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

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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