Evaluating the Feasibility of an Innovative Self-Confidence Webinar Intervention for Depression in the Workplace: A Proof-of-Concept Study

Yunus, Wan Mohd Azam Wan Mohd; Musiat, Peter; Brown, June

doi:10.2196/11401

Cited by 19 publications

(25 citation statements)

References 49 publications

(65 reference statements)

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“…Prior to the webinar, consent from line managers or team leaders was obtained, as the sessions were run during working hours. Screenshots of the webinar intervention form and structure are available in the proof-of-concept study publication [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

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Innovative Self-Confidence Webinar Intervention for Depression in the Workplace: A Focus Group Study and Systematic Development

Yunus

Musiat

Brown

2020

Behavioral Sciences

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Brief face-to-face self-confidence workshops were effective in reducing depression among the public. Technological advances have enabled traditional face-to-face interventions to be adapted using unique technology-mediated platforms. This article details the formative development of a self-confidence web-based seminar (webinar) intervention for workplace depression. The first section discusses a qualitative study that explores the feasibility and acceptability of adapting the self-confidence workshops into a webinar platform on employees in the workplace. The second section describes the systematic development of this new webinar intervention informed by the qualitative study findings, a published systematic review, and previous face-to-face self-confidence workshops. The qualitative study involves three focus groups (n = 10) conducted in a small organization. Three themes were identified relevant to the running of the new self-confidence webinars in the workplace: personal (content, time and duration preference, features of the webinar, individual participation, personalization), interpersonal (stigma from others, engagement with participants/presenter, moderated interaction), and organizational (endorsement from management, work demand). For the intervention development, the format, structure, features, and content of the self-confidence webinar intervention are described. Features such as file sharing, virtual whiteboard, live chat, and poll are explained with the intervention primarily based on cognitive behavior therapy and coping flexibility concepts.

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Section: Discussionmentioning

confidence: 99%

“…As with face-to-face interventions, the webinar intervention was developed according to evidence-based theoretical concepts. This intervention has also been evaluated in a proof-of-concept study [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Innovative Self-Confidence Webinar Intervention for Depression in the Workplace: A Focus Group Study and Systematic Development

Yunus

Musiat

Brown

2020

Behavioral Sciences

Self Cite

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“…The CFH based on the dual-process theory has been supported by studies conducted in multiple countries: the United States (Kato, 2015d;Southward and Cheavens, 2017;Jones et al, 2019), the United Kingdom (Reed, 2016), Poland (Basiñska, 2015;Kruczek, 2017), Australia (Kato, 2015d), China (Kato, 2015d;Dang et al, 2019), Hong Kong (Ng et al, 2014;Cheng et al, 2015), Japan (Kato, 2012(Kato, , 2015f, 2016b(Kato, , 2017a(Kato, ,b, 2020Kato et al, 2019), India (Kato, 2016b;Mejia-Downs, 2020), Malaysia (Wan Mohd Yunus et al, 2019), and Israel (Ritsner and Ratner, 2006). For example, both abandonment and re-coping explained a unique amount of the variance in depressive symptoms, even after controlling for the effects of coping flexibility as measured by other approaches (i.e., coping repertoire, coping variability, and coping fitness), as well as the effects of typical coping strategies (Kato, 2012).…”

Section: The Dual-process Theory Of Coping Flexibilitymentioning

confidence: 98%

“…These findings indicated that greater coping flexibility reduced cardiovascular reactivity to a stressful task. Moreover, an intervention aimed at providing employees with richer coping flexibility was shown to attenuate their depression and anxiety symptoms (Wan Mohd Yunus et al, 2019).…”

Section: The Dual-process Theory Of Coping Flexibilitymentioning

confidence: 99%

“…Next, our samples were limited to Japanese participants, and the CFH was tested only among college students. However, as described in the Introduction section, the CFH based on the dual-process theory has been supported by studies in multiple countries, with varied ethnic groups, and with multiple types of samples-such as adult employees (Kato, 2012;Wan Mohd Yunus et al, 2019), individuals with chronic pain (Basiñska, 2015;Kato, 2015bKato, , 2017bKato et al, 2019), and schizophrenia (Ritsner and Ratner, 2006), community samples (Kato, 2015d(Kato, , 2016b, and high school students (Basiñska, 2015). Therefore, we expect that our findings will be replicated in future research using different samples.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

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Examination of the Coping Flexibility Hypothesis Using the Coping Flexibility Scale-Revised

Kato

2020

Front. Psychol.

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Coping flexibility, as defined by the dual-process theory, refers to one’s ability to relinquish a coping strategy recognized as ineffective—abandonment—and to devise and implement an alternative and more effective strategy—re-coping. The coping flexibility hypothesis (CFH) dictates that richer coping flexibility produces more adaptive outcomes caused by stress responses, such as reduced psychological and physical dysfunction. We tested the reliability and validity of the Coping Flexibility Scale-Revised (CFS-R) and the CFH using the CFS-R, which was developed to measure coping flexibility. In total, we performed three studies involving 6,752 participants. Study 1 provided the psychometric properties of the CFS-R and tested this factorial structure by a confirmatory factor analysis. Study 2 estimated the validity of the CFS-R by examining the associations between its three subscales and variables that were conceptually similar to them. Study 3 tested the CFH using a longitudinal design after controlling for the effects of typical coping strategies and other types of coping flexibility. Overall, the CFH was supported by the use of the CFS-R, and the findings in Studies 2 and 3 showed that it had acceptable validity and reliability. Our findings implied that abandonment and re-coping can predict reduced depressive symptoms more than other types of theoretical framings for coping flexibility. Additionally, a meta-analysis of the Cronbach’s alphas for all samples in this study (k = 9, N = 6,752) showed that they were 0.87 (95% CI [0.87, 0.88]) for abandonment, 0.92 (95% CI [0.91, 0.92]) for re-coping, and 0.86 (95% CI [0.85, 0.87]) for meta-coping.

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Effect of Online 1-Day Cognitive Behavioral Therapy–Based Workshops Plus Usual Care vs Usual Care Alone for Postpartum Depression

et al. 2021

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IMPORTANCE Postpartum depression (PPD) affects as many as 20% of mothers, yet just 1 in 10 of these women receives evidence-based treatment. The COVID-19 pandemic has increased PPD risk, reduced treatment access, and shifted preferences toward virtual care.OBJECTIVE To determine whether an online 1-day cognitive behavioral therapy (CBT)-based workshop added to treatment as usual improves PPD, anxiety, social support, mother-infant relationship quality, and infant temperament more than treatment as usual alone.DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial included 403 women with PPD who were recruited across Ontario, Canada, during the COVID-19 pandemic (April 20 to October 4, 2020). Women with Edinburgh Postnatal Depression Scale (EPDS) scores of at least 10 who were 18 years or older and had an infant younger than 12 months were eligible.INTERVENTIONS Women were randomly assigned to receive a live, interactive online 1-day CBT-based workshop delivered by a registered psychotherapist, psychiatrist, or clinical psychology graduate student in addition to treatment as usual (n = 202) or to receive treatment as usual and wait-listed to receive the workshop 12 weeks later (n = 201). MAIN OUTCOMES AND MEASURESThe primary outcome was change in PPD (EPDS scores) in experimental and wait list control groups 12 weeks after baseline. Secondary outcomes included maternal anxiety (7-item Generalized Anxiety Disorder Questionnaire [GAD-7]), social support (Social Provisions Scale), quality of the mother-infant relationship (Postpartum Bonding Questionnaire), and infant temperament (Infant Behavior Questionnaire-Revised Very Short Form).RESULTS Participants all identified as women with a mean (SD) age of 31.8 (4.4) years. The workshop led to significant mean (SD) reductions in EPDS scores (from 16.47 [4.41] to 11.65 [4.83]; B = −4.82; P < .001) and was associated with a higher odds of exhibiting a clinically significant decrease in EPDS scores (odds ratio, 4.15; 95% CI, 2.66-6.46). The mean (SD) GAD-7 scores decreased from 12.41 (5.12) to 7.97 (5.54) after the workshop (B = −4.44; 95% CI, −5.47 to −3.38; P < .001) and participants were more likely to experience a clinically significant change (odds ratio, 3.09; 95% CI, 1.99-4.81). Mothers also reported improvements in bonding (B = −3.22; 95% CI, −4.72 to −1.71; P < .001), infant-focused anxiety (B = −1.64; 95% CI, −2.25 to 1.00; P < .001), social support (B = 3.31; 95% CI, 1.04 to 5.57; P < .001), and positive affectivity/surgency in infants (B = 0.31; 95% CI, 0.05 to 0.56; P < .001). CONCLUSIONS AND RELEVANCEIn this randomized clinical trial, an online 1-day CBT-based workshop for PPD provides an effective, brief option for mothers, reducing PPD and anxiety as well as improving social support, the mother-infant relationship, and positive affectivity/surgency in offspring.

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Evaluating the Feasibility of an Innovative Self-Confidence Webinar Intervention for Depression in the Workplace: A Proof-of-Concept Study

Cited by 19 publications

References 49 publications

Innovative Self-Confidence Webinar Intervention for Depression in the Workplace: A Focus Group Study and Systematic Development

Innovative Self-Confidence Webinar Intervention for Depression in the Workplace: A Focus Group Study and Systematic Development

Examination of the Coping Flexibility Hypothesis Using the Coping Flexibility Scale-Revised

Effect of Online 1-Day Cognitive Behavioral Therapy–Based Workshops Plus Usual Care vs Usual Care Alone for Postpartum Depression

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