Reducing Depression's Impact on Work Performance

减少抑郁症对工作绩效的影响

• 批准号: 7118131
• 负责人: DEBRA LERNER
• 金额: $ 25.07万
• 依托单位: TUFTS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7118131
• 关键词: behavioral /social science research tag; clinical depression; clinical research; cognitive behavior therapy; focus groups; human subject; job performance; mass screening; mental disorder diagnosis; mental health counseling; mental health education; occupational health /safety; occupational stressor; therapy design /development; work site

DESCRIPTION (provided by applicant): Despite advances in detection and treatment, depression continues to take a toll on working individuals, their families, and their employers. This project's long-term goal is to provide effective and efficient work focused care that will help employees with depression function more effectively and productively. This project will further develop and test a new multi-modal, work-focused intervention to be provided by Employee Assistance Program (EAP) counselors whom companies already employ. Named the Work and Health Initiative (WHI), it will provide: 1) depression screening; 2) activities to improve coordination of care between the employee, the primary care physician, and the workplace; 3) work-focused cognitive behavioral therapy (CBT) strategies; and 4) work modifications. Aim 1 is to address questions related to the feasibility and acceptability of the WHI. Guided by a set of research questions, this project will first investigate the feasibility of implementing the WHI in the workplace, and its acceptability to employees, EAP counselors, and primary care providers. These questions will be investigated in focus groups with WHI stakeholders, and trial runs of the WHI. Qualitative and quantitative data will be collected. An expert panel will analyze the data in order to identify strengths and weaknesses of the WHI, and produce recommendations for improvement. Changes will be implemented prior to Aim 2. Aim 2 is to conduct a pilot- randomized control trial (RCT) of the WHI. Employees of state government in Maine (n=13,000) will be eligible to be complete a private, web-based depression and work performance screening. Employees with depression having work performance problems will be identified and invited to visit the EAR. Following an in-person interview and consent, half will be randomly assigned to the usual care group, and half will be assigned to the experimental WHI group (total n=175). Subjects will be surveyed at baseline and four months later. The primary outcomes will be employee work performance and productivity, using the validated Work Limitations Questionnaire (WLQ), and its work absence module. An intent-to-treat analysis will quantify the new program's impact on employee work performance and productivity, depression symptoms, and satisfaction with care. This project will provide valuable insights into the feasibility, acceptability and impact of the WHI. Results will also indicate whether further effectiveness testing and translational research are warranted.

描述（由申请人提供）：尽管在检测和治疗方面取得了进展，抑郁症继续对工作人员，他们的家庭和他们的雇主造成损失。该项目的长期目标是提供有效和高效的工作重点护理，帮助抑郁症患者更有效地发挥作用。 该项目将进一步开发和测试一种新的多模式，以工作为重点的干预措施，由公司已经雇用的员工援助计划（EAP）顾问提供。它被命名为“工作与健康倡议”（WHI），将提供：1）抑郁症筛查; 2）改善员工、初级保健医生和工作场所之间护理协调的活动; 3）以工作为中心的认知行为疗法（CBT）策略; 4）工作调整。 目标1是解决与世界卫生倡议的可行性和可接受性有关的问题。在一系列研究问题的指导下，本项目将首先调查在工作场所实施WHI的可行性，以及员工、EAP咨询师和初级保健提供者对WHI的接受程度。这些问题将在与WHI利益相关者的焦点小组中进行调查，并对WHI进行试验。将收集定性和定量数据。一个专家小组将分析数据，以确定WHI的优点和缺点，并提出改进建议。这些变化将在目标2之前实施。 目的2是进行一项关于WHI的先导性随机对照试验（RCT）.缅因州的州政府雇员（n=13,000）将有资格完成一项私人的、基于网络的抑郁症和工作表现筛查。我们会识别有工作表现问题的抑郁症雇员，并邀请他们参观工作坊。在亲自访谈和同意后，一半将被随机分配到常规护理组，另一半将被分配到实验性WHI组（总n=175）。受试者将在基线和4个月后接受调查。主要成果将是员工的工作表现和生产力，使用经过验证的工作限制问卷（WLQ），及其工作缺勤模块。意向治疗分析将量化新计划对员工工作表现和生产力、抑郁症状和护理满意度的影响。 该项目将为WHI的可行性、可接受性和影响提供宝贵的见解。结果还将表明是否需要进一步的有效性测试和转化研究。