The effect of online multimedia psychoeducational interventions on the resilience and perceived stress of hospitalized patients with COVID-19: a pilot cluster randomized parallel-controlled trial
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Abstract
Abstract Background There are evidence suggesting that quarantine might have undesirable psychological impacts on the patients. Therefore, it is important to seek for ways to alleviate the psychological pressure as well as increase the resilience of the patients who are quarantined due to infection with COVID-19. The present study was conducted to examine the effect of an online multimedia psychoeducational intervention on perceived stress and resilience of patients hospitalized with confirmed COVID-19. Method: Participants in this fully online trial were 50 consecutive patients who were hospitalized in 2 hospitals in Shiraz, after being diagnosed with COVID-19. Before the start of intervention, four inpatient wards of two hospitals were randomly assigned to either experimental or control condition. All eligible participants in wards allocated to the intervention condition received online multimedia psychoeducational interventions during 2 weeks, whilst patients in wards allocated to the control condition only received face-to-face or telephone based psychological counseling in case of need. Psychoeducational interventions mainly included cognitive–behavioural techniques, mindfulness-based stress reduction and positive psychotherapy. Patients were assessed on perceived stress and resilience at baseline and 2 weeks later. Results Compared with the control group, patients who used online multimedia psychoeducational interventions reported fewer perceived stress and greater resilience after 2 weeks. Discussion The findings of the present study provide a successful first attempt at implementing online multimedia psychoeducational interventions to promote resilience and mitigate stress of patients who are hospitalized due to infection with COVID-19. The present results could help mental health professionals to determine which psychological techniques should be emphasized to promote patients' resilience in the context of COVID-19 disease.
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Randomized control trials using online mindfulness interventions addressing students' mental health have proven to be effective.
“Randomized control trials using online mindfulness interventions addressing students’ mental health have proven to be effective [11, 12, 14, 24–26]”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [25]
The Methods describe a randomized online psychoeducational intervention that included mindfulness, and the Results report improved resilience and perceived stress. But the participants were hospitalized patients with COVID-19, not students. The Discussion mentions technology-based interventions among university students but does not establish that randomized online mindfulness trials improved students’ mental health. (LLM, conf=0.89)
Experimental — accuracy not yet measuredOther psychotherapeutic approaches such as 2-week online psychotherapy using mindfulness-based stress reduction and positive psychology techniques, and eye movement desensitisation and reprocessing for ongoing trauma, have shown efficacies.
“Other psychotherapeutic approaches such as 2-week online psychotherapy using mindfulness-based stress reduction and positive psychology techniques for resilience building,12 and eye movement desensitisation and reprocessing for ongoing trauma13 have also shown efficacies.”
From Psychological treatments for the mental health symptoms among individuals infected with COVID-19: a scoping review protocol (2023) · cites this paper as [12]
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- Authors
- Shaygan, M., Yazdani, Z., & Valibeygi, A.
- Affiliations
- Shiraz University of Medical Sciences (IR)
- Fasa University of Medical Sciences (IR)
- Corresponding author
- Shaygan, Maryam
- Venue
- BMC Psychiatry
- Published
- 2021-02-11
- Volume
- 21
- Issue
- 1
- Pages
- 93-93
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC7877318
- OpenAlex
- W3110775247
- Cited by
- 83
- References
- 63
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 15 · 2023: 13 · 2022: 27 · 2021: 18
- FWCI
- 12.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Vice-Chancellor for Research, Shiraz University of Medical Sciences (22029)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- COVID-19 pandemic, hospitalized patients, multimedia intervention, resilience, perceived stress, psychological intervention, cognitive-behavioural techniques, mindfulness-based stress reduction, positive psychotherapy, stress management, telephone counseling, patient satisfaction, COVID-19 quarantine, psychological well-being
- MeSH terms
- Internet-Based Intervention, COVID-19, SARS-CoV-2, Humans, Iran, Stress, Psychological, Multimedia, Resilience, Psychological
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