Just-in-time delivered planning intervention to reduce stress at the workplace among apprentices

ISRCTN ISRCTN12865220
DOI https://doi.org/10.1186/ISRCTN12865220
Secondary identifying numbers 16.6.2
Submission date
03/08/2017
Registration date
08/08/2017
Last edited
23/06/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Interventions to reduce stress include several elements from models of health behaviour change, such as motivation, self-efficacy, and planning processes. However, the effectiveness of these single components within comprehensive programs has not been addressed so far, but could give valuable insights for the development of future digital health behaviour change interventions. Just-in-time interventions provided via mobile devices (i.e., text messages) are intended to help people to make healthy decisions “in the moment”, and thus have a near-future impact. Implementation intentions (i.e. if-then-plans) are a promising intervention component within digital interventions to reduce stress at the workplace. However, the effectiveness of this single element within a comprehensive life skills program has not been addressed so far, but could give valuable insights for the development of future interventions. The aim of this study is to test the impact of such just-in-time delivered interventions on stress reduction at the workplace among apprentices.

Who can participate?
Adolescents aged 16 or over who attend vocational training and feel stressed at workplace

What does the study involve?
On six working days, 1 hour before apprentices are on their way to work, participants are randomly allocated to receive either an intervention or no intervention. The intervention includes two text messages: one text message where they choose one of two predetermined if-then plans to reduce stress at the workplace, and another text message prompt to visualize the chosen plan. Perceived stress at the workplace is assessed 11 hours later in both groups.

What are the possible benefits and risks of participating?
Stress may be lower after receiving the stress-reducing text message. No risks of participation are expected.

Where is the study run from?
1. Swiss Research Institute for Public Health and Addiction (Switzerland)
2. University of Zurich, Applied Social and Health Psychology (Switzerland)

When is the study starting and how long is it expected to run for?
August 2017 to December 2018

Who is funding the study?
1. Swiss Research Institute for Public Health and Addiction (Switzerland)
2. University of Zurich, Applied Social and Health Psychology (Switzerland)

Who is the main contact?
Dr Theda Radtke
theda.radtke@psychologie.uzh.ch

Contact information

Dr Theda Radtke
Scientific

Health, Work & Organizational Psychology
School of Psychology and Psychotherapy
Witten/Herdecke University
Alfred-Herrhausen-Str. 44
Witten
58455
Germany

ORCiD logoORCID ID 0000-0003-1228-1834
Phone +49 2302 9267908
Email Theda.Radtke@uni-wh.de

Study information

Study designMicro-randomized controlled trial
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)Other
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleEfficacy of a just-in-time delivered planning intervention to reduce stress at the workplace among apprentices: a micro-randomized controlled trial
Study acronymMRCT Stress
Study hypothesisCurrent study hypothesis as of 07/07/2020:
1. On days adolescents receive the just-in time delivered planning intervention, adolescents report lower levels of stress during vocational training compared to days without the just-in time delivered planning intervention
2. Adolescents with lower levels of work-related vigor will benefit from just-in-time delivered planning intervention to a higher degree compared to adolescents with higher levels of work-related vigor
3. Adolescents with higher levels of work-related exhaustion will benefit from just-in-time delivered planning intervention to a higher degree compared to adolescents with lower levels of work-related exhaustion

Previous study hypothesis:
1. On days adolescents receive the just-in time delivered planning intervention, adolescents report lower levels of stress during vocational training compared to days without the just-in time delivered planning intervention
2. Adolescents with higher levels of work-related vigor will benefit from just-in-time delivered planning intervention to a higher degree compared to adolescents with lower levels of work-related vigor
3. Adolescents with higher levels of work-related exhaustion will benefit from just-in-time delivered planning intervention to a higher degree compared to adolescents with lower levels of work-related exhaustion
Ethics approval(s)Ethics committee of the Faculty of Philosophy at the University of Zurich, 26/09/2016, ref: 16.6.2
ConditionStress
InterventionParticipants receive the just-in-time delivered planning intervention to reduce stress on their typically indicated most stressful working day (or a randomly chosen working day in case no most stressful day can be identified) during a week. The intervention is delivered 1 hour before apprentices are on their way to work. In case of shift work the intervention is delivered at 6am. The study has an AB/BA crossover design, in which each participant receives the intervention and the control in a randomized order. The randomization sequence will be created using computerized random numbers. There is a period of at least 2 weeks between the intervention and control.

Intervention points in time include:
1. Assessment of state of receptivity via SMS text message question (“Are you working today?”) on one of their typically indicated working days, one hour before apprentices are on their way to work (or at 6am).
2. Confirmation of receptivity by a text message reply (“Yes”) from the participant.
3. The digital micro intervention where participants can choose one of two predetermined if-then plans to reduce stress at the workplace via SMS text messaging and another text message prompt to visualize the chosen plan.

Control points in time only include 1 and 2.

Follow-up assessments will be conducted in both intervention and control points in time 11 hours after the assessment of state of receptivity and the random allocation to one of the two intervention conditions.
Intervention typeBehavioural
Primary outcome measurePerceived stress at the workplace, assessed with one item measure 11 hours after the assessment of state of receptivity and the random allocation to one of the two intervention conditions
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/05/2017
Overall study end date31/12/2018

Eligibility

Participant type(s)Healthy volunteer
Age groupMixed
SexBoth
Target number of participants130 per condition (including a dropout rate of 30%)
Total final enrolment3759
Participant inclusion criteria1. Ownership of a mobile phone
2. A perceived stress level at the workplace that is above 3, measured on a Likert scale ranging from 1 (not stressful) to 5 (extremely stressful)
3. Aged 16 or over
Participant exclusion criteria1. A perceived stress level at the workplace that is below 3, measured on a Likert scale ranging from 1 (not stressful) to 5 (extremely stressful)
2. Age < 16
3. No vocational training at intervention day
Recruitment start date09/08/2017
Recruitment end date31/12/2017

Locations

Countries of recruitment

  • Switzerland

Study participating centre

Swiss Research Institute for Public Health and Addiction
Konradstrasse 32
Zurich
8031
Switzerland

Sponsor information

Swiss Research Institute for Public Health and Addiction
University/education

Konradstrasse 32
Zurich
8031
Switzerland

Phone +41 (0)44 448 11 74
Email severin.haug@isgf.uzh.ch
Website www.isgf.ch
University of Zurich
University/education

Applied Social and Health Psychology
Binzmühlestr.14/14
Zurich
8050
Switzerland

Phone +41 (0)44 635 72 55
Email theda.radtke@uzh.ch
Website http://www.psychologie.uzh.ch/de/fachrichtungen/angsoz.html
ROR logo "ROR" https://ror.org/02crff812

Funders

Funder type

University/education

Swiss Research Institute for Public Health and Addiction

No information available

Universität Zürich
Government organisation / Universities (academic only)
Alternative name(s)
University of Zurich, Switzerland, University of Zurich, UZH
Location
Switzerland

Results and Publications

Intention to publish date01/08/2022
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a psychological or medical peer-reviewed journal around one year after the overall trial end date. No other documents will be available.
IPD sharing planThe datasets generated during and/or analyzed during the current study are/will be available upon request from Dr Severin Haug (severin.haug@isgf.uzh.ch). Individual participant data will be available (including data dictionaries). Individual participant data that underlie the results reported in our article, after deidentification (text, tables, figures, and appendices) will be shared. Data will be available beginning 9 months and ending 36 months following article publication. Researchers who provide a methodologically sound proposal will be able to get access to the data. Data will be provided for analyses to achieve aims in the approved proposal and for individual participant data meta-analysis. To gain access, data requestors will need to sign a data access agreement.

Editorial Notes

23/06/2021: Total final enrolment number added.
02/06/2021: The intention to publish date was changed from 31/12/2020 to 01/08/2022.
07/07/2020: The study hypothesis (2) was changed due to a typographical error to: “Adolescents with lower levels of work-related vigor will benefit from just-in-time delivered planning intervention to a higher degree compared to adolescents with higher levels of work-related vigor.”
06/01/2020: The following changes have been made:
1. The intention to publish date has been changed from 31/12/2019 to 31/12/2020.
2. The scientific contact was updated.