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Analysis of institutional authors

Munoz-Sanjose, AinoaAuthorBravo-Ortiz, María FeAuthorAyuso-Mateos, Jose LuisAuthorBayón, CarmenAuthorMediavilla, RobertoAuthor

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June 16, 2025
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Article

A stress-reduction eHealth intervention for healthcare workers in primary care settings: an implementation study

Publicated to: Frontiers In Public Health. 13 1600059- - 2025-05-21 13(), DOI: 10.3389/fpubh.2025.1600059

Authors:

Garcia-Vazquez, B; Muñoz-Sanjosé, A; Fernández-López, A; Pérez-de-Ciriza, I; Nocete-Navarro, L; Almaraz-Garzon, E; Martín-Palacios, MT; Novella, B; Bravo-Ortiz, MF; Ayuso-Mateos, JL; Bayón, C; Mediavilla, R
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Affiliations

Area Technol Evaluat & Hlth Innovat, Direcc Gen Asistencial, Madrid, Spain - Author
Bustarviejo Primary Care Hlth Ctr, Madrid, Spain - Author
Ctr Salud Potosi, Gerencia Atenc Primaria, Madrid, Spain - Author
Hosp Univ La Paz IdiPAZ, Inst Invest Sanitaria, Madrid, Spain - Author
Hosp Univ La Paz, Dept Psychiat Clin Psychol & Mental Hlth, Madrid, Spain - Author
Hosp Univ La Princesa, Dept Psychiat, Madrid, Spain - Author
Hosp Univ La Princesa, Inst Invest Sanitaria, Madrid, Spain - Author
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid, Spain - Author
Univ Autonoma Madrid, Dept Psychiat, Madrid, Spain - Author
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Abstract

Introduction Healthcare systems across Europe are facing significant challenges in retaining and recruiting healthcare workers (HCWs). Mental health problems, including anxiety, depression, and burnout, are major drivers of turnover. Although some psychological interventions, particularly eHealth tools, are effective, they are rarely tested under real-world conditions, widening the research-implementation gap. This study evaluates the implementation outcomes of an eHealth intervention that was shown to reduce anxiety and depression among frontline HCWs during the COVID-19 pandemic.Methods The study was conducted at a primary care centre affiliated with Hospital Universitario La Paz in Madrid, between October 2023 and February 2024. The intervention "Doing What Matters in Times of Stress" (DWM), consisted of a web-based, self-help tool and was offered in hybrid and remote formats. Mixed methods were employed to assess key implementation outcomes from Proctor's framework, combining quantitative data from pre- and postintervention assessments with qualitative insights from interviews.Results Seventeen participants were included in the study, with 59% choosing the hybrid format and 41% selecting remote sessions. Participation rate was 44% and retention rates were 80 and 100% for the hybrid and remote formats, respectively. The intervention was perceived as acceptable, appropriate, and feasible. Flexible delivery formats and robust group dynamics, particularly in the hybrid format, were identified as key contributors to the intervention's success, enhancing group cohesion and fostering empathy among participants. Barriers, such as stigma and time constraints were identified, while enabling factors included practical content and flexibility.Conclusion This study evaluated the fidelity, feasibility, acceptability, and appropriateness of DWM intervention and remote/hybrid delivery formats among HCWs at a primary care centre in Madrid. Data suggests future studies should maintain hybrid and remote delivery formats and address specific access challenges. These findings provide crucial insights for expanding mental health interventions for HCWs across diverse settings, with implications for public health policy.
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Keywords

AdultAnxietyCovid-19DepressionEhealthFemaleHealth personnelHealthcare workersHumansImplementation scienceMaleMental healthMiddle agedOccupational healtOccupational healthPluPrimary health carePublic healthPublic-healthSars-cov-2SpainStress, psychologicalTelemedicineTherapy

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Frontiers in Public Health due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position 79/421, thus managing to position itself as a Q1 (Primer Cuartil), in the category Public, Environmental & Occupational Health.

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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-03:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 25 (PlumX).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://repositorio.uam.es/handle/10486/720600
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Garcia-Vazquez, Blanca) and Last Author (MEDIAVILLA TORRES, ROBERTO).

the author responsible for correspondence tasks has been Garcia-Vazquez, Blanca.

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Awards linked to the item

The authors would like to thank the Primary Care Management for allowing us the opportunity to conduct this study, as well as all the participants for their valuable contribution.
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