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
2
Issued Date
2025-01-01
Resource Type
ISSN
13419145
eISSN
13489585
Scopus ID
2-s2.0-105022730483
Pubmed ID
41128302
Journal Title
Journal of Occupational Health
Volume
67
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Occupational Health Vol.67 No.1 (2025)
Suggested Citation
Sakuraya A., Tran T.T.T., Sripo N., Watanabe K., Imamura K., Boonyamalik P., Sasaki N., Tienthong T., Asaoka H., Iida M., Nguyen Q.T., Nguyen N.T., Vu T.S., Ngo T.T., Luyen T.T., Nguyen L.D., Nguyen N.T.V., Nguyen B.T., Matsuyama Y., Takemura Y., Nishi D., Tsutsumi A., Nguyen H.T., Kaewboonchoo O., Kawakami N. 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. Journal of Occupational Health Vol.67 No.1 (2025). doi:10.1093/joccuh/uiaf061 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113302
Title
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
Corresponding Author(s)
Other Contributor(s)
Abstract
Objectives: The 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. Methods: Full-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. Results: A 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. Conclusions: A 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.