A Scalable Psychological Intervention to Reduce Psychological Distress Among Workers of Assisted Living Facilities

Summary

The current study is a randomized controlled trial (RCT) that aims to evaluate the effectiveness of a stepped-care program (Doing What Matters \[DWM\] and Problem Management Plus \[PM+\]) in reducing anxiety and depression symptoms amongst long-term care workers (LTCWs), following changes in care due to the COVID-19 pandemic.

Eligibility

Inclusion Criteria:

* 18 years or older;
* Having elevated levels of psychological distress (Kessler Psychological Distress Scale (K10) \>15.9).
* Written/digital informed consent before entering the study.
* Being a worker in a long-term care facility or a home care worker in the community of Catalonia.

Exclusion Criteria:

* Having acute medical conditions (requiring hospitalization)
* Imminent suicide risk, or expressed acute needs, or protection risks that require immediate follow-up
* Having a severe mental disorder (e.g., psychotic disorders, substance-dependence)
* Having severe cognitive impairment (e.g., severe intellectual disability or dementia)
* Currently specialized psychological treatment (e.g., Eye movement desensitization and reprocessing, Cognitive behavioral therapy)
* In case of current psychotropic medication use, being on an unstable dose for at least 2 months.

Conditions3

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