Computer-assisted resilience training to prepare healthcare workers for pandemic influenza: a randomized trial of the optimal dose of training
Open accessAbstract
BACKGROUND: Working in a hospital during an extraordinary infectious disease outbreak can cause significant stress and contribute to healthcare workers choosing to reduce patient contact. Psychological training of healthcare workers prior to an influenza pandemic may reduce stress-related absenteeism, however, established training methods that change behavior and attitudes are too resource-intensive for widespread use. This study tests the feasibility and effectiveness of a less expensive alternative - an interactive, computer-assisted training course designed to build resilience to the stresses of working during a pandemic. METHODS: A "dose-finding" study compared pre-post changes in three different durations of training. We measured variables that are likely to mediate stress-responses in a pandemic before and after training: confidence in support and training, pandemic-related self-efficacy, coping style and interpersonal problems. RESULTS: 158 hospital workers took the course and were randomly assigned to the short (7 sessions, median cumulative duration 111 minutes), medium (12 sessions, 158 minutes) or long (17 sessions, 223 minutes) version. Using an intention-to-treat analysis, the course was associated with significant improvements in confidence in support and training, pandemic self-efficacy and interpersonal problems. Participants who under-utilized coping via problem-solving or seeking support or over-utilized escape-avoidance experienced improved coping. Comparison of doses showed improved interpersonal problems in the medium and long course but not in the short course. There was a trend towards higher drop-out rates with longer duration of training. CONCLUSIONS: Computer-assisted resilience training in healthcare workers appears to be of significant benefit and merits further study under pandemic conditions. Comparing three "doses" of the course suggested that the medium course was optimal.
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A computer-assisted resilience training for healthcare workers improved confidence in support and training, pandemic self-efficacy, and interpersonal problems (p<0.05).
“The intervention improved confidence in support and training, pandemic self-efficacy and interpersonal problems (p<0.05).”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Maunder et al., 2010
Four studies described interventions to reduce the mental health impact of viral epidemic outbreaks in healthcare workers, and none used an experimental design.
“Four studies (Aiello et al., 2011; Maunder et al., 2010; Chen et al., 2006; Wu and Wei, 2020) described four different interventions to reduce the mental health impact of viral epidemic outbreaks in HCWs (Online Appendix 6). None of them used an experimental design.”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Maunder et al., 2010
Evidence from intervention studies, though limited, indicates that educational interventions can increase knowledge and resilience, even when delivered during an outbreak.
“Although very limited, evidence from intervention studies indicates that educational interventions have the potential to increase knowledge and resilience (Aiello et al., 2011; Maunder et al., 2010), even when implemented during an outbreak (Chen et al., 2006).”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Maunder et al., 2010
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- Authors
- Maunder, R. G., Lancee, W. J., Mae, R., Vincent, L., Peladeau, N., Beduz, M. A., Hunter, J. J., & Leszcz, M.
- Affiliations
- Mount Sinai Hospital (CA)
- Corresponding author
- Maunder, Robert G
- Venue
- BMC Health Services Research
- Published
- 2010-03-22
- Volume
- 10
- Issue
- 1
- Pages
- 72-72
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC2851711
- OpenAlex
- W2008615047
- Cited by
- 129
- References
- 46
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 17 · 2022: 28 · 2021: 39 · 2020: 24 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 1 · 2014: 1 · 2013: 1
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Canadian Institutes of Health Research (83139_1, 83139)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- computer-based training, resilience training, healthcare workers, pandemic influenza, occupational stress, self-efficacy, coping styles, interpersonal problems, training dose, hospital staff, absenteeism
- MeSH terms
- Absenteeism, Adaptation, Psychological, Canada, Computer-Assisted Instruction, Curriculum, Disaster Planning, Humans, Influenza, Human, Personnel, Hospital, Stress, Psychological, Time Factors, Intention to Treat Analysis, Pandemics
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