Background: Work engagement is important for employee well-being and work performance. However, no intervention study has investigated the effect of an 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 a newly developed smartphone-based stress management program (ABC Stress Management) on improving work engagement among hospital nurses in Vietnam, an LMIC. Methods: Full-time registered nurses (n=949) were randomly assigned to one of 2 intervention groups or a control group. The intervention groups were a 6-week, 6-lesson program offering basic cognitive behavioral therapy (CBT-based stress management skills), provided in either free-choice (program A) or fixed order (program B). Work engagement was assessed at baseline and 3-month and 7-month follow-ups in each of the 3 groups. Results: The scores of work engagement in both intervention groups improved from baseline to 3-month follow-up, and then decreased at the 7-month follow-up, while the score steadily increased from baseline to 7-month follow-up in the control group. Program B showed a significant intervention effect on improving work engagement at the 3-month follow-up (P=.049) with a small effect size (Cohen d= 0.16; 95% CI 0.001 to 0.43]). Program A showed nonsignificant trend (d=0.13; 95% CI –0.014 to 0.41; P=.07) toward improved engagement at 3 months. Neither program achieved effectiveness at the 7-month follow-up. Conclusions: The study demonstrated that a fixed order (program B) delivery of a smartphone-based stress management program was effective in improving work engagement in nurses in Vietnam. However, the effect was small and only temporary. Further improvement of this program is required to achieve a greater effect size and more sustained, longer lasting impact on work engagement. Trial Registration: University Hospital Medical Information Network Clinical Trials Registry UMIN000033139; tinyurl.com/55gxo253

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中文翻译：

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基于智能手机的压力管理对提高越南护士工作投入度的影响：三组随机对照试验的二次分析


背景：工作投入对于员工福祉和工作绩效非常重要。然而，尚无干预研究调查电子心理健康干预对中低收入国家 (LMIC) 工人工作投入的影响。目的：本研究的目的是检验新开发的基于智能手机的压力管理计划（ABC 压力管理）对提高越南（中低收入国家）医院护士工作投入度的影响。方法：全职注册护士（n=949）被随机分配到2个干预组之一或对照组。干预组是一个为期 6 周、6 节课的计划，提供基本认知行为治疗（基于 CBT 的压力管理技能），以自由选择（计划 A）或固定顺序（计划 B）的形式提供。在基线以及 3 个月和 7 个月的随访中对 3 组中的每一组的工作投入度进行了评估。结果：两个干预组的工作投入度得分从基线到 3 个月随访均有所提高，然后在 7 个月随访时下降，而在 7 个月随访中，工作投入度得分从基线稳步上升。对照组。计划 B 在 3 个月的随访中显示出对提高工作投入度有显着的干预效果 (P=.049)，但效果较小 (Cohen d= 0.16；95% CI 0.001 至 0.43])。项目 A 在 3 个月时表现出不显着的改善参与度趋势（d=0.13；95% CI –0.014 至 0.41；P=.07）。在 7 个月的随访中，这两个计划均未取得成效。结论：该研究表明，基于智能手机的压力管理计划的固定顺序（计划 B）交付可有效提高越南护士的工作投入度。然而，效果很小，而且只是暂时的。 需要进一步改进该计划，以实现更大的效果规模以及对工作投入更持久、更持久的影响。试验注册：大学医院医学信息网络临床试验注册处UMIN000033139；小网址。com/55gxo253


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