Occupational e-Mental Health: Current Approaches and Promising Perspectives for Promoting Mental Health in Workers

Lehr, Dirk; Geraedts, Anna; Asplund, Robert Persson; Khadjesari, Zarnie; Heber, Elena; Bloom, Jessica de; Ebert, David Daniel; Angerer, Peter; Funk, Burkhardt

doi:10.1007/978-3-319-32331-2_19

Cited by 46 publications

(44 citation statements)

References 67 publications

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“…The overall evaluation of risk of bias for the included RCT is presented in table 1. The majority of the studies suffered from high attrition rates (>20%), which is common for e-health interventions (11). We assessed the studies to be at high risk for missing outcome bias when the intervention arms had substantial differences in attrition or when one of the intervention arms had a dropout rate of more than 20%.…”

Section: Quality Of the Studiesmentioning

confidence: 99%

“…Occupational e-mental health applies to the working population and can be defined as "the application of e-mental health in the specific life domain of work; its aims include improving the quality of working life and protecting and promoting the safety, health, and well-being of workers." (11) The question of the effectiveness of e-mental health interventions in general has been addressed in several systematic reviews and meta-analyses. Barak et al (12) found a moderate overall mean effect on mental health (Hedges' g=0.53, further noted as "g") for 9,764 patients from the general population, which is comparable to the average effect size of traditional, face-to-face therapy effectiveness of psychotherapeutic interventions.…”

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confidence: 99%

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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

113

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: Quality Of the Studiesmentioning

confidence: 99%

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

113

102

View full text Add to dashboard Cite

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“…It therefore would be of great value to investigate the use of lower‐threshold and less‐stigmatizing approaches. Web‐based interventions are a potentially promising solution, by which evidence‐based measures designed to prevent alcohol‐related problems in employees can be delivered less intrusively and conspicuously .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a web‐based intervention with and without guidance for employees with risky drinking: results of a three‐arm randomized controlled trial

et al. 2017

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AimsTo test the efficacy of a web‐based alcohol intervention with and without guidance.DesignThree parallel groups with primary end‐point after 6 weeks.SettingOpen recruitment in the German working population.ParticipantsAdults (178 males/256 females, mean age 47 years) consuming at least 21/14 weekly standard units of alcohol (SUA) and scoring ≥ 8/6 on the Alcohol Use Disorders Identification Test.InterventionFive web‐based modules including personalized normative feedback, motivational interviewing, goal setting, problem‐solving and emotion regulation during 5 weeks. One intervention group received an unguided self‐help version (n=146) and the second received additional adherence‐focused guidance by eCoaches (n=144). Controls were on a waiting list with full access to usual care (n=144).MeasurementsPrimary outcome was weekly consumed SUA after 6 weeks. SUA after 6 months was examined as secondary outcome, next to numbers of participants drinking within the low‐risk range, and general and work‐specific mental health measures.FindingsAll groups showed reductions of mean weekly SUA after 6 weeks (unguided: −8.0; guided: −8.5; control: −3.2). There was no significant difference between the unguided and guided intervention (P=0.324). Participants in the combined intervention group reported significantly fewer SUA than controls [B=−4.85, 95% confidence interval (CI)=−7.02 to −2.68, P < 0.001]. The intervention groups also showed significant reductions in SUA consumption after 6 months (B=−5.72, 95% CI=−7.71 to −3.73, P < 0.001) and improvements regarding general and work‐related mental health outcomes after 6 weeks and 6 months.ConclusionsA web‐based alcohol intervention, administered with or without personal guidance, significantly reduced mean weekly alcohol consumption and improved mental health and work‐related outcomes in the German working population.

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“…However, other participants suggested that anonymity made it easer to disengage from the intervention. It could be argued that by removing some of the barriers to accessing face-to-face interventions such as inconvenient locations, inability to get an appointment, high cost, lack of transport, delay in access and the fear of stigma, digital mental health may increase the number of people that take-up therapy [36] but one of the effects of easing access to interventions may be increased drop out [37]. We can draw on the Prochaska As well as being able to disengage from the intervention more easily, one of the other potential disadvantages of the lack of face-to-face contact in minimally supported digital mental health interventions identified by participants was the lack of emotional connection.…”

Section: Positives and Negatives Of Digital Mental Health In The Workmentioning

confidence: 99%

Employees� Perspectives on the Facilitators and Barriers to Engaging With Digital Mental Health Interventions in the Workplace: Qualitative Study (Preprint)

Carolan¹,

Visser²

2017

Preprint

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Occupational e-Mental Health: Current Approaches and Promising Perspectives for Promoting Mental Health in Workers

Cited by 46 publications

References 67 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

Efficacy of a web‐based intervention with and without guidance for employees with risky drinking: results of a three‐arm randomized controlled trial

Employees� Perspectives on the Facilitators and Barriers to Engaging With Digital Mental Health Interventions in the Workplace: Qualitative Study (Preprint)

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