An Ecological Study of a Universal Employee Depression Awareness and Stigma Reduction Intervention: "Right Direction".
An Ecological Study of a Universal Employee Depression Awareness and Stigma Reduction Intervention: "Right Direction".
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DOI：
10.3389/fpsyt.2021.581876
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发表时间：
2021
影响因子：
4.7
通讯作者：
Clarke DE
中科院分区：
文献类型：
--
作者：
Doty B;Grzenda A;Hwang S;Godar S;Gruttadaro D;Hauge KA;Sherman B;Clarke DE
目的：Right Direction（RD）是肯特州立大学（KSU）于2014年实施的普遍员工健康计划的一个组成部分，旨在提高员工对抑郁症的认识，减少心理健康污名，并鼓励寻求帮助的行为，以促进心理健康。我们探讨了实施RD前后精神卫生保健利用的变化。方法：KSU人力资源普查和服务使用数据被用来确定研究队列，并检查研究目标。一个前-后的设计，以探讨KSU员工之间的心理健康利用RD前后的变化。三个干预后阶段进行了检查。使用广义线性混合模型方法对每个关注结局与干预期之间进行logistic回归分析，并根据年龄和性别进行调整。计算干预后阶段与干预前阶段的Logit差异。结果如下：与干预前相比，因抑郁和焦虑寻求治疗的员工比例在干预后的第一个阶段增加（OR = 2.14，95%置信区间[CI] = 1.37-3.34），然后下降。在干预后的前两个阶段，门诊精神科治疗的利用率显著增加（OR =1.89，95%CI = 1.23-2.89; OR = 1.75，95%CI = 1.11-2.76）。干预后住院精神病治疗利用率无差异。与抗焦虑药处方不同，抗抑郁药处方的接受在干预后第二个（OR = 2.25，95%CI = 1.56-3.27）和第三个（OR = 2.16，95%CI = 1.46-3.20）阶段增加。结论：RD的影响可能会在长期内实现，并进行后续增强，例如关于正念的研讨会/信息会议，压力管理，弹性训练和自我接纳。
Objective: Right Direction (RD) was a component of a universal employee wellness program implemented in 2014 at Kent State University (KSU) to increase employees' awareness of depression, reduce mental health stigma, and encourage help-seeking behaviors to promote mental health. We explored changes in mental health care utilization before and after implementation of RD. Methods: KSU Human Resources census and service use data were used to identify the study cohort and examine the study objectives. A pre-post design was used to explore changes in mental health utilization among KSU employees before and after RD. Three post-intervention periods were examined. A generalized linear mixed model approach was used for logistic regression analysis between each outcome of interest and intervention period, adjusted by age and sex. Logit differences were calculated for post-intervention periods compared to the pre-intervention period. Results: Compared to the pre-intervention period, the predicted proportion of employees seeking treatment for depression and anxiety increased in the first post-intervention period (OR = 2.14, 95% Confidence Interval [CI] = 1.37–3.34), then declined. Outpatient psychiatric treatment utilization increased significantly in the first two post-intervention periods (OR =1.89, 95% CI = 1.23–2.89; OR = 1.75, 95% CI = 1.11–2.76). No difference was noted in inpatient psychiatric treatment utilization across post-intervention periods. Unlike prescription for anxiolytic prescriptions, receipt of antidepressant prescriptions increased in the second (OR = 2.25, 95% CI = 1.56–3.27) and third (OR = 2.16, 95% CI = 1.46–3.20) post-intervention periods. Conclusions: Effects of RD may be realized over the long-term with follow-up enhancements such as workshops/informational sessions on mindfulness, stress management, resiliency training, and self-acceptance.
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影响因子：
4.4
作者：
Wulsin L;Alterman T;Timothy Bushnell P;Li J;Shen R
通讯作者：
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影响因子：
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Schwatka, Natalie V.;Smith, Derek;Newman, Lee S.
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DOI：
10.1097/00043764-200207000-00007
发表时间：
2002-07-01
影响因子：
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