Web-Based and Mobile Stress Management Intervention for Employees

A Randomized Controlled Trial

E. Heber, D. Lehr, D. D. Ebert, M. Berking, H. Riper

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Resumé

Background: Work-related stress is highly prevalent among employees and is associated with adverse mental health consequences. Web-based interventions offer the opportunity to deliver effective solutions on a large scale; however, the evidence is limited and the results conflicting. Objective: This randomized controlled trial evaluated the efficacy of guided Web-and mobile-based stress management training for employees. Methods: A total of 264 employees with elevated symptoms of stress (Perceived Stress Scale-10, PSS-10 >= 22) were recruited from the general working population and randomly assigned to an Internet-based stress management intervention (iSMI) or waitlist control group. The intervention (GET. ON Stress) was based on Lazarus's transactional model of stress, consisted of seven sessions, and applied both well-established problem solving and more recently developed emotion regulation strategies. Participants also had the opportunity to request automatic text messages on their mobile phone along with the iSMI. Participants received written feedback on every completed session from an e-coach. The primary outcome was perceived stress (PSS-10). Web-based self-report assessments for both groups were scheduled at baseline, 7 weeks, and 6 months. At 12 months, an extended follow-up was carried out for the iSMI group only. Results: An intention-to-treat analysis of covariance revealed significantly large effect differences between iSMI and waitlist control groups for perceived stress at posttest (F-1,F-261= 58.08, P<.001; Cohen's d=0.83) and at the 6-month follow-up (F-1,F-261= 80.17, P<.001; Cohen's d=1.02). The effects in the iSMI group were maintained at 12-month follow-up. Conclusions: This Web-and mobile-based intervention has proven effective in reducing stress in employees in the long term. Internet-based stress management interventions should be further pursued as a valuable alternative to face-to-face interventions.
OriginalsprogEngelsk
Artikelnummere21
TidsskriftJournal of Medical Internet Research
Vol/bind18
Udgave nummer1
Antal sider15
ISSN1439-4456
DOI
StatusUdgivet - 2016

Fingeraftryk

Internet
Randomized Controlled Trials
Text Messaging
Control Groups
Intention to Treat Analysis
Self Report
Mental Health
Population

Citer dette

Heber, E. ; Lehr, D. ; Ebert, D. D. ; Berking, M. ; Riper, H. / Web-Based and Mobile Stress Management Intervention for Employees : A Randomized Controlled Trial. I: Journal of Medical Internet Research. 2016 ; Bind 18, Nr. 1.
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abstract = "Background: Work-related stress is highly prevalent among employees and is associated with adverse mental health consequences. Web-based interventions offer the opportunity to deliver effective solutions on a large scale; however, the evidence is limited and the results conflicting. Objective: This randomized controlled trial evaluated the efficacy of guided Web-and mobile-based stress management training for employees. Methods: A total of 264 employees with elevated symptoms of stress (Perceived Stress Scale-10, PSS-10 >= 22) were recruited from the general working population and randomly assigned to an Internet-based stress management intervention (iSMI) or waitlist control group. The intervention (GET. ON Stress) was based on Lazarus's transactional model of stress, consisted of seven sessions, and applied both well-established problem solving and more recently developed emotion regulation strategies. Participants also had the opportunity to request automatic text messages on their mobile phone along with the iSMI. Participants received written feedback on every completed session from an e-coach. The primary outcome was perceived stress (PSS-10). Web-based self-report assessments for both groups were scheduled at baseline, 7 weeks, and 6 months. At 12 months, an extended follow-up was carried out for the iSMI group only. Results: An intention-to-treat analysis of covariance revealed significantly large effect differences between iSMI and waitlist control groups for perceived stress at posttest (F-1,F-261= 58.08, P<.001; Cohen's d=0.83) and at the 6-month follow-up (F-1,F-261= 80.17, P<.001; Cohen's d=1.02). The effects in the iSMI group were maintained at 12-month follow-up. Conclusions: This Web-and mobile-based intervention has proven effective in reducing stress in employees in the long term. Internet-based stress management interventions should be further pursued as a valuable alternative to face-to-face interventions.",
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note = "ISI Document Delivery No.: DF5PU Times Cited: 4 Cited Reference Count: 67 Heber, Elena Lehr, Dirk Ebert, David Daniel Berking, Matthias Riper, Heleen Emchi, Karma/Q-1952-2016 European Union (EFRE) [CCI 2007DE161PR001]; health insurance company, Barmer GEK We would like to acknowledge the European Union (EFRE) for funding this project within the Lueneburg Innovation Incubator, TM 1.1 (CCI 2007DE161PR001). Additionally, we would like to thank Angelina Scheel and Stefanie Christmann for their assistance in administrative tasks and all of the e-coaches for providing guidance to the participants. This study was partially funded by the health insurance company, Barmer GEK. 4 5 11 Jmir publications, inc Toronto",
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Web-Based and Mobile Stress Management Intervention for Employees : A Randomized Controlled Trial. / Heber, E.; Lehr, D.; Ebert, D. D.; Berking, M.; Riper, H.

I: Journal of Medical Internet Research, Bind 18, Nr. 1, e21, 2016.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Web-Based and Mobile Stress Management Intervention for Employees

T2 - A Randomized Controlled Trial

AU - Heber, E.

AU - Lehr, D.

AU - Ebert, D. D.

AU - Berking, M.

AU - Riper, H.

N1 - ISI Document Delivery No.: DF5PU Times Cited: 4 Cited Reference Count: 67 Heber, Elena Lehr, Dirk Ebert, David Daniel Berking, Matthias Riper, Heleen Emchi, Karma/Q-1952-2016 European Union (EFRE) [CCI 2007DE161PR001]; health insurance company, Barmer GEK We would like to acknowledge the European Union (EFRE) for funding this project within the Lueneburg Innovation Incubator, TM 1.1 (CCI 2007DE161PR001). Additionally, we would like to thank Angelina Scheel and Stefanie Christmann for their assistance in administrative tasks and all of the e-coaches for providing guidance to the participants. This study was partially funded by the health insurance company, Barmer GEK. 4 5 11 Jmir publications, inc Toronto

PY - 2016

Y1 - 2016

N2 - Background: Work-related stress is highly prevalent among employees and is associated with adverse mental health consequences. Web-based interventions offer the opportunity to deliver effective solutions on a large scale; however, the evidence is limited and the results conflicting. Objective: This randomized controlled trial evaluated the efficacy of guided Web-and mobile-based stress management training for employees. Methods: A total of 264 employees with elevated symptoms of stress (Perceived Stress Scale-10, PSS-10 >= 22) were recruited from the general working population and randomly assigned to an Internet-based stress management intervention (iSMI) or waitlist control group. The intervention (GET. ON Stress) was based on Lazarus's transactional model of stress, consisted of seven sessions, and applied both well-established problem solving and more recently developed emotion regulation strategies. Participants also had the opportunity to request automatic text messages on their mobile phone along with the iSMI. Participants received written feedback on every completed session from an e-coach. The primary outcome was perceived stress (PSS-10). Web-based self-report assessments for both groups were scheduled at baseline, 7 weeks, and 6 months. At 12 months, an extended follow-up was carried out for the iSMI group only. Results: An intention-to-treat analysis of covariance revealed significantly large effect differences between iSMI and waitlist control groups for perceived stress at posttest (F-1,F-261= 58.08, P<.001; Cohen's d=0.83) and at the 6-month follow-up (F-1,F-261= 80.17, P<.001; Cohen's d=1.02). The effects in the iSMI group were maintained at 12-month follow-up. Conclusions: This Web-and mobile-based intervention has proven effective in reducing stress in employees in the long term. Internet-based stress management interventions should be further pursued as a valuable alternative to face-to-face interventions.

AB - Background: Work-related stress is highly prevalent among employees and is associated with adverse mental health consequences. Web-based interventions offer the opportunity to deliver effective solutions on a large scale; however, the evidence is limited and the results conflicting. Objective: This randomized controlled trial evaluated the efficacy of guided Web-and mobile-based stress management training for employees. Methods: A total of 264 employees with elevated symptoms of stress (Perceived Stress Scale-10, PSS-10 >= 22) were recruited from the general working population and randomly assigned to an Internet-based stress management intervention (iSMI) or waitlist control group. The intervention (GET. ON Stress) was based on Lazarus's transactional model of stress, consisted of seven sessions, and applied both well-established problem solving and more recently developed emotion regulation strategies. Participants also had the opportunity to request automatic text messages on their mobile phone along with the iSMI. Participants received written feedback on every completed session from an e-coach. The primary outcome was perceived stress (PSS-10). Web-based self-report assessments for both groups were scheduled at baseline, 7 weeks, and 6 months. At 12 months, an extended follow-up was carried out for the iSMI group only. Results: An intention-to-treat analysis of covariance revealed significantly large effect differences between iSMI and waitlist control groups for perceived stress at posttest (F-1,F-261= 58.08, P<.001; Cohen's d=0.83) and at the 6-month follow-up (F-1,F-261= 80.17, P<.001; Cohen's d=1.02). The effects in the iSMI group were maintained at 12-month follow-up. Conclusions: This Web-and mobile-based intervention has proven effective in reducing stress in employees in the long term. Internet-based stress management interventions should be further pursued as a valuable alternative to face-to-face interventions.

KW - Internet randomized controlled trial work stress stress management mental health work-related stress self-report occupational stress perceived stress behavior-therapy metaanalysis efficacy validation program internet Health Care Sciences & Services Medica

U2 - 10.2196/jmir.5112

DO - 10.2196/jmir.5112

M3 - Journal article

VL - 18

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1439-4456

IS - 1

M1 - e21

ER -