Effectiveness and Moderators of an Internet-Based Mobile-Supported Stress Management Intervention as a Universal Prevention Approach: Randomized Controlled Trial

被引:11
|
作者
Ebert, David Daniel [1 ]
Franke, Marvin [2 ]
Zarski, Anna-Carlotta [2 ]
Berking, Matthias [2 ]
Riper, Heleen [3 ]
Cuijpers, Pim [3 ]
Funk, Burkhardt [4 ]
Lehr, Dirk [4 ]
机构
[1] Tech Univ Munich, Dept Sport & Hlth Sci, Georg Brauchle Ring 60-62,TUM Campus D, D-80992 Munich, Germany
[2] Friedrich Alexander Univ Erlangen Nuremberg, Clin Psychol & Psychotherapy, Erlangen, Germany
[3] Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands
[4] Leuphana Univ Lueneburg, Dept Hlth Psychol & Appl Biol Psychol, Luneburg, Germany
关键词
stress management intervention; universal prevention; occupational health; moderators; ACCEPTANCE FACILITATING INTERVENTION; COGNITIVE-BEHAVIORAL THERAPY; MENTAL-HEALTH; SELF-HELP; PSYCHOMETRIC PROPERTIES; PERCEIVED STRESS; SHORT VERSION; DEPRESSION; RESILIENCE; EFFICACY;
D O I
10.2196/22107
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Emerging evidence indicates the effectiveness of internet-based mobile-supported stress management interventions (iSMIs) in highly stressed employees. It is yet unclear, however, whether iSMIs are also effective without a preselection process in a universal prevention approach, which more closely resembles routine occupational health care. Moreover, evidence for whom iSMIs might be suitable and for whom not is scarce. Objective: The aim of this study was to evaluate the iSMI GET.ON Stress in a universal prevention approach without baseline inclusion criteria and to examine the moderators of the intervention effects. Methods: A total of 396 employees were randomly assigned to the intervention group or the 6-month waiting list control group. The iSMI consisted of 7 sessions and 1 booster session and offered no therapeutic guidance. Self-report data were assessed at baseline, 7 weeks, and at 6 months following randomization. The primary outcome was perceived stress. Several a priori defined moderators were explored as potential effect modifiers. Results: Participants in the intervention group reported significantly lower perceived stress at posttreatment (d=0.71, 95% CI 0.51-0.91) and at 6-month follow-up (d=0.61, 95% CI 0.41-0.81) compared to those in the waiting list control group. Significant differences with medium-to-large effect sizes were found for all mental health and most work-related outcomes. Resilience (at 7 weeks, P=.04; at 6 months, P=.01), agreeableness (at 7 weeks, P=.01), psychological strain (at 6 months, P=.04), and self-regulation (at 6 months, P=.04) moderated the intervention effects. Conclusions: This study indicates that iSMIs can be effective in a broad range of employees with no need for preselection to achieve substantial effects. The subgroups that might not profit had extreme values on the respective measures and represented only a very small proportion of the investigated sample, thereby indicating the broad applicability of GET.ON Stress.
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页数:19
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