Online self help for better sleep in teachers with high occupational strain
Organizational Data
- DRKS-ID:
- DRKS00004984
- Recruitment Status:
- Recruiting complete, study complete
- Date of registration in DRKS:
- 2013-05-16
- Last update in DRKS:
- 2019-03-13
- Registration type:
- Prospective
Acronym/abbreviation of the study
No Entry
URL of the study
http://www.geton-training.de/Regeneration.php
Brief summary in lay language
The recovery training is for teachers, who have sleep problems and problems with mentally detaching from work. After stress at work we mentally and physically seek for recovery. Especially for teachers, who experience rather loose boundaries between work and private life, successful recovery is very important. Some stress factors are even inevitable. Esspecially then, phases of successful recovery are very important to prevent chronic stress reactions. Chronic stress reactions are developed, when it is repeatedly not possible to establish recovery. Recovery means: a)mental detachment from work, because worrying and rumination about problems at work can lead to the same strain as work itself. b) recovery activities, that are important to promote mental detachment (to "switch off") and c) restaurative sleep. This is the most important element of recovery. Occupational stress and esspecially corresponding rumination and worrying lead to increased strain and tension, which is one cause for sleep disorders. 10 % of the population suffer from problems falling asleep, sleeping through or waking to early in the morning. The aim of the present study is to evaluate an online self help training, that is specifically designed to help teachers find restaurative sleep and to mentally detach from work. For this evaluation, participants are randomly allocated into one of two groups: One half gets immediate access to the training, the other half following a waiting period of 8 weeks.
Brief summary in scientific language
Insomnia and work-related stress often co-occur. Both are associated with personal distress and diminished general functioning, as well as substantial socio-economic costs. Internet-based CBT-I interventions (ICBT-I) could potentially reduce the given supply gap and are proven to be effective. There is less known about the efficacy of ICBT-I in populations affected by work-related stress. Thus, the aim of the present study is to evaluate an ICBT-I training tailored to teachers affected by occupational stress. In a two-arm randomized controlled trial (N = 128), the effects of a self help ICBT-I training ("GET.ON Recovery") will be compared to a waitlist-control condition pre-treatment and post-treatment. German teachers with clinical significant insomnia complaints and work-related strain are included. Apart from classic CBT-I elements (e.g. sleep hygiene, sleep restriction) GET.ON Recovery accentuates the promotion of recreational activities and cognitive detachment. The primary outcome is insomnia severity.
Health condition or problem studied
- ICD10:
- F51.0 - Nonorganic insomnia
- Healthy volunteers:
- No Entry
Interventions, Observational Groups
- Arm 1:
- • Arm 1: six week online training (pure self-help). Training consists of 6 modules, each taking circa 1 h to work through. During the traning, the primary study investigator is available in case problems or questions occur. Half of the total sample (N=128, n = 64) is randomised in Arm 1. this group gets "GET.ON Recovery", a sleep training based on Cognitive Behavioral Therapy, that is specifically designed for teachers with occupational strain. This training aims to reduce insomnia severity, measured by the Insomnia Severity Index (ISI). Insomnia Severity as well as secondary outcomes like rumination or depressive symptoms will be measured pre-treatment and post-treatment (8 weeks)
- Arm 2:
- • Arm 2: waitlist-control-grouo (receives online-training without supporting e-mails following the 6-months follow-up). Before Arm 1 gets access to the online training (GET.ON Recovery), both groups, Arm 1 and Arm 2,fill in the Baseline questionnaires (online). After Arm 1 worked through the online training (8 weeks), Arm 1 and Arm 2 fill in the post-questionnaires (online). The questionnaires assess insomnia severity, rumination, depressive symptoms, etc. After that last assessment, 8 weeks after randomization, Arm 2 receives access to GET.ON Recovery (self-help). During the traning, the primary study investigator is available in case problems or questions occur.
Endpoints
- Primary outcome:
- Insomnia Severity, measured with the Insomnia Severity Index (ISI; Morin, 2011) at Baseline and after the training (8 weeks)
- Secondary outcome:
- depressive Symptoms (CES-D): pre-treatment, post-treatment (8 weeks); worrying (Penn State Worry Questionnaire, PSWQ): pre, post; - psychological strain in the work context (Irritation Scale, IS): pre, post; sleep effort (Glasgow Sleep Effort Scale): pre, post (8 weeks); - restorativeness of the sleep(Schlaffragebogen B): pre, post; subjective quality of sleep (one item of the Pittsburgh Sleep Quality Index, PSQI): pre, post; recovery experience (Recovery Experience Questionnaire): pre, post; frequency of recovery activities (Recreation experience and activity questionnaire, ReaQ): pre, post; Health-Related Quality of Life (Short Form SF-12 Health Survey Questionnaire): pre, post; costs associated with nonorganic insomnia (for cost-effectiveness analyses) (German adaptation of the Trimbos/iMTA questionnaire for costs associated with psychiatric illness (TiC-P)): pre, post; work-related stress (Effort Reward Imbalance, short version, ERI-S): pre satisfaction with the online training (german adaptation of the ZUF 8, which is the german version of the Client Satisfaction Questionnaire, CSQ): post
Study Design
- Purpose:
- Treatment
- Allocation:
- Randomized controlled study
- Control:
-
- Control group receives no treatment
- Phase:
- N/A
- Study type:
- Interventional
- Mechanism of allocation concealment:
- No Entry
- Blinding:
- No
- Assignment:
- Parallel
- Sequence generation:
- No Entry
- Who is blinded:
- No Entry
Recruitment
- Recruitment Status:
- Recruiting complete, study complete
- Reason if recruiting stopped or withdrawn:
- No Entry
Recruitment Locations
- Recruitment countries:
-
- Germany
- Number of study centers:
- Monocenter study
- Recruitment location(s):
- No Entry
Recruitment period and number of participants
- Planned study start date:
- 2013-05-20
- Actual study start date:
- 2013-05-16
- Planned study completion date:
- No Entry
- Actual Study Completion Date:
- 2014-11-24
- Target Sample Size:
- 128
- Final Sample Size:
- 128
Inclusion Criteria
- Sex:
- All
- Minimum Age:
- 18 Years
- Maximum Age:
- no maximum age
- Additional Inclusion Criteria:
- clinic significant insomnia complaints (Insomnia Severity Indey≥15); - occupational strain/problems with mentally detaching from work (irritation scale, subscale "cognitive Irritation" ≥15); - currently employed/in work as a teacher; - access to the internet; - valid e-mail address
Exclusion Criteria
at Baseline slightly suicidal (BDI II item 9 >1); - currently in psychotherapy or in a waitlist for psychotherapy; not willing to sign informed consent
Addresses
Primary Sponsor
- Address:
- Leuphana Universität Lüneburg GET.ON Gesundheitstraining.Online / Innovations-InkubatorDr. Dirk LehrRotenbleicher Weg 6721335 LüneburgGermany
- Telephone:
- 041316777637
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.leuphana.de/inkubator
- Investigator Sponsored/Initiated Trial (IST/IIT):
- Yes
Contact for Scientific Queries
- Address:
- Leuphana Universität Lüneburg GET.ON Gesundheitstraining.Online / Innovations-InkubatorHanne ThiartRotenbleicher Weg 6721335 LüneburgGermany
- Telephone:
- 04131 677 7637
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.leuphana.de/inkubator
Contact for Public Queries
- Address:
- Leuphana Universität Lüneburg GET.ON Gesundheitstraining.Online / Innovations-InkubatorHanne ThiartRotenbleicher Weg 6721335 LüneburgGermany
- Telephone:
- 04131 677 7637
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.leuphana.de/inkubator
Principal Investigator
- Address:
- Leuphana Universität Lüneburg GET.ON Gesundheitstraining.Online / Innovations-InkubatorHanne ThiartRotenbleicher Weg 6721335 LüneburgGermany
- Telephone:
- 04131 677 7637
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.leuphana.de/inkubator
Sources of Monetary or Material Support
Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)
- Address:
- European Union (finanzielle Förderung organisiert über NBank bzw. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr Friedrichswall 1 30159 Hannover)Günther-Wagner-Allee 12-1630177 30177 HannoverGermany
- Telephone:
- 0511 300310
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.nbank.de
Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)
- Address:
- Unfallkasse NRWSankt-Franziskus-Str. 14640470 DüsseldorfGermany
- Telephone:
- 0211 90240
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Ethics Committee
Address Ethics Committee
- Address:
- Ethik-Kommission des Fachbereichs Psychologie an der Philipps-Universität Marburg [Marburg- Ethikkommission des Fachbereichs Psychologie der Philipps Universität Marburg]Prof. Dr. Martin PinquartGutenbergstr 1835032 MarburgGermany
- Telephone:
- 065212823638
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://uni-marburg.de/fb04/gremien/folder.2010-10-20.3891275312
Vote of leading Ethics Committee
- Vote of leading Ethics Committee
- Date of ethics committee application:
- 2013-04-17
- Ethics committee number:
- 2013-10-K
- Vote of the Ethics Committee:
- Approved
- Date of the vote:
- 2013-04-25
Further identification numbers
- Other primary registry ID:
- No Entry
- EudraCT Number:
- No Entry
IPD - Individual Participant Data
- Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
- No Entry
- IPD Sharing Plan:
- No Entry
Study protocol and other study documents
- Study protocols:
- No Entry
- Study abstract:
- No Entry
- Other study documents:
- No Entry
- Background literature:
- No Entry
- Related DRKS studies:
- No Entry
Publication of study results
- Planned publication:
- No Entry
- Publikationen/Studienergebnisse:
- Ebert et al. (2015). Restoring depleted resources: Efficacy and mechanisms of change of an internet-based unguided recovery training for better sleep and psychological detachment from work. Health Psychology, Vol. 34, Supplement, 1240–1251
- Date of first publication of study results:
- No Entry
- DRKS entry published for the first time with results:
- No Entry
Basic reporting
- Basic Reporting / Results tables:
- No Entry
- Brief summary of results:
- No Entry