Helping the Helpers: Adaptation and Evaluation of Stress First Aid for Healthcare Workers in the Veterans Health Administration During the COVID-19 Pandemic

This study evaluated an adapted Stress First Aid (SFA) program delivered to Veterans Health Administration healthcare workgroups during COVID-19. SFA is a peer-support and self-care model designed for high-stress occupations. Staff rated the program as acceptable, appropriate, and feasible. Participants reported improved confidence in supporting colleagues and valued having a shared, non-stigmatizing language to discuss stress. Qualitative feedback highlighted increased awareness, connection, and feeling valued. However, burnout and systemic stressors did not significantly improve, underscoring limits of brief interventions alone. For preparedness leaders, SFA can strengthen team cohesion and peer support but should be paired with organizational changes to address root causes of stress.