[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"stress-psychological-occupational\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:stress-psychological-occupational":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":42,"lastUpdatePostDateStruct":43,"startDateStruct":46,"completionDateStruct":48,"leadSponsor":50,"locationsCount":5},"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":20,"type":21},50,"ESTIMATED","INTERVENTIONAL",[24],"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.",[27,28,29,30],"Stress, Psychological, Occupational","Stress, Psychological","Psychological Distress","Burnout, Professional",[32,33,34,35,36,37,38,39,40],"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":44,"type":45},"2026-06-12","ACTUAL",{"date":47,"type":21},"2026-07",{"date":49,"type":21},"2026-11",{"name":51,"class":52},"Istanbul Medeniyet University","OTHER"]