Efficacy and cost-effectiveness of minimal guided and unguided internet-based mobile supported stress-management in employees with occupational stress: a three-armed randomised controlled trial

Research output: Journal contributionsJournal articlesResearchpeer-review

Standard

Harvard

APA

Vancouver

Bibtex

@article{ddadb510c4074dd8983646ea1809bbd6,
title = "Efficacy and cost-effectiveness of minimal guided and unguided internet-based mobile supported stress-management in employees with occupational stress: a three-armed randomised controlled trial",
abstract = "BACKGROUND: Internet- and mobile based stress-management interventions (iSMI) may be an effective means to address the negative consequences of occupational stress. However, available results from randomised controlled trials are conflicting. Moreover, it is yet not clear whether guided or unguided self-help iSMI provide better value for money. Internet-based mental health interventions without guidance are often much less effective than interventions including at least some guidance from a professional. However, direct comparisons in randomised controlled trials are scarce and, to the best of our knowledge, the comparative (cost)-effectiveness of guided vs. unguided iSMI has not yet been studied. Hence, this study investigates the acceptability and (cost-) effectiveness of minimal guided and unguided iSMI in employees with heightened levels of perceived stress.METHODS: A three-armed randomised controlled trial (RCT) will be conducted to compare a minimal guided and unguided iSMI with a waiting list control condition (WLC). Both active conditions are based on the same iSMI, i.e. GET.ON Stress, and differ only with regard to the guidance format. Employees with heightened levels of perceived stress (PSS ≥ 22) will be randomised to one of three conditions. Primary outcome will be comparative changes in perceived stress (PSS). Secondary outcomes include changes in self-reported depression, work-engagement, presenteeism and absenteeism. Moreover, a cost-effectiveness analysis will be conducted from a societal perspective, including both direct medical costs and costs related to productivity losses. In addition, a cost-benefit analysis will be conducted from the employer's perspective. Incremental net-benefit regression analyses will address the question if there are any baseline factors (i.e. subgroups of employees) associated with particularly favorable cost-effectiveness when the experimental intervention is offered. Assessments take place at baseline, 7 weeks post-treatment and 6 months after randomisation.DISCUSSION: Online-based (guided) self-help interventions could be an acceptable, effective and economically sustainable approach to offer evidence-based intervention alternatives to reduce the negative consequences associated with work-related stress. This study evaluates the (cost-) effectiveness of two versions of an iSMI, minimal guided and unguided iSMI. Thus, the present study will further enhance the evidence-base for iSMI and provide valuable information about the optimal balance between outcome and economic costs.TRIAL REGISTRATION: German Clinical Trial Registration (DRKS): DRKS00005687.",
keywords = "Health sciences, Guided self-help, Unguided self-help, Occupational health, Stress management, Internetbased, Randomised controlled trial",
author = "Ebert, {David Daniel} and Dirk Lehr and Filip Smit and Anna-Carlotta Zarski and Heleen Riper and Elena Heber and Pim Cuijpers and Matthias Berking",
note = "Funding Information: This study is funded by the European Union (EFRE: ZW6-80119999, CCI 2007DE161PR001) and the BARMER GEK. Furthermore, we would like to acknowledge Angelina Scheel and Torsten Tarnowski for contributing to the study administration. Publisher Copyright: {\textcopyright} 2014 Ebert et al.; licensee BioMed Central Ltd.",
year = "2014",
month = aug,
day = "7",
doi = "10.1186/1471-2458-14-807",
language = "English",
volume = "14",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Efficacy and cost-effectiveness of minimal guided and unguided internet-based mobile supported stress-management in employees with occupational stress

T2 - a three-armed randomised controlled trial

AU - Ebert, David Daniel

AU - Lehr, Dirk

AU - Smit, Filip

AU - Zarski, Anna-Carlotta

AU - Riper, Heleen

AU - Heber, Elena

AU - Cuijpers, Pim

AU - Berking, Matthias

N1 - Funding Information: This study is funded by the European Union (EFRE: ZW6-80119999, CCI 2007DE161PR001) and the BARMER GEK. Furthermore, we would like to acknowledge Angelina Scheel and Torsten Tarnowski for contributing to the study administration. Publisher Copyright: © 2014 Ebert et al.; licensee BioMed Central Ltd.

PY - 2014/8/7

Y1 - 2014/8/7

N2 - BACKGROUND: Internet- and mobile based stress-management interventions (iSMI) may be an effective means to address the negative consequences of occupational stress. However, available results from randomised controlled trials are conflicting. Moreover, it is yet not clear whether guided or unguided self-help iSMI provide better value for money. Internet-based mental health interventions without guidance are often much less effective than interventions including at least some guidance from a professional. However, direct comparisons in randomised controlled trials are scarce and, to the best of our knowledge, the comparative (cost)-effectiveness of guided vs. unguided iSMI has not yet been studied. Hence, this study investigates the acceptability and (cost-) effectiveness of minimal guided and unguided iSMI in employees with heightened levels of perceived stress.METHODS: A three-armed randomised controlled trial (RCT) will be conducted to compare a minimal guided and unguided iSMI with a waiting list control condition (WLC). Both active conditions are based on the same iSMI, i.e. GET.ON Stress, and differ only with regard to the guidance format. Employees with heightened levels of perceived stress (PSS ≥ 22) will be randomised to one of three conditions. Primary outcome will be comparative changes in perceived stress (PSS). Secondary outcomes include changes in self-reported depression, work-engagement, presenteeism and absenteeism. Moreover, a cost-effectiveness analysis will be conducted from a societal perspective, including both direct medical costs and costs related to productivity losses. In addition, a cost-benefit analysis will be conducted from the employer's perspective. Incremental net-benefit regression analyses will address the question if there are any baseline factors (i.e. subgroups of employees) associated with particularly favorable cost-effectiveness when the experimental intervention is offered. Assessments take place at baseline, 7 weeks post-treatment and 6 months after randomisation.DISCUSSION: Online-based (guided) self-help interventions could be an acceptable, effective and economically sustainable approach to offer evidence-based intervention alternatives to reduce the negative consequences associated with work-related stress. This study evaluates the (cost-) effectiveness of two versions of an iSMI, minimal guided and unguided iSMI. Thus, the present study will further enhance the evidence-base for iSMI and provide valuable information about the optimal balance between outcome and economic costs.TRIAL REGISTRATION: German Clinical Trial Registration (DRKS): DRKS00005687.

AB - BACKGROUND: Internet- and mobile based stress-management interventions (iSMI) may be an effective means to address the negative consequences of occupational stress. However, available results from randomised controlled trials are conflicting. Moreover, it is yet not clear whether guided or unguided self-help iSMI provide better value for money. Internet-based mental health interventions without guidance are often much less effective than interventions including at least some guidance from a professional. However, direct comparisons in randomised controlled trials are scarce and, to the best of our knowledge, the comparative (cost)-effectiveness of guided vs. unguided iSMI has not yet been studied. Hence, this study investigates the acceptability and (cost-) effectiveness of minimal guided and unguided iSMI in employees with heightened levels of perceived stress.METHODS: A three-armed randomised controlled trial (RCT) will be conducted to compare a minimal guided and unguided iSMI with a waiting list control condition (WLC). Both active conditions are based on the same iSMI, i.e. GET.ON Stress, and differ only with regard to the guidance format. Employees with heightened levels of perceived stress (PSS ≥ 22) will be randomised to one of three conditions. Primary outcome will be comparative changes in perceived stress (PSS). Secondary outcomes include changes in self-reported depression, work-engagement, presenteeism and absenteeism. Moreover, a cost-effectiveness analysis will be conducted from a societal perspective, including both direct medical costs and costs related to productivity losses. In addition, a cost-benefit analysis will be conducted from the employer's perspective. Incremental net-benefit regression analyses will address the question if there are any baseline factors (i.e. subgroups of employees) associated with particularly favorable cost-effectiveness when the experimental intervention is offered. Assessments take place at baseline, 7 weeks post-treatment and 6 months after randomisation.DISCUSSION: Online-based (guided) self-help interventions could be an acceptable, effective and economically sustainable approach to offer evidence-based intervention alternatives to reduce the negative consequences associated with work-related stress. This study evaluates the (cost-) effectiveness of two versions of an iSMI, minimal guided and unguided iSMI. Thus, the present study will further enhance the evidence-base for iSMI and provide valuable information about the optimal balance between outcome and economic costs.TRIAL REGISTRATION: German Clinical Trial Registration (DRKS): DRKS00005687.

KW - Health sciences

KW - Guided self-help

KW - Unguided self-help

KW - Occupational health

KW - Stress management

KW - Internetbased

KW - Randomised controlled trial

UR - http://www.scopus.com/inward/record.url?scp=84906926211&partnerID=8YFLogxK

U2 - 10.1186/1471-2458-14-807

DO - 10.1186/1471-2458-14-807

M3 - Journal articles

C2 - 25099533

VL - 14

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 807

ER -

Documents

DOI

Recently viewed

Activities

  1. Schwarze Magie und weiße Wissenschaften? Die Wahrnehmungsmaschinen des Biological Computer Laboratory (Jahrestagung der Gesellschaft für Medienwissenschaften)
  2. Inkusiven Chemieunterricht entwickeln und erforschen, mit Christine Heidinger, Universität Wien und Brigitte Koliander, Pädagogische Hochschule Niederösterreich
  3. Berufliche Anforderungen im inklusiven Chemieunterricht, mit Christine Heidinger, Universität Wien und Brigitte Koliander, Pädagogische Hochschule Niederösterreich
  4. Ein internetbasiertes Problemlösetraining zur Reduktion psychischer Beanspruchung bei belasteten Arbeitnehmern – Ergebnisse einer randomisiert kontrollierten Studie.
  5. Being a female researcher in a male and masculine world. Reflecting on the role of gender and sexual identity when collecting ethnographic data in the sports context.
  6. LC-MS identification of the photo-transformation products of desipramine with studying the effect of different environmental variables on the kinetics of their formation
  7. Der strafrechtliche, haftungsrechtliche und klinische Schutz von Körper und Leben des Ungeborenen am Beispiel des Berliner Zwillingsfalls (LG Berlin v. 19.11.2019, 532 Ks 7/16)
  8. Towards a fully-automated adaptive e-learning environment: A predictive model for difficulty generating factors in gap-filling activities that target English tense-aspect-mood
  9. Wie wirken sich berufliche Gratifikationskrisen auf die Gesundheit von Schulleitungen aus? Untersuchung des Zusammenhangs vom Effort-Reward Imbalance (ERI) Modell und Burnout
  10. Klimawandel und Küstenschutz: Müssen sich Wissenschaft und Gesellschaft wandeln? Ergebnisse einer Diskursstudie unter den Akteuren des Küstenschutzes in der Ems-Dollart-Region
  11. Erfassung von Belastungs- und Burnout-Erleben parallel zu einem Screening psychischer Störungen im Internet: Möglichkeiten und Grenzen am Beispiel des "Stress-Monitors" (Vortrag)
  12. Rigor und Relevanz in der Sozial-ökologischen Forschung (SÖF) – Herausforderungen für die BWL am Beispiel das Projekts BiNKA – Bildung für Nachhaltigen Konsum durch Achtsamkeitstraining
  13. UV photodegradation of trimipramine under different environmental variables and chemical nature of aqueous solution - biodegradation and LC-MSn characterization of the formed transformation products
  14. Gelingensbedinungen inklusiven naturwissenschaftlichen Unterrichts in der Primar- und Sekundarstufe I: Erfahrungen, Potenziale und Herausforderungen im Umgang mit unterschiedlichen Lernvoraussetzungen
  15. Effects of an online- and video-based learning environment on pre-service teachers’ self-efficacy beliefs, attitudes towards inclusion and knowledge of inclusive education during practical school experiences
  16. Berufliche Bildung als subpolitische Resonanz- und Entfremdungserfahrung im Kontext der Großen Transformation zur nachhaltigen Wirtschaft und Gesellschaft als subpolitische Resonanz- und Entfremdungserfahrung?
  17. „Aus dem Denkraum der Naturalisierungsstrategie ausbrechen“: herrschende ökonomische Begriffe hinterfragen und neu besetzen und Commons und Care: das Verhältnis von Sozialstaat und Commons unter die Lupe nehmen
  18. Biodegradability of cytostatic drugs: Cyclophosphamide, 5-Fluorouracil and Methotrexate and their photo-transformation resulting from treatment with UV and simulated sunlight radiation products in Closed Bottle Test

Publications

  1. Taxing the Rich: A History of Fiscal Fairnes in the United States and Europe by Kenneth Scheve and David Stasavage. Princeton: Princeton University Press, 2016
  2. Buchbesprechungen zur Fachdidaktik: Kerstin Pohl: Gesellschaftstheorie in der Politikdidaktik. Die Theorierezeption bei Hermann Giesecke. Wochenschau-Verlag, 2011
  3. On Limits of Freedom of Public Authorities with Respect to Obtaining Evidence at the Stage of Investigation under Turkish Criminal Procedure and Evidence Law
  4. Is too much help an obstacle? Effects of interactivity and cognitive style on learning with dynamic versus non-dynamic visualizations with narrative explanations
  5. Gender und Diversity als Querschnittsthemen vom Projekt bis zum konkreten Angebot „Gestärkt in Führung gehen – Frauen in Führungspositionen in der Sozialen Arbeit“
  6. Europäischer Bundesstaat, supranationale Gemeinschaft oder Vertragsunion souveräner Staaten? – Zum Verhältnis von Staat und Union nach dem Lissabon-Urteil des BVerfG
  7. Bericht über die Tagung zum 20-jährigen Jubiläum der Sektion Soziologie der Kindheit in der Deutschen Gesellschaft für Soziologie vom 24. bis 26. September 2015 in Halle
  8. Evidence for climatic changes around the Matuyama-Brunhes Boundary (MBB) inferred from a multi-proxy palaeoenvironmental study of the GBY#2 core, Jordan River Valley, Israel
  9. Marcel Baumann: Zwischenwelten: Weder Krieg noch Frieden. Über den konstruktiven Umgang mit Gewaltphänomenen im Prozess der Konflikttransformation. Wiesbaden 2008: VS Verlag
  10. Untersuchungen von Transfereffekten musikalischer Angebote. Ergebnisse aus der Studie Wirkungen und langfristige Effekte musikalischer Angebote (WilmA-Teilprojekt Transfer)
  11. Lernen aus Fehlern anhand eines fallbasierten Curriculums im medizinischen Querschnittsbereich Gesundheitssysteme/Gesundheitsökonomie und öffentliche Gesundheitspflege
  12. Food Retailers as Mediating Gatekeepers between Farmers and Consumers in the Supply Chain of Animal Welfare Meat - Studying Retailers’ Motives in Marketing Pasture-Based Beef
  13. Verlängerung der Nutzungsdauer für den derivativen Geschäfts- oder Firmenwert und selbst erstellte immaterielle Anlagegüter durch das Bilanzrichtlinie-Umsetzungsgesetz (BilRUG)
  14. Der Erwerb professioneller Handlungskompetenz von Sachunterrichtsstudierenden im Kontext von Bildung für nachhaltige Entwicklung – Kompetenzerwerb durch transdisziplinäre Projektarbeit
  15. Schriftliche Stellungnahme für den Innenausschuss des Hessischen Landtagszum Gesetzentwurf der Hessischen Landesregierung für ein Gesetz zur Änderung des Hessischen Spielbankengesetzes
  16. Welcome Mr Chance. Methodological considerations concerning the quality of empirical research in educational science based on a recent study on violence published by Heitmeyer et al (1995)
  17. Rezension zu Thomas Haigh, Mark Priestley, Crispin Rope, ENIAC in Action: Making and Remaking the Modern Computer, (History of Computing) Cambridge/London: MIT Press 2016. 341 S., ISBN 978‐0‐2620‐3398‐5.
  18. Peter Neumann/Denise Renger (Hrsg) Sachunmittelbare Demokratie im interdisziplinären und internationalen Kontext 2008/09 (Nomos). Christina Eder Direkte Demokratie auf subnationaler Ebene. (Nomos)
  19. Stefan Welling, Andreas Breiter & Arne Hendrik Schulz (2015): Mediatisierte Organisationswelten in Schulen. Wie der Medienwandel die Kommunikation in den Schulen verändert. Wiesbaden: Springer VS
  20. The aftermath of colonization and forms of transactions between agriculture and industry - Exchange relations between industrialized and developing countries in the world economy of tobacco
  21. Alan L. Carsud and Malin Braennback (eds), Understanding the entrepreneurial mind: Opening the black box. International Studies in Entrepreneurship, Vol. 24. Heidelberg: Springer, 2009. 340 pp. ISBN 9781441904423.
  22. Analyzing multivariate dynamics using cross-recurrence quantification analysis (CRQA), diagonal-cross-recurrence profiles (DCRP), and multidimensional recurrence quantification analysis (MdRQA) - A tutorial in R
  23. Characterization of photo-transformation products of the antibiotic drug Ciprofloxacin with liquid chromatography-tandem mass spectrometry in combination with accurate mass determination using an LTQ-Orbitrap
  24. Erfassung der gesundheitsfördernden Schule: Erste methodische Erfahrungen mit dem SEP-Modul „Gesundheitsförderung“ im Rahmen der Evaluation des Landesprogramms für eine gute gesunde Schule im Land Brandenburg
  25. „also habe ich mich entschieden, mich nicht zu entscheiden“ Biografische Bildungsentscheidungen als Nicht-Entscheidungen in Lebensgeschichten junger Frauen mit Migrationshintergrund in Deutschland und Frankreich
  26. Berechnung von Eisen(III)hydroxid-Bildungsraten aus Redoxpotentialmessungem - Vergleich mit Untersuchungen zum Eisen-Schwefel-Redoxsystem in den thermischen Energiespeicheranlagen der Parlamentsbauten am Berliner Spreebogen