Evidence map›Paper›PMID 34059737›Full record

Trial reportScientific reports2021

Effect of smartphone-based stress management programs on depression and anxiety of hospital nurses in Vietnam: a three-arm randomized controlled trial.

Kotaro Imamura, Thuy Thi Thu Tran, Huong Thanh Nguyen, Natsu Sasaki, Kazuto Kuribayashi, Asuka Sakuraya, Thu Minh Bui, Anh Quoc Nguyen, Quynh Thuy Nguyen, Nga Thi Nguyen and 10 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Workplace Mental Health Programs for Healthcare Workers: A Systematic Review.International journal of environmental research and public health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 4 countries.

Kotaro Imamura *Department of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Thuy Thi Thu Tran *Department of Occupational Health and Safety, Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam.
Huong Thanh NguyenFaculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Natsu SasakiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Kazuto KuribayashiDepartment of Mental Health and Psychiatric Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Asuka SakurayaDivision of Public Health, Department of Hygiene and Public Health, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Thu Minh BuiNursing Office, Bach Mai Hospital, Hanoi, Vietnam.
Anh Quoc NguyenBach Mai hospital, Hanoi, Vietnam.
Quynh Thuy NguyenDepartment of Occupational Health and Safety, Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam.
Nga Thi NguyenFaculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Kien Trung NguyenFaculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Giang Thi Huong NguyenNursing Office, Bach Mai Hospital, Hanoi, Vietnam.
Xuyen Thi Ngoc TranNursing Office, Bach Mai Hospital, Hanoi, Vietnam.
Tien Quang TruongFaculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Melvyn Weibin ZhangNational Addiction Management Service, Institute of Mental Health, Singapore, Singapore.
Harry MinasMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Yuki SekiyaDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Kazuhiro WatanabeDepartment of Public Health, Kitasato University School of Medicine, Sagamihara, Japan.
Akizumi TsutsumiDepartment of Public Health, Kitasato University School of Medicine, Sagamihara, Japan.
Norito KawakamiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. nkawakami@m.u-tokyo.ac.jp.
Hanoi University · VNBạch Mai Hospital · VNThe University of Tokyo · JPKitasato University · JPHanoi School Of Public Health · VNInstitute of Mental Health · SGTokyo Medical and Dental University · JPTokyo Women's Medical University · JPUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are growing concerns on stress among nurses in low- and middle-income countries (LMICs) in South-East Asia. It is important to improve mental health among nurses in these countries. The objective of this study was to examine the efficacy of two types of newly developed smartphone-based stress management programs in improving depressive and anxiety symptoms among hospital nurses in Vietnam. This study was a three-arm (including two intervention groups and one control group) randomized trial. Participants were recruited from nurses in a large general hospital in Hanoi, Vietnam. Two types (free-choice and fixed sequential order) of smartphone-based stress management programs were developed. Participants were randomly allocated to Program A (a free-choice, multimodule stress management), Program B (a fixed-order, internet cognitive behavioral therapy, iCBT), or a control group (treatment as usual). The depressive and anxiety symptoms were measured by using the Depression Anxiety and Stress Scales at baseline, 3-, and 7-month follow-up surveys. 951 participants were randomly allocated to each of the three groups. Program B showed a statistically significant effect on improving depressive symptoms at 3-month (p = 0.048), but not at 7-month (p = 0.92); Cohen's d was - 0.18 (95% CI - 0.34 to - 0.02) and 0.03 (95% CI - 1.00 to 1.05), respectively. Program A failed to show a significant intervention effect on any of the outcomes at 3- or 7-month follow-up (p > 0.05). Despite the small effect size, the present fixed-order iCBT program seems effective in improving depression of hospital nurses in Vietnam. A public health impact of the intervention can be scalable, when considering its accessibility and minimal cost.Trial registration number: The study protocol is registered at the UMIN Clinical Trials Registry (UMINCTR; ID = UMIN000033139). Registered date of the protocol is 1st Jul. 2018. https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037796.

Indexed as

SmartphoneAdultAnxietyDepressionFemaleHumansMaleNursing Staff, HospitalStress, PsychologicalVietnam

Identifiers

PMID34059737
PMCPMC8166974
OpenAlexW3165252667

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.