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Assessing Work-Related Stressors in Online Counseling: Cross-Sectional Questionnaire Development Study
Wiebke Schlenger1, Marlies Joellenbeck1, Elke Ochsmann2
1Institute of Occupational Health, Prevention and Health Management, Faculty of Medicine, Lübeck University, Luebeck, Germany.
JMIR Formative Research
|September 25, 2025
Summary
A new questionnaire, QueStrOn, helps assess online counseling stressors. It identifies factors like online work organization and communication, aiding counselor well-being and digital health policy.
Area of Science:
- Psychology
- Digital Health
- Occupational Health
Background:
- The COVID-19 pandemic accelerated the adoption of online counseling, presenting unique challenges for counselors.
- Existing tools do not adequately assess occupational stressors specific to online counseling.
- Counselors face technical issues, relationship-building difficulties, and work organization changes in digital settings.
Purpose of the Study:
- To develop and evaluate the "QueStrOn" (Questionnaire to Assess Stressors in Online Counseling) instrument.
- To identify specific stressors and resources in online counseling.
- To explore the questionnaire's ability to predict perceived stress levels among counselors.
Main Methods:
- The Job Demands-Resources model guided item development, alongside qualitative interviews and expert input.
- A preliminary questionnaire was distributed to 219 counselors, with 174 responses analyzed.
- Exploratory factor analysis identified a four-factor structure, and regression analysis tested predictive power.
Main Results:
- The QueStrOn questionnaire has 16 items across four factors: Online Work Organization, Online Framework, Online Work Content, and Online Communication.
- The instrument demonstrated good overall internal consistency (α=0.870).
- The factors significantly predicted perceived stress, explaining 27.1% of the variance.
Conclusions:
- QueStrOn offers a validated tool for assessing occupational stressors in online counseling.
- The instrument's findings can inform workplace risk assessments and support counselor well-being.
- Further validation and longitudinal studies are recommended to enhance applicability and explore health outcomes.
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