Evidence map›Paper›PMID 35470104›Full record

ArticleContemporary clinical trials2022

Protecting the mental and physical well-being of frontline health care workers during COVID-19: Study protocol of a cluster randomized controlled trial.

Lu Dong, Lisa S Meredith, Carrie M Farmer, Sangeeta C Ahluwalia, Peggy G Chen, Kathryn Bouskill, Bing Han, Nabeel Qureshi, Sarah Dalton, Patricia Watson and 5 more

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04723576 (Mental and Physical Well-Being of Frontline Health Care Workers During Coronavirus Disease 2019), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT04723576 nacompletednot on this map

Mental and Physical Well-Being of Frontline Health Care Workers During Coronavirus Disease 2019 (COVID-19)

TypeinterventionalSponsorRANDRan2021 to 2022Enrolled7,444ConditionsHealthyArmsStress First Aid
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Implementing PTSD interventions for hospital nurses and physicians during COVID-19: A scoping review.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
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  7. Article
  8. Adapting the Stress First Aid Model for Frontline Healthcare Workers during COVID-19.International journal of environmental research and public health · 2024
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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

15 authors at 5 institutions in 1 country.

Lu DongRAND Corporation, Santa Monica, CA, USA. Electronic address: ldong@rand.org.
Lisa S MeredithRAND Corporation, Santa Monica, CA, USA.
Carrie M FarmerRAND Corporation, Pittsburgh, PA, USA.
Sangeeta C AhluwaliaRAND Corporation, Santa Monica, CA, USA; UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Peggy G ChenRAND Corporation, Santa Monica, CA, USA.
Kathryn BouskillRAND Corporation, Santa Monica, CA, USA.
Bing HanDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Nabeel QureshiRAND Corporation, Santa Monica, CA, USA.
Sarah DaltonRAND Corporation, Santa Monica, CA, USA.
Patricia WatsonNational Center for PTSD, VT, USA.
Paula P SchnurrNational Center for PTSD, VT, USA; Geisel School of Medicine at Dartmouth, NH, USA.
Katherine DavisVizient, Inc. TX, USA.
Jonathan N TobinClinical Directors Network (CDN), NY, USA; The Rockefeller University Center for Clinical and Translational Science, NY, USA.
Andrea CassellsClinical Directors Network (CDN), NY, USA.
Courtney A GidengilRAND Corporation, Boston, MA, USA.
RAND Corporation · USNational Center for PTSD · USClinical Directors Network · USKaiser Permanente · USRockefeller University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has placed health care workers at unprecedented risk of stress, burnout, and moral injury. This paper describes the design of an ongoing cluster randomized controlled trial to compare the effectiveness of Stress First Aid (SFA) to Usual Care (UC) in protecting the well-being of frontline health care workers.

methodsWe plan to recruit a diverse set of hospitals and health centers (eight matched pairs of hospitals and six pairs of centers), with a goal of approximately 50 HCW per health center and 170 per hospital. Participating sites in each pair are randomly assigned to SFA or UC (i.e., whatever psychosocial support is currently being received by HCW). Each site identified a leader to provide organizational support of the study; SFA sites also identified at least one champion to be trained in the intervention. Using a "train the trainer" model, champions in turn trained their peers in selected HCW teams or units to implement SFA over an eight-week period. We surveyed HCW before and after the implementation period. The primary outcomes are posttraumatic stress disorder and general psychological distress; secondary outcomes include depression and anxiety symptoms, sleep problems, social functioning problems, burnout, moral distress, and resilience. In addition, through in-depth qualitative interviews with leaders, champions, and HCW, we assessed the implementation of SFA, including acceptability, feasibility, and uptake. DISCUSSION: Results from this study will provide initial evidence for the application of SFA to support HCW well-being during a pandemic.

trial registration(Clinicaltrials.govNCT04723576).

Indexed as

COVID-19Psychological DistressHealth PersonnelHumansPandemicsRandomized Controlled Trials as TopicSARS-CoV-2COVID-19Healthcare workersMental healthStress

Identifiers

PMID35470104
PMCPMC9023359
OpenAlexW4224250281

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.