NCT04832295

Photo-supported Conversations About Well-being

Recruiting now NA Last updated 10 March 2025

What this trial tests

NA trial testing photo-supported conversations in Stress Disorder in 50 participants. Currently enrolling.

Timeline

1 January 2020

Primary endpoint
30 October 2024

30 December 2026

Quick facts

Lead sponsor	Kronoberg County Council
Phase	NA
Status	Recruiting now
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	treatment
Enrollment	50
Start date	1 January 2020
Primary completion	30 October 2024
Estimated completion	30 December 2026
Sites	1 location across Sweden

Drugs / interventions tested

• photo-supported conversations
• Care as usual — full drug profile →

Conditions studied

• Stress Disorder — all drugs for Stress Disorder →

Sponsor

Kronoberg County Council

Who can join

Adults 20 to 67, any sex, with Stress Disorder. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The aim is to to investigate photo-supported conversations about well-being by the intervention Be WellTM in addition to care as usual within primary care, compared to a control group, for patients with stress-related diagnosis. The intention is to examine the outcomes measures regarding exhaustion, balance of activities in everyday life, client satisfaction, depression and anxiety quality of life, sense of coherence and work ability. The study has been approved by the Regional Ethical Review Board.

The project has a quasi-experimental design using mixed methods. A total of 70 patients (35 to the intervention group and 35 to the control group) will be included. Inclusion criteria are patients with stress-related disorder in primary care, aged 20-67 years, who are on sick leave or risk being on sick leave. Exclusion criteria are severe somatic disorders, neuropsychiatric diagnosis, psychosis and language or cognitive problems that implies difficulties to answer questionnaires.

After informed consent, the intervention group receive, in addition to care as usual, photo-supported conversations about well-being, that is conducted over time for increased training. The intervention involves 12 sessions takes part during 12-15weeks. With cell phones the patients photograph what they relate to well-being in everyday life. The photos are enlarged and used for reflecting conversations with their therapist.

Before and after intervention, and 6 months after intervention the patient meets a project assistant and respond questionnaires as well as qualitative interviews. The control group has the same measure points. Outcome measures are compared with a control group who receive care as usual in primary care. Data will be collected by questionnaires for exhaustion, balance of activities in everyday life, client satisfaction, depression and anxiety, quality of life, sense of coherence and work ability. Qualitative data from interviews about life situation and treatment experiences will also be analyzed. An additional aim is to investigate how therapists experience performing a health promoting intervention, collected from qualitative interviews.

The project is involving the Kronoberg County Council and Jönköping County Council. Gatekeepers will recruit patients and occupational therapists will perform the intervention. The research team comprise of researchers from Kronoberg County Council, Linnaeus University, Jönköping University and University of Gothenburg.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. A study protocol of the photo-supported conversations about the well-being intervention (Be Well™) for people with stress related disorders.
   Gunnarsson AB, Wagman P, Sternudd HT, Holmberg S, et al · · 2021 · cited 3× · PMID 34419148 · DOI 10.1186/s40359-021-00625-3
2. Photo-supported conversations about well-being (BeWell<sup>TM</sup>) for patients with exhaustion disorders - a controlled clinical intervention study.
   Gunnarsson AB, Wagman P, Hörberg U, Holmgren K, et al · · 2025 · PMID 39503437 · DOI 10.1080/02813432.2024.2421588