Feasibility and Effectiveness of Telecounseling on the Psychological Problems of Frontline Healthcare Workers Amidst COVID-19: A Randomized Controlled Trial from Central India
| Autor: | Disha Gautam, Snehil Gupta, Shashank Purwar, Mohit Kumar, Rahat Jahan, Abhijit R Rozatkar, Devendra Basera |
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| Rok vydání: | 2021 |
| Předmět: |
Randomize-control trial
Psychiatry 2019-20 coronavirus outbreak medicine.medical_specialty Coronavirus disease 2019 (COVID-19) business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RC435-571 Psychological intervention COVID-19 Original Articles law.invention Clinical Psychology Psychiatry and Mental health Randomized controlled trial law Family medicine Pandemic Health care Healthcare workers Medicine Frontline business Telecounseling |
| Zdroj: | Indian Journal of Psychological Medicine, Vol 43 (2021) Indian Journal of Psychological Medicine |
| ISSN: | 0975-1564 0253-7176 |
| DOI: | 10.1177/02537176211024537 |
| Popis: | Background: Preliminary reports suggest that during the COVID-19 pandemic, telecounseling could be an effective model of psychological intervention for the frontline healthcare workers (fHCW) with psychological problems. Literature is sparse in this area, particularly from low- and middle-income countries, including India. We aimed to investigate the feasibility and the effectiveness of telecounseling (vs. general education) on the psychological problems of the fHCW over three time-points (baseline vs. end-of-session and at two and four weeks after the intervention). Methods: The study followed a single-blind, active arm versus general education, parallel-group randomized control design, with participant allocation in 1:1. Active healthcare workers (HCWs) with mild- to-severe or clinically concerning scores on any of the sub-scales of Depression, Anxiety and Stress Scale (DASS-21) or Impact of Event Scale-Revised (IES-R; represented by higher scores) were included, while those with known psychiatric illness were excluded. Chi-square and Mann-Whitney U test and linear-mixed effect model (group-, time, and group by time-effect) were used for analysis. Results: There were no baseline group differences (telecounseling group, active arm, n = 9; general education group, control arm, n = 10). A significant time-effect (P = 0.044 to Conclusion: Telecounseling could be a feasible and scalable model of psychological interventions for the fHCW with psychological problems, albeit with some feasibility challenges. |
| Databáze: | OpenAIRE |
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