of the SysLife© application.
Discussion: To the best of our knowledge, this will be the first prospective, interventive, balanced, monocentric, explanatory pilot RCT comparing SysLife© application with a waiting group. For study purposes, it is a challenge to implement SysLife© application in organizational contexts such as teams: systemic prevention is an innovative health-promoting approach which is not (yet) covered by the German health insurance companies; the SysLife© application is an innovative program in digital health management with high flexibility how to approach it while being standardized in its structure; though companies are increasingly interested in health-promoting interventions for their employees, they are sparing considering the investment of time and financial resources in occupational health care.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental group | Experimental | Behavioral: SysLife©Use of the SysLife© application, with 2-, 4-, 6- and 8-month follow-up. |
| Waiting group with subsequent intervention | Other | Behavioral: SysLife©, as intervention after closing the RCT-designUse of the SysLife© application after 4-month waiting period, with 2- and 4-month follow-up. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Minimum age: 18 years
- Interest in active use of the SysLife© application
- Knowledge of German at native language level or the ability to use German language independently (at least B-level)
- Only persons capable of giving consent will be included in the study
- Written consent to participate after information about the study
Key exclusion criteria (1 listed)
- No written consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SysLife©Use of the SysLife© application, with 2-, 4-, 6- and 8-month follow-up. | Behavioural | Experimental group |
| SysLife©, as intervention after closing the RCT-designUse of the SysLife© application after 4-month waiting period, with 2- and 4-month follow-up. | Behavioural | Waiting group with subsequent intervention |
Primary outcome
Change from baseline stress and coping at 4 months
Time frame: baseline, 4-month follow-up
Stress and Coping Inventory (SCI; Satow, 2012): Self-report measure to assess psychological and physical stress symptoms; Likert scale: 1 = not modified (positive), 7 = very strongly modified (negative)
Change from baseline chronic stress at 4 months
Time frame: baseline, 4-month follow-up
Trier Inventory on Chronic Stress (TICS; Schulz, Schlotz \& Becker, 2004): Self-report measure to assess chronic stress; Likert scale: 0 = never (positive), 4 = very often (negative)
5 secondary outcomes
Goal Attainment Scaling (GAS; Grosse Holtforth & Grawe, 2002)
Time frame: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Experience in Social Systems (EXIS; Hunger et al., 2017)
Time frame: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Stress and Coping Inventory (SCI; Satow, 2012)
Time frame: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Trier Inventory on Chronic Stress (TICS; Schulz, Schlotz & Becker, 2004)
Time frame: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Frequency of application use
Time frame: baseline, 2-month follow-up, 4-month follow-up, 6-month follow-up, 8-month follow-up
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 2024.
- Background: PubMed 26858173Hunger C, Bornhauser A, Link L, Geigges J, Voss A, Weinhold J, Schweitzer J. The Experience in Personal Social Systems Questionnaire (EXIS.pers): Development and Psychometric Properties. Fam Process. 2017 Mar;56(1):154-170. doi: 10.1111/famp.12205. Epub 2016 Feb 8.
- BackgroundBarth, I., Immel, N. & Hunger-Schoppe, C. (2023). Systemische Prävention. [in print, Publisher: Kohlhammer]
- BackgroundSatow, L. (2012). Stress and Coping Inventory (SCI). available under: http://www.drsatow.de/tests/stress-und-coping-inventar/
- BackgroundSchulz, P., Schlotz, W. & Becker, P. (2004). Trier Inventory for Chronic Stress. Göttingen: Hogrefe.
- Background: PubMed 22471333Grosse M, Grawe K. BERN INVENTORY OF TREATMENT GOALS: PART 1. Development and First Application of a Taxonomy of Treatment Goal Themes. Psychother Res. 2002 Mar 1;12(1):79-99. doi: 10.1080/713869618.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Christina Hunger-Schoppe, Prof. Dr. study director
University of Witten/Herdecke
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SysLife© and SysLife©, as intervention after closing the RCT-design in people with Stress, Psychological and Stress, Systemic, run by University of Witten/Herdecke at 1 site in Germany.
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 5 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 8 May 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 Germany. 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?
Change from baseline stress and coping at 4 months (time frame: baseline, 4-month follow-up). The study lists 2 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 NCT05828693, which also lists 5 linked publications.
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 8 May 2024.