Increasing engagement with an occupational digital stress management program through the use of an online facilitated discussion group: Results of a pilot randomised controlled trial

Autor: Stephany Carolan; Peter R. Harris; Kathryn Greenwood; Kate Cavanagh
Sprache: Englisch
Veröffentlicht: 2017
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: http://www.sciencedirect.com/science/article/pii/S2214782917300337
https://doaj.org/toc/2214-7829
2214-7829
doi:10.1016/j.invent.2017.08.001
https://doaj.org/article/8147e8207adc414480ff5a40e72007a7
https://doi.org/10.1016/j.invent.2017.08.001
https://doaj.org/article/8147e8207adc414480ff5a40e72007a7
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:8147e8207adc414480ff5a40e72007a7

Zusammenfassung

Introduction: Rates of work-related stress, depression and anxiety are high, resulting in reduced work performance and absenteeism. There is evidence that digital mental health interventions delivered in the workplace are an effective way of treating these conditions, but intervention engagement and adherence remain a challenge. Providing guidance can lead to greater engagement and adherence; an online facilitated discussion group may be one way of providing that guidance in a time efficient way. This study compares engagement with a minimally guided digital mental health program (WorkGuru) delivered in the workplace with a discussion group (DG) and without a discussion group (MSG), and with a wait list control (WLC); it was conducted as a pilot phase of a definitive trial. Methods: Eighty four individuals with elevated levels of stress from six organisations were recruited to the study and randomised to one of two active conditions (DG or MSG) or a WLC. The program WorkGuru is a CBT based, eight-week stress management intervention that is delivered with minimal guidance from a coach. Data was collected at baseline, post–intervention and at 16-week follow-up via online questionnaires. The primary outcome measure was number of logins. Secondary measures included further engagement measures, and measures of depression, anxiety, stress, comfort and enthusiasm. Quality measures including satisfaction and system usability were also collected. Results: A greater number of logins was observed for the DG compared with the MSG; this was a medium between group effect size (d = 0.51; 95% CI: −0.04, 1.05). Small to medium effect size differences were found at T2 in favour of the active conditions compared with the control on the DASS subscales depression, anxiety and stress, and the IWP subscales enthusiasm and comfort. This was largely maintained at T3. Satisfaction with the intervention was high with individuals in the MSG reporting greater satisfaction than individuals in the DG. Conclusions: This study shows that access ...