Computer-based versus in-person interventions for preventing and reducing stress in workers

Kuster, Anootnara T.; Dalsbø, Therese Kristine; Luong-Thanh, Bao-Yen; Agarwal, Arnav; Durand-Moreau, Quentin; Kirkehei, Ingvild

doi:10.1002/14651858.cd011899.pub2

Cited by 25 publications

(26 citation statements)

References 119 publications

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“…Approximately one-third of the articles for some outcomes (eg, insomnia and burnout) were written by the same investigation team, which may cause author bias. High dropout rates (>20%) are another common problem of e-health intervention studies, and this was reinforced by the present review; more than half of the studies (25) suffered from high attrition rates, while five studies did not report on attrition. Thus, it was impossible to appraise the bias associated with missing outcome data.…”

Section: Discussionsupporting

confidence: 59%

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Effectiveness of occupational e-mental health interventions: a systematic review and meta-analysis of randomized controlled trials

Phillips¹,

Gordeev²,

Schreyögg³

2019

Scand J Work Environ Health

118

102

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Objective This systematic review and meta-analysis investigated the effectiveness of occupational e-mental health interventions aimed at stress, depression, anxiety, burnout, insomnia, mindfulness, well-being, and alcohol misuse and their potential treatment moderators. Methods We systematically reviewed randomized control trials published in English using three electronic databases (MEDLINE, PsycINFO, CINAHL) and three register trials. A pooled effect size for each mental health area was calculated using random-effects modelling. For each meta-analysis, we conducted an analysis of potential moderators (ie, type of recruitment, age, gender, initial psychological symptoms, guidance, therapy type, and study quality). Results In total, 50 studies were included in the systematic review, and 34 studies were included in the metaanalyses. We noted moderate treatment effects on stress (Hedges'g=0.54), insomnia (g=0.70), and burnout (g=0.51) and small treatment effects on depression (g=0.30), anxiety (g=0.34), well-being (g=0.35), and mindfulness (g=0.42). The pooled effect on alcohol intake was small and nonsignificant. Conclusions Our results suggest that occupational e-mental health interventions are associated with significant health improvements. However, more research is required to understand which factors contribute to the variation in effectiveness of particular interventions depending on the mental health area and characteristics of participants and interventions.

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Section: Discussionsupporting

confidence: 59%

“…The evidence regarding occupational e-mental health is more limited. Kuster et al (25) reviewed two studies with computer-based versus in-person stress management programs. The results of the review were conflicting, and the authors considered the studies to offer low-quality evidence.…”

mentioning

confidence: 99%

Effectiveness of occupational e-mental health interventions: a systematic review and meta-analysis of randomized controlled trials

Phillips¹,

Gordeev²,

Schreyögg³

2019

Scand J Work Environ Health

118

102

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“…Out of the 16 Cochrane reviews identified, [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] eight were targeted at general health, physical health or lifestyle behaviour. This included reviews related to improving physical activity through the use of pedometers, 37 decreasing sitting time at work, 46 sex risk behaviour and preventing human immunodeficiency virus (HIV) infection, 43 and smoking cessation.…”

Section: Cochrane Reviewsmentioning

confidence: 99%

Workplace-based interventions to promote healthy lifestyles in the NHS workforce: a rapid scoping and evidence map

Raine

Thomas

Rodgers

et al. 2020

Health Serv Deliv Res

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Background The health and well-being of staff working in the NHS is a significant issue for UK health care. We sought to identify research relevant to the promotion of healthy lifestyles among NHS staff on behalf of NHS England. Objectives To map existing reviews on workplace-based interventions to promote health and well-being, and to assess the scope for further evidence synthesis work. Design Rapid and responsive scoping search and evidence map. Participants Adult employees in any occupational setting and in any role. Interventions Any intervention aimed at promoting or maintaining physical or mental health and well-being. Early intervention initiatives and those addressing violence against staff, workplace bullying or harassment were also included. Main outcome measures Any outcome related to the effectiveness, cost-effectiveness or implementation of interventions. Data sources A scoping search of nine databases was conducted to identify systematic reviews on health and well-being at work. Searches were limited by publication date (2000 to January/February 2019). Review methods The titles and abstracts of over 8241 records were screened and a total of 408 potentially relevant publications were identified. Information on key characteristics were extracted from the titles and abstracts of all potentially relevant publications. Descriptive statistics (counts and percentages) for key characteristics were generated and data from reviews and ‘reviews of reviews’ were used to produce the evidence map. Results Evidence related to a broad range of physical and mental health issues was identified across 12 ‘reviews of reviews’ and 312 other reviews, including 16 Cochrane reviews. There also exists National Institute for Health and Care Excellence guidance addressing multiple issues of potential relevance. A large number of reviews focused on mental health, changing lifestyle behaviour, such as physical activity, or on general workplace health/health promotion. Most of the reviews that focused only on health-care staff addressed mental health issues, and stress/burnout in particular. Limitations The scoping search process was extensive and clearly effective at identifying relevant publications, but the strategy used may not have identified every potentially relevant review. Owing to the large number of potentially relevant reviews identified from the scoping search, it was necessary to produce the evidence map using information from the titles and abstracts of reviews only. Conclusions It is doubtful that further evidence synthesis work at this stage would generate substantial new knowledge, particularly within the context of the NHS Health and Wellbeing Framework[NHS England. Workforce Health and Wellbeing Framework. 2018. URL: www.nhsemployers.org/-/media/Employers/Publications/Health-and-wellbeing/NHS-Workforce-HWB-Framework_updated-July-18.pdf (accessed 10 January 2019)] published in 2018. Additional synthesis work may be useful if it addressed an identifiable need and it was possible to identify one of the following: (1) a specific and focused research question arising from the current evidence map; it may then be appropriate to focus on a smaller number of reviews only, and provide a more thorough and critical assessment of the available evidence; and (2) a specific gap in the literature (i.e. an issue not already addressed by existing reviews or guidance); it may then be possible to undertake further literature searching and conduct a new evidence review. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 18. See the NIHR Journals Library website for further project information.

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“…In a meta-analysis, Andersson et al (20) reported equal treatment success following face-to-face versus internet based psychological treatments in conjunction with various mental disorders. Nevertheless, a direct comparison of stress management training interventions that solely differ in a computer based and a person-centered presentation revealed no clear results (21)(22)(23).…”

Section: Introductionmentioning

confidence: 96%

Effects of a 6-Week Internet-Based Stress Management Program on Perceived Stress, Subjective Coping Skills, and Sleep Quality

et al. 2020

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Computer-based versus in-person interventions for preventing and reducing stress in workers

Cited by 25 publications

References 119 publications

Effectiveness of occupational e-mental health interventions: a systematic review and meta-analysis of randomized controlled trials

Effectiveness of occupational e-mental health interventions: a systematic review and meta-analysis of randomized controlled trials

Workplace-based interventions to promote healthy lifestyles in the NHS workforce: a rapid scoping and evidence map

Effects of a 6-Week Internet-Based Stress Management Program on Perceived Stress, Subjective Coping Skills, and Sleep Quality

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