Evidence map›Paper›PMID 38450478›Full record

Trial reportEpidemiology and psychiatric sciences2024

Effectiveness of a WHO self-help psychological intervention to alleviate stress among healthcare workers in the context of COVID-19 in China: a randomised controlled trial.

Jinghua Li, Rui Luo, Pengyue Guo, Dexing Zhang, Phoenix K H Mo, Anise M S Wu, Meiqi Xin, Menglin Shang, Yuqi Cai, Xu Wang and 8 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
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

18 authors at 8 institutions in 4 countries.

Jinghua LiSchool of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-9571-7359
Rui LuoSchool of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0003-3555-5826
Pengyue GuoSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Dexing ZhangJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin District, Hong Kong, China.
Phoenix K H MoJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin District, Hong Kong, China.ORCID https://orcid.org/0000-0001-9822-5424
Anise M S WuDepartment of Psychology, Faculty of Social Sciences, University of Macau, Taipa, Macao, China.
Meiqi XinDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Menglin ShangSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Yuqi CaiSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Xu WangSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Mingyu ChenSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Yiling HeGuangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Luxin ZhengSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Jinying HuangSchool of Public Health, Guangdong Pharmaceutical University, Guangzhou, China.
Roman Dong XuAcacia Lab for Health Systems Strengthening and Department of Health Management, School of Health Management, Southern Medical University, Guangzhou, China.
Joseph T F LauSchool of Mental Health, Wenzhou Medical University, Wenzhou, China.ORCID https://orcid.org/0000-0003-2344-7107
Jing GuSchool of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0001-5436-2339
Brian J HallCenter for Global Health Equity, New York University (Shanghai), Shanghai, People's Republic of China.ORCID https://orcid.org/0000-0001-9358-2377
Sun Yat-sen University · CNChinese University of Hong Kong · HKGuangdong Pharmaceutical University · CNGuangzhou Medical University · CNHong Kong Polytechnic University · HKNew York University Shanghai · CNSouthern Medical University · CNUniversity of Macau · MO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo examine the effectiveness of Self-Help Plus (SH+) as an intervention for alleviating stress levels and mental health problems among healthcare workers.

methodsThis was a prospective, two-arm, unblinded, parallel-designed randomised controlled trial. Participants were recruited at all levels of medical facilities within all municipal districts of Guangzhou. Eligible participants were adult healthcare workers experiencing psychological stress (10-item Perceived Stress Scale scores of ≥15) but without serious mental health problems or active suicidal ideation. A self-help psychological intervention developed by the World Health Organization in alleviating psychological stress and preventing the development of mental health problems. The primary outcome was psychological stress, assessed at the 3-month follow-up. Secondary outcomes were depression symptoms, anxiety symptoms, insomnia, positive affect (PA) and self-kindness assessed at the 3-month follow-up.

resultsBetween November 2021 and April 2022, 270 participants were enrolled and randomly assigned to either SH+ (

conclusionsThis is the first known randomised controlled trial ever conducted to improve stress and mental health problems among healthcare workers experiencing psychological stress in a low-resource setting. SH+ was found to be an effective strategy for alleviating psychological stress and reducing symptoms of common mental problems. SH+ has the potential to be scaled-up as a public health strategy to reduce the burden of mental health problems in healthcare workers exposed to high levels of stress.

Indexed as

COVID-19Psychological TestsSleep Initiation and Maintenance DisordersAdultChinaHealth PersonnelHumansProspective StudiesPsychosocial InterventionSelf ReportCOVID-19healthcare workersmental healthrandomised controlled trialsself-help

Identifiers

PMID38450478
PMCPMC10940054
OpenAlexW4392554130

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.