[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642634":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":48,"collaborators":52,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":26,"eligibilityCriteria":61,"healthyVolunteers":62,"sex":63,"minAge":64,"maxAge":26,"enrollmentInfo":65,"targetDuration":26,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":77,"overallStatus":87,"whyStopped":26,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":97},{"fullName":5,"class":6},"Istanbul Medeniyet University","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"SH+ plus Enhanced Care as Usual (ECAU)","EXPERIMENTAL","Participants in clusters allocated to this arm receive the Self-Help Plus (SH+) group program (five weekly approximately 2-hour sessions) in addition to Enhanced Care as Usual.",[13,14],"Behavioral: Self-Help Plus (SH+)","Behavioral: Enhanced Care as Usual (ECAU)",{"label":16,"type":17,"description":18,"interventionNames":19},"Enhanced Care as Usual (ECAU) only","ACTIVE_COMPARATOR","Participants in clusters allocated to this arm receive Enhanced Care as Usual only (psychoeducational information pack plus continued access to existing services). SH+ is offered after the 3-month follow-up (waitlist).",[14],[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Self-Help Plus (SH+)","WHO Self-Help Plus: a low-intensity, ACT-based guided self-help program delivered by trained non-specialist facilitators in a group format over five weekly sessions (approximately 2 hours each), using a pre-recorded audio course and the illustrated self-help book \"Doing What Matters in Times of Stress.\"",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Enhanced Care as Usual (ECAU)","Continued access to existing institutional support and routine services plus a comprehensive psychoeducational information pack on stress-coping strategies, recognition of stress symptoms, and referral pathways to mental health and psychosocial support services",[16,9],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"Yunus Oguz, MD","CONTACT","+90 542 205 65 43","yunusoguz@windowslive.com",[38],{"facility":39,"status":26,"city":40,"state":26,"zip":26,"country":41,"countryCode":26,"cosmosGeoPoint":42,"geoPoint":47,"contacts":26},"Istanbul Provincial Directorate of Family and Social Services","Istanbul","Turkey (Türkiye)",{"type":43,"coordinates":44},"Point",[45,46],28.94966,41.01384,{"lat":46,"lon":45},{"type":49,"investigatorFullName":50,"investigatorTitle":51,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","Mustafa Cakır","Associate Professor",[53],{"name":39,"class":54},"UNKNOWN","100642634","self-help-plus-sh-for-stress-reduction-in-social-service-workers-a-pilot-rct-100642634",false,"NCT07644949","Self-Help Plus (SH+) for Stress Reduction in Social Service Workers: A Pilot RCT","Feasibility and Preliminary Effectiveness of WHO Self-Help Plus (SH+) for Stress Reduction Among Social Service Workers: A Pilot Randomized Controlled Trial","Inclusion Criteria:\n\n* Currently employed (permanent, contracted, or temporary staff) at an institution under the Istanbul Provincial Directorate of Family and Social Services\n* Able to read and write in Turkish\n* Willing to participate voluntarily\n* Provides written informed consent\n\nExclusion Criteria:\n\n* Imminent suicide risk, screened at baseline (T0) via PHQ-9 item 9; participants scoring 2 or higher are not enrolled and are immediately referred to a mental health professional\n* Active psychosis, severe substance use disorder, or severe intellectual disability\n* An acute medical condition that would preclude participation\n* Planned extended leave (e.g., maternity or unpaid leave) during the study period",true,"ALL","18 Years",{"count":66,"type":67},50,"ESTIMATED","INTERVENTIONAL",[70],"NA","This is a two-arm, stratified cluster-randomized controlled pilot trial evaluating the feasibility and preliminary effectiveness of the World Health Organization's Self-Help Plus (SH+) intervention for stress reduction among social service workers employed by the Istanbul Provincial Directorate of Family and Social Services (ASHP). Four institutions (clusters) are randomized 1:1, stratified by service type, to receive either SH+ plus Enhanced Care as Usual (ECAU) or ECAU only, with a target of 50 participants (25 per arm). The primary aim is to assess feasibility indicators (recruitment, session attendance, retention, and acceptability) to inform a future full-scale definitive trial. Preliminary effects on perceived stress and related mental health and well-being outcomes are examined as secondary outcomes.",[73,74,75,76],"Stress, Psychological, Occupational","Stress, Psychological","Psychological Distress","Burnout, Professional",[78,79,80,81,82,83,84,85,86],"Self-Help Plus","SH+","social service workers","universal prevention","cluster randomized trial","pilot study","Acceptance and Commitment Therapy","Turkey","social care workers","NOT_YET_RECRUITING","2026-06-09",{"date":90,"type":91},"2026-06-12","ACTUAL",{"date":93,"type":67},"2026-07",{"date":95,"type":67},"2026-11",{"name":5,"class":6},1]