Reducing Depression's Impact on Work Performance

描述(申请人提供)：尽管在检测和治疗方面取得了进步，但抑郁症继续对在职人士、他们的家人和他们的雇主造成影响。该项目的长期目标是提供有效和高效的以工作为重点的护理，帮助抑郁症员工更有效和更有成效地工作。 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，由公司已经聘用的员工援助计划(EAP)顾问提供。它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)以工作为重点的认知行为疗法(CBT)策略；以及4)工作修改。 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，该项目将首先调查在工作场所实施WHI的可行性，以及它对员工、EAP顾问和初级保健提供者的接受度。这些问题将在WHI利益攸关方的焦点小组中进行调查，并将进行WHI的试运行。将收集定性和定量数据。一个专家小组将对数据进行分析，以确定世界卫生倡议的优势和劣势，并提出改进建议。更改将在AIM 2之前实施。 目标2是进行WHI的试点随机对照试验(RCT)。缅因州政府雇员(n=13,000)将有资格完成一项基于网络的私人抑郁症和工作表现筛查。有工作表现问题的抑郁症员工将被识别并邀请访问EAR。在面谈和同意之后，一半将被随机分配到常规护理组，一半将被分配到实验WHI组(总计n=175)。受试者将在基线和四个月后接受调查。主要结果将是员工的工作表现和生产率，使用经过验证的工作限制问卷(WLQ)及其缺勤模块。意向治疗分析将量化新计划对员工工作表现和生产率、抑郁症状和护理满意度的影响。 该项目将为世界卫生倡议的可行性、可接受性和影响提供有价值的见解。结果还将表明是否需要进一步的有效性测试和翻译研究。

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.