Evidence map›Paper›PMID 41128302›Full record

Trial reportJournal of occupational health2025

Effects of a smartphone-based stress management program on work performance, sick leave, and intention to leave among nurses during COVID-19 in Vietnam and Thailand: an analysis of secondary outcomes of a randomized controlled trial.

Asuka Sakuraya, Thuy Thi Thu Tran, Narisara Sripo, Kazuhiro Watanabe, Kotaro Imamura, Plernpit Boonyamalik, Natsu Sasaki, Thanate Tienthong, Hiroki Asaoka, Mako Iida and 15 more

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of occupational health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Asuka SakurayaDepartment of Digital Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-1561-019X
Thuy Thi Thu TranFaculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam.
Narisara SripoPrincess Agrarajakumari College of Nursing, Chulabhorn Royal Academy, Bangkok, Thailand.
Kazuhiro WatanabeDepartment of Digital Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-3342-6142
Kotaro ImamuraDepartment of Digital Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Plernpit BoonyamalikFaculty of Public Health, Mahidol University, Bangkok, Thailand.
Natsu SasakiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Thanate TienthongPrincess Agrarajakumari College of Nursing, Chulabhorn Royal Academy, Bangkok, Thailand.
Hiroki AsaokaDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mako IidaDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Quynh Thuy NguyenFaculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam.
Nga Thi NguyenFaculty of Social and Behavioural Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Thai Son VuFaculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam.
Thuy Thi NgoNursing Department, Pho Noi Hospital, Hung Yen, Vietnam.
Tham Thi LuyenNursing Department, Pho Noi Hospital, Hung Yen, Vietnam.
Long Duc NguyenBoard of Directors, Saint Paul Hospital, Hanoi, Vietnam.
Nga Thi Viet NguyenNursing Department, Saint Paul Hospital, Hanoi, Vietnam.
Binh Thanh NguyenNursing Department, Saint Paul Hospital, Hanoi, Vietnam.
Yutaka MatsuyamaDepartment of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yukie TakemuraDepartment of Nursing, University of Tokyo Hospital, Tokyo, Japan.
Daisuke NishiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Akizumi TsutsumiDepartment of Public Health, Kitasato University School of Medicine, Sagamihara, Japan.
Huong Thanh NguyenFaculty of Social and Behavioural Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Orawan KaewboonchooFaculty of Public Health, Mahidol University, Bangkok, Thailand.
Norito KawakamiDepartment of Digital Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0003-1080-2720

Funding

JSPS KAKENHI
6 · The paper itself

Abstract

objectivesThe purpose of this secondary analysis of data from a previous randomized controlled trial (RCT) was to investigate whether an internet-based cognitive behavioral therapy (iCBT) stress management program improved work performance, sick leave, and intention to leave among nurses in Vietnam and Thailand during the COVID-19 pandemic.

methodsFull-time nurses were recruited from hospitals in Vietnam and Thailand. A 2-arm, parallel-group, RCT was conducted. The intervention groups were provided a 7-week self-guided iCBT program. As secondary outcomes, work performance (on-the-job performance and quality of nursing care), sick leave days, and intention to leave the profession and the organization were assessed at baseline and 3-month and 6-month follow-ups in each group.

resultsA total of 1203 participants were randomly allocated to the intervention and the control group. The program significantly improved on-the-job performance at 3-month follow-up (P = .0499), although the effect was nonsignificant at 6-month follow-up; Cohen's d was 0.16 and 0.04, respectively. The program also significantly reduced sick leave at 6-month follow-up (coefficient = -0.21; 95% CI, -0.36 to -0.07; prevalence ratio 0.81), although the effect at 3 months was nonsignificant. However, the effects of the intervention on the quality of nursing care and the intention to leave the profession or the organization were not significant.

conclusionsA smartphone-based iCBT stress management program improved on-the-job performance at 3-month follow-up and decreased sick leave days at 6-month follow-up among hospital nurses in Vietnam and Thailand during the COVID-19 pandemic.

Indexed as

Cognitive Behavioral TherapyCOVID-19NursesNursing Staff, HospitalOccupational StressSick LeaveSmartphoneStress, PsychologicalWork PerformanceAdultFemaleHumansIntentionMaleMiddle AgedSARS-CoV-2COVID-19digital mental health interventionintention to leaveon-the-job performancequality of nursing caresick leave

Identifiers

PMID41128302
PMCPMC12638291

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.