Photo-supported Conversations About Well-being
ConditionStress Disorder
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-67
SponsorKronoberg County Council
About this trial
The aim is to to investigate photo-supported conversations about well-being by the intervention Be WellTM in addition to care as usual within primary care, compared to a control group, for patients with stress-related diagnosis. The intention is to examine the outcomes measures regarding exhaustion, balance of activities in everyday life, client satisfaction, depression and anxiety quality of life, sense of coherence and work ability. The study has been approved by the Regional Ethical Review Board.
The project has a quasi-experimental design using mixed methods. A total of 70 patients (35 to the intervention group and 35 to the control group) will be included. Inclusion criteria are patients with stress-related disorder in primary care, aged 20-67 years, who are on sick leave or risk being on sick leave. Exclusion criteria are severe somatic disorders, neuropsychiatric diagnosis, psychosis and language or cognitive problems that implies difficulties to answer questionnaires.
After informed consent, the intervention group receive, in addition to care as usual, photo-supported conversations about well-being, that is conducted over time for increased training. The intervention involves 12 sessions takes part during 12-15weeks. With cell phones the patients photograph what they relate to well-being in everyday life. The photos are enlarged and used for reflecting conversations with their therapist.
Before and after intervention, and 6 months after intervention the patient meets a project assistant and respond questionnaires as well as qualitative interviews. The control group has the same measure points. Outcome measures are compared with a control group who receive care as usual in primary care. Data will be collected by questionnaires for exhaustion, balance of activities in everyday life, client satisfaction, depression and anxiety, quality of life, sense of coherence and work ability. Qualitative data from interviews about life situation and treatment experiences will also be analyzed. An additional aim is to investigate how therapists experience performing a health promoting intervention, collected from qualitative interviews.
The project is involving the Kronoberg County Council and Jönköping County Council. Gatekeepers will recruit patients and occupational therapists will perform the intervention. The research team comprise of researchers from Kronoberg County Council, Linnaeus University, Jönköping University and University of Gothenburg.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
stress related disorder F43.8 (ICD-10)
stress related disorder F43.9 (ICD-10)
on sick leave
risk being on sick leave
Disqualifiers
severe somatic disorders
neuropsychiatric diagnosis
psychosis
language problems that implies difficulties to answer questionnaires
Trial design
Design model
Parallel
Treatments tested in this trial
photo-supported conversations
Other interventionSessions 1-4: Before each of the sessions, the client photographs that which is related to their well-being and send these to the therapist before the session. The therapist enlarges each of the photographs into the size of A4. The conversation departures from the photographs and the client is encouraged to talk about each of them and they ways it relates to their well-being. Potential strategies for everyday life are discussed. Session 5-10: short virtual meetings of approximately 15-20 minutes with the aim to follow the client, confirm their process and support them towards increased well-being. Session 11: reflecting upon all their previous photographs. Session 12: reflecting future everyday life upon their photographs.
Care as usual
Other interventionMedication, psychological treatment
Treatment groups
50 Participants
are divided into 2 treatment groupsGroup A: InterventionExperimental treatment 2 interventions
Group B: ControlActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Exhaustion
Symptoms of exhaustion measured by Karolinska Exhaustion Disorder Scale (KEDS) (Besèr et al., 2014) min=0 , max=54 , the higher the worse
Time frame
Up to 9 months after enrollment2
Work ability
Work ability measured by Worker Role Self-assessment (WRS-18) (Ekbladh et al., 2000) min=15 , max= 90, the higher the better
Time frame
Up to 9 months after enrollmentSecondary outcomes
1
Balance of activities in everyday life
Balance of activities in everyday life measured by the Occupational Balance questionnaire (OBQ11) (Håkansson et al., 2020) min=0 , max=33, the higher the better
Time frame
Change from baseline to after treatment, and 6 months2
Client Satisfaction
Client Satisfaction measured by the Client Satisfaction Questionnaire (CSQ) (Larsen et al., 1979) min=8, max=32, the higher the better
Time frame
Up to 9 months after enrollment3
Depression and anxiety
Symptoms of Depression and anxiety measured by the Hospital Anxiety and Depression Scale (HADS) (Zigmond \& Snaith, 1983), min=0, max=42, the higher the worse
Time frame
Up to 9 months after enrollment4
Life quality
Quality of life measured with the Manchester Short Assessment of quality of life (MANSA) (Priebe et al., 1999), min=12, max=84, the higher the better
Time frame
Up to 9 months after enrollmentOther outcomes
1
Interview
situation in everyday life, and what causes stress at home and at work, and what contributes to well-being despite living with stress
Time frame
Up to 9 months after enrollmentSponsors and contacts
Click on the lead sponsor to view all of their trials.
Kronoberg County Council
Lead sponsor
Linnaeus University
Collaborator
Göteborg University
Collaborator
Jonkoping University
Collaborator
Region Jönköping County
Collaborator
Source ClinicalTrials.gov