Self-guided internet-based and mobile-based stress management for employees: results of a randomised controlled trial
Self-guided internet-based and mobile-based stress management for employees: results of a randomised controlled trial
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DOI：
10.1136/oemed-2015-103269
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发表时间：
2016-05-01
影响因子：
4.9
通讯作者：
Lehr, Dirk
中科院分区：
文献类型：
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作者：
Ebert, David Daniel;Heber, Elena;Lehr, Dirk
目的本随机对照试验（RCT）旨在评估自我引导的基于互联网的压力管理干预（iSMI）与6个月的等待名单对照组（WLC）相比对员工的有效性，两组都可以像往常一样完全获得治疗。（感知压力量表，PSS-10 >= 22）被随机分配到iSMI或WLC。iSMI包括七个会议和一个助推器会议，包括解决问题和情绪调节技术。在基线、随机化后7周和6个月评估自我报告数据。主要结果是感知压力（PSS-10）。次要结局包括其他相关的心理相关和工作相关健康结局。数据进行了分析的基础上意向治疗princies.Results的iSMI参与者表现出显着更高的减少，从基线到治疗后7周（d=0.96，95%CI 0.70至1.21）和6个月的后续（d=0.65，95%CI 0.40至0.89）相比，WLC的感知压力。在抑郁、焦虑、情绪衰竭、睡眠问题、焦虑、心理健康相关的生活质量、心理分离、情绪调节技能和出勤率方面，也发现了小到中等效应量的显著差异，有利于实验组。在6个月的后续行动，所有的结果仍然显着更好的实验组的工作参与，身体健康相关的生活质量和缺勤，没有发现有显着差异的iSMI和WLC groups.Conclusions之间的iSMI调查在这项研究中被发现是有效的，在减少典型的精神相关和工作相关的健康症状的压力员工。基于互联网的自我指导干预措施可能是一种可以接受的、有效的和具有潜在成本效益的方法，可以减少与工作有关的压力带来的负面影响。
Objective This randomised controlled trial (RCT) aimed to evaluate the efficacy of a self-guided internet-based stress management intervention (iSMI) for employees compared to a 6-month wait-list control group (WLC) with full access for both groups to treatment as usual.Method A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale, PSS-10 >= 22) was randomly assigned to either the iSMI or to the WLC. The iSMI consisted of seven sessions and one booster session including problem-solving and emotion regulation techniques. Self-report data were assessed at baseline, at 7 weeks and at 6 months following randomisation. The primary outcome was perceived stress (PSS-10). The secondary outcomes included other relevant mental-related and work-related health outcomes. Data were analysed based on intention-to-treat principles.Results The iSMI participants showed a significantly higher reduction in perceived stress from baseline to post-treatment at 7 weeks (d=0.96, 95% CI 0.70 to 1.21) and to the 6-month follow-up (d=0.65, 95% CI 0.40 to 0.89) compared to the WLC. Significant differences with small to moderate effect sizes were also found for depression, anxiety, emotional exhaustion, sleeping problems, worrying, mental health-related quality of life, psychological detachment, emotion regulation skills and presenteeism, in favour of the experimental group. At the 6 -month follow-up, all outcomes remained significantly better for the experimental group with the exception of work engagement, physical health-related quality of life and absenteeism, which were not found to significantly differ between the iSMI and WLC groups.Conclusions The iSMI investigated in this study was found to be effective in reducing typical mental-related and work-related health symptoms of stressed employees. Internet-based self-guided interventions could be an acceptable, effective and potentially cost-effective approach to reduce the negative consequences associated with work-related stress.