{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:43:47Z","timestamp":1785545027416,"version":"3.56.0"},"reference-count":70,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Health care workers continue to experience heightened levels of distress and burnout, which contribute to higher levels of job dissatisfaction, turnover intentions, presenteeism, and staffing shortages.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The aim of this study was to examine how participation in the StressPal Frontline: Essential Resilience Self-Care and Burnout Prevention program influenced health care workers\u2019 stress and resilience. The study also sought to identify specific measures of perceived stress and resilience that were most affected by participation in the program and to explore whether pre-and-post differences varied based on participant characteristics. The StressPal Frontline program is a digital resilience intervention specifically developed for health care workers to enhance psychological flexibility and stress resilience. The self-paced training program, designed for approximately a 6-week period, consists of brief modules, follow-up resources, and a peer engagement community.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A pretest-posttest quasi-experimental design was used to assess the effectiveness of the StressPal Frontline program in reducing stress and building resilience among 76 health care workers who voluntarily joined and completed the program. Outcome measures included the Perceived Stress Scale and the Brief Resilience Scale to assess participants\u2019 perceptions of stressful situations and their ability to bounce back from stress. Descriptive statistics, correlation analysis, paired-samples 2-tailed\n t<\/jats:italic>\n test, and multiple regression analysis were conducted. The paired-samples\n t<\/jats:italic>\n test was calculated at the scale level and item level to evaluate the statistical significance of pretest and posttest mean differences, and the Cohen\n d<\/jats:italic>\n statistic was used as a measure of effect size. Statistical analysis for this study was conducted in Excel (Microsoft), SPSS (IBM Corp), and Jamovi (jamovi project).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The results indicated a 1.53-point reduction in the Perceived Stress Scale score after participating in the StressPal Frontline program, suggesting a statistically significant decline in average perceived stress due to participation in the program (\n P<\/jats:italic>\n =.004). The corresponding value of Cohen\n d<\/jats:italic>\n was 0.34, suggesting a small-to-medium effect of the intervention, StressPal Frontline program, in reducing perceived stress. For the Brief Resilience Scale, pre-and-post difference was not significant at the scale level (\n P<\/jats:italic>\n =.07); however, item-level analysis found significant increases in participants\u2019 perception of their ability to bounce back quickly after hard times and handle difficult situations. No significant differences were found in outcome measures based on age, race, ethnicity, professional role, or practice setting.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The StressPal Frontline program was associated with positive outcomes in reducing perceived stress. Our study also found no statistical differences in outcomes among participants of different age groups, races, ethnicities, occupations, genders, and practice settings. This is an important finding, as it indicates that the StressPal Frontline program may provide positive benefits for reducing stress across professions, settings, and individual characteristics. This program, along with other resources, could be implemented by health care organizations to support workers\u2019 professional development, behavioral health, and well-being.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/85388","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T19:13:41Z","timestamp":1783538021000},"page":"e85388-e85388","source":"Crossref","is-referenced-by-count":0,"title":["Resilience and Stress Among Health Care Workers Participating in the StressPal Frontline Program: Quasi-Experimental Pretest-Posttest Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3121-7942","authenticated-orcid":false,"given":"Debora Goetz","family":"Goldberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0248-4479","authenticated-orcid":false,"given":"James","family":"Monroe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0714-3156","authenticated-orcid":false,"given":"Pennie","family":"Sempell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2994-6679","authenticated-orcid":false,"given":"Jehanzeb","family":"Cheema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6870-1376","authenticated-orcid":false,"given":"Sravya","family":"Vunnam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-9002","authenticated-orcid":false,"given":"Panagiota","family":"Kitsantas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"R1","unstructured":"Bureau of Health Workforce, National Center for Health Workforce Analysis. 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