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Internet-based stress management for distressed managers: Results from a randomised controlled trial

Occupational and Environmental Medicine Sep 02, 2017

Asplund RP, et al. – This study assessed the symptoms of perceived stress among distressed managers who received a guided internet–based stress management intervention (iSMI), compared with an attention control group (AC) with full access to treatment–as–usual. Findings indicated that for attenuating stress and other mental–related and work–related health symptoms among distressed managers, iSMIs can be an effective, accessible and potentially time–effective approach.

Methods

  • This study included a total sample of 117 distressed managers, mainly employed in the healthcare, IT, communication and educational sector, who were randomised to either iSMI (n=59) or an AC group (n=58).
  • The iSMI consisted of eight modules including cognitive behavioural stress management and positive management techniques.
  • A minimal and weekly guidance focusing on support, feedback and adherence to the intervention, was delivered to participants by a psychologist or master-level psychology student.
  • Researchers assessed self-report data at pre, post and 6 months after the intervention.
  • The primary outcome was perceived stress (Perceived Stress Scale-14).
  • The secondary outcomes included mental and work-related health outcomes.

Results

  • Findings demonstrated that participants in the iSMI intervention reported significantly less symptoms of perceived stress (d=0.74, 95% CI 0.30 to 1.19) and burnout (d=0.95, 95% CI 0.53 to 1.37) compared with controls, at postassessment.
  • Researchers also found significant medium-to-large effect sizes for depression, insomnia and job satisfaction.
  • They observed long-term effects (6 months) on the mental health outcomes.

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