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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: May 19, 2020
Date Accepted: Oct 17, 2020

The final, peer-reviewed published version of this preprint can be found here:

Effects of Smartphone-Based Stress Management on Improving Work Engagement Among Nurses in Vietnam: Secondary Analysis of a Three-Arm Randomized Controlled Trial

Sasaki N, Imamura K, Tran TTT, Nguyen HT, Kuribayashi K, Sakuraya A, Bui TM, Nguyen QT, Thi NN, Nguyen GTH, Zhang MW, Minas H, Sekiya Y, Watanabe K, Tsutsumi A, Shimazu A, Kawakami N

Effects of Smartphone-Based Stress Management on Improving Work Engagement Among Nurses in Vietnam: Secondary Analysis of a Three-Arm Randomized Controlled Trial

J Med Internet Res 2021;23(2):e20445

DOI: 10.2196/20445

PMID: 33620328

PMCID: 7943341

Effects of smartphone-based stress management on improving work engagement among nurses in Vietnam: a secondary analysis of a three-arm randomized controlled trial

  • Natsu Sasaki; 
  • Kotaro Imamura; 
  • Thuy Thi Thu Tran; 
  • Huong Thanh Nguyen; 
  • Kazuto Kuribayashi; 
  • Asuka Sakuraya; 
  • Thu Minh Bui; 
  • Quynh Thuy Nguyen; 
  • Nga Nguyen Thi; 
  • Giang Thi Huong Nguyen; 
  • Melvyn Weibin Zhang; 
  • Harry Minas; 
  • Yuki Sekiya; 
  • Kazuhiro Watanabe; 
  • Akizumi Tsutsumi; 
  • Akihito Shimazu; 
  • Norito Kawakami

ABSTRACT

Background:

Work engagement is important for employee’s well-being and work performance. However, no intervention study has investigated the effect of eMental Health intervention on work engagement among workers in low- and middle-income countries (LMICs).

Objective:

The aim of the study was to examine the effects of the newly developed smartphone-based stress management program (“ABC stress management”) on improving work engagement among hospital nurses in Vietnam, a LMIC.

Methods:

Full-time nurses (N= 949) were randomly assigned to two types of intervention groups and a control group. A 6-week, 6-lesson program offering basic cognitive behavioral therapy (CBT-based stress management skills); provided in free-choice (Program A) and fixed order (Program B). Work engagement was assessed at baseline, 3- and 7-month follow-ups in each of the three groups.

Results:

Program B showed a significant intervention effect on improving work engagement at 3-month follow-up (p = 0.049) with a small effect size (Cohen’s d = 0.16). Neither program achieved effectiveness at a 7-month follow-up.

Conclusions:

The study demonstrated that a smartphone-based stress management program was effective in improving work engagement in nurses in Vietnam, but the effect was small and temporary. This smartphone-based low-cost intervention may improve work engagement for workers in LMICs. Clinical Trial: UMIN Clinical Trials Registry (UMIN-CTR) UMIN000033139.


 Citation

Please cite as:

Sasaki N, Imamura K, Tran TTT, Nguyen HT, Kuribayashi K, Sakuraya A, Bui TM, Nguyen QT, Thi NN, Nguyen GTH, Zhang MW, Minas H, Sekiya Y, Watanabe K, Tsutsumi A, Shimazu A, Kawakami N

Effects of Smartphone-Based Stress Management on Improving Work Engagement Among Nurses in Vietnam: Secondary Analysis of a Three-Arm Randomized Controlled Trial

J Med Internet Res 2021;23(2):e20445

DOI: 10.2196/20445

PMID: 33620328

PMCID: 7943341

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