OBJECTIVE: The aim of the present study was to compare the effectiveness and acceptability of three interventions for occupational stress. METHODS/ DESIGN: A total of 90 National Health Service employees were randomized to face-to-face counselling or telephone counselling or bibliotherapy. Outcomes were assessed at post-intervention and 4-month follow-up. Clinical Outcomes in Routine Evaluation (CORE), General Health Questionnaire (GHQ-12), and Perceived Stress Scale (PSS-10) were used to evaluate intervention outcomes. An intention-to-treat analyses was performed. RESULTS: Repeated measures analysis revealed significant time effects on all measures with the exception of CORE Risk. No significant group effects were detected on all outcome measures. No time by group significant interaction effects were detected on any of the outcome measures with the exception of CORE Functioning and GHQ total. With regard to acceptability of interventions, participants expressed a preference for face-to-face counselling over the other two modalities. CONCLUSIONS: Overall, it was concluded that the three intervention groups are equally effective. Given that bibliotherapy is the least costly of the three, results from the present study might be considered in relation to a stepped care approach to occupational stress management with bibliotherapy as the first line of intervention, followed by telephone and face-to-face counselling as required.
RCT Entities:
OBJECTIVE: The aim of the present study was to compare the effectiveness and acceptability of three interventions for occupational stress. METHODS/ DESIGN: A total of 90 National Health Service employees were randomized to face-to-face counselling or telephone counselling or bibliotherapy. Outcomes were assessed at post-intervention and 4-month follow-up. Clinical Outcomes in Routine Evaluation (CORE), General Health Questionnaire (GHQ-12), and Perceived Stress Scale (PSS-10) were used to evaluate intervention outcomes. An intention-to-treat analyses was performed. RESULTS: Repeated measures analysis revealed significant time effects on all measures with the exception of CORE Risk. No significant group effects were detected on all outcome measures. No time by group significant interaction effects were detected on any of the outcome measures with the exception of CORE Functioning and GHQ total. With regard to acceptability of interventions, participants expressed a preference for face-to-face counselling over the other two modalities. CONCLUSIONS: Overall, it was concluded that the three intervention groups are equally effective. Given that bibliotherapy is the least costly of the three, results from the present study might be considered in relation to a stepped care approach to occupational stress management with bibliotherapy as the first line of intervention, followed by telephone and face-to-face counselling as required.
Authors: Stefan Rennick-Egglestone; Kate Morgan; Joy Llewellyn-Beardsley; Amy Ramsay; Rose McGranahan; Steve Gillard; Ada Hui; Fiona Ng; Justine Schneider; Susie Booth; Vanessa Pinfold; Larry Davidson; Donna Franklin; Simon Bradstreet; Simone Arbour; Mike Slade Journal: Can J Psychiatry Date: 2019-05-02 Impact factor: 4.356
Authors: Allison J Applebaum; Katherine N DuHamel; Gary Winkel; Christine Rini; Paul B Greene; Catherine E Mosher; William H Redd Journal: J Consult Clin Psychol Date: 2012-04-02
Authors: G Bergström; M Lohela-Karlsson; L Kwak; L Bodin; I Jensen; M Torgén; L Nybergh Journal: BMC Public Health Date: 2017-05-12 Impact factor: 3.295
Authors: Iben Axén; Elisabeth Björk Brämberg; Marjan Vaez; Andreas Lundin; Gunnar Bergström Journal: Int Arch Occup Environ Health Date: 2020-04-03 Impact factor: 3.015