Effectiveness of Online Therapy to Prevent Burnout

This study aims to address the reliability and validity of the Empowerment for Participation (EFP) batch of assessments to measure Burnout risk in relation to the efficacy of online interventions to provide proactive rehabilitation using Cognitive Behavioral Therapy (CBT) and floating to achieve improved mental health and wellbeing.

Study Overview

• Status: Completed
• Conditions: Burnout; Cognitive Change; Risk Reduction
• Intervention / Treatment: Diagnostic test: EFP Psychometric assessment to determine level of afflication

Detailed Description

An Empirical design using raw EFP psychometric data to measure the effectiveness of online therapy to reduce the risk for Burnout between a control group and an online therapy group. The aim is to test whether or not there is a statistically significant difference in the effectiveness on online therapy to reduce the Risk for Burnout compared to that of a Control Group. Fifty participants were randomly selected. The rehabilitation and control Group consisted of twenty-five normally distributed employees (N25) each. The rehabilitation group received therapy, and the control had not yet received any form of therapy. SPSS was used to analyze the data collected, a Repeated Measure ANOVA, an ANCOVA, a Discriminant analysis, and a Construct Validity analysis were used to test for Reliability and Validity.

The group was randomly selected from a list of employees within the My-E-Health ecosystem. The group (N50) normally distributed group met all assumptions and consisted of a Control Group (N25) and a Therapy Group (N25). The post assessment value was used as the dependent variable.

The Burnout measure (30 questions) is obtained from the Empowerment for Participation (EFP) batch of assessments (110 questions). All assessments and CBT were done digitally online and floating was done at a designated location. The full EFP assessment is integrated into a digital ecosystem designed for this purpose and therapy. The online digital system is an integrity-based platform offering both the employee and caregiver a secure and encrypted ecosystem or secure data tunnel or channel between the therapists and patients.

• Study Type: Interventional
• Enrollment (Actual): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Skåne
    • Malmö, Skåne, Sweden, 21124
      • SciensCollege

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 22 years to 68 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria

Employees assessed on the EFP Burnout Scale as having:

• a Moderate Risk of Burnout
• a High Risk of Burnout
• A Burned out Risk (Mental Health Exhaustion)
• Employees with a current Bunrout diagnosis from a hospital, outpatient or psychiatric cllinic
• A fully employed person with a member organization
• No other inclusion criteria.

Exclusion Criteria:

Employees assessed on the EFP Burnout Scale as having:

• No evidence of Burnout
• Low Risk of Burnout.
• Unemployed persons
• No other exclusion critera was used.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Cognitive Behavioral Therapy Group; The group received online Cognitive Behavioral Therapy via the My-E-Health. Patients were issued a preTest psychometric assessment and a post therapy assessment using the Burnout Psychometrics provided within the My-E-Health's online ecosystem. All patients were required to validate the accuracy of the assessments during a follow-up of their results.	Diagnostic test: EFP Psychometric assessment to determine level of afflication; Patients were asked to complete a psychometric assessment in relation to their psychological wellbeing. Results were presented to the patient and validdated by the patient.
No Intervention: Control Group; The Control Group received no online therapy. Patients were issued a preTest psychometric assessment and a post therapy assessment using the Burnout Psychometrics provided within the My-E-Health's online ecosystem. All patients were required to validate the accuracy of the assessments during a follow-up of their results.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To measure the difference between a pre- and post-assessment score for Burnout in a Control Group versus a Therapy Group.	The Burnout measure (30 questions) is obtained from the Empowerment for Participation (EFP) batch of assessments using Visual Analog Scales (VAS) online. A straight line with a beginning and end point. As the slider moves from left to right, the text positioned at either end of the line increases as the opposite end decreases. The position where the slider stops is represented by a number from 0-20. The risk assessment scale (0-600) determines the level of intervention and preventive care. There are five risk levels of Burnout in relation to the total score following a lineal guide: 0-99 points (M=0-3.300) = No evidence of Burnout, 100-199 points (M=3.333-6.6333) = Low risk for Burnout, 200-299 points (M=6.6667-9.9667) = Moderate risk for Burnout, 300-399 points (M=10.00-13.300) = High risk for Burnout, and 400-600 points (M=13.3333-20) = Burnout. Patient content validation and score accuracy is required after each assessment.	From admission to discharge, up to 3 months.

Collaborators and Investigators

• Sponsor: SciensCollege
• Collaborators: Karlstad University; My-E-Health
• Investigators: Principal Investigator: Clive S Michelsen, M.Sc., SciensCollege

Publications and helpful links

General Publications

• Michelsen C, Kjellgren A. The Effectiveness of Web-Based Psychotherapy to Treat and Prevent Burnout: Controlled Trial. JMIR Form Res. 2022 Aug 11;6(8):e39129. doi: 10.2196/39129.

Study record dates

Study Major Dates

• Study Start (Actual): September 5, 1916
• Primary Completion (Actual): January 11, 2021
• Study Completion (Actual): April 4, 2022

Study Registration Dates

• First Submitted: April 14, 2022
• First Submitted That Met QC Criteria: April 22, 2022
• First Posted (Actual): April 25, 2022

Study Record Updates

• Last Update Posted (Actual): April 25, 2022
• Last Update Submitted That Met QC Criteria: April 22, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Keywords: Mental Health; Prevention; Cognitive Behavioral Therapy; Interactive Online Therapy; TeleHealth
• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Burnout, Psychological
• Other Study ID Numbers: SC-EOTPB-1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Yes
• IPD Plan Description: All IPD that underlie results in a publication. SPSS files.
• IPD Sharing Time Frame: The data is available from April 15, 2022 for one year until April 14th, 2023
• IPD Sharing Access Criteria: contact clive@scienscollege.se with your reason for this research and your contact details. You'll be forwarded the SPSS data file.
• IPD Sharing Supporting Information Type: Statistical Analysis Plan (SAP)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No