Outcome assessment of a complex mental health intervention in the workplace. Results from the MENTUPP pilot study.

Autor: Tsantila F; Centre for Care Research and Consultancy, LUCAS, KU Leuven, Louvain, Belgium. fotini.tsantila@kuleuven.be., Coppens E; Centre for Care Research and Consultancy, LUCAS, KU Leuven, Louvain, Belgium., De Witte H; Research Group Work, Organisational and Personnel Psychology (WOPP-O2L), KU Leuven, Louvain, Belgium.; Optentia Research Unit, Vaal Campus, North-West University, Vanderbijlpark, South Africa., Arensman E; School of Public Health, University College Cork, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland.; Australian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, Australia., Amann B; Centre Fòrum Research Unit, Hospital del Mar Research Institute, Parc de Salut Mar, Barcelona, Spain.; Mental Health Institute Hospital del Mar, Barcelona, Spain.; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto Carlos III, Madrid, Spain.; Universitat Pompeu Fab, Barcelona, Spain., Cerga-Pashoja A; Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK., Corcoran P; School of Public Health, University College Cork, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland., Creswell-Smith J; National Institute for Health and Welfare (THL), Helsinki, Finland., Cully G; School of Public Health, University College Cork, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland., Toth MD; Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary., Greiner B; School of Public Health, University College Cork, Cork, Ireland., Griffin E; School of Public Health, University College Cork, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland., Hegerl U; European Alliance against Depression e.V., Leipzig, Germany.; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt Am Main, Germany., Holland C; National Suicide Research Foundation, University College Cork, Cork, Ireland., Leduc C; School of Public Health, University College Cork, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland., Leduc M; National Suicide Research Foundation, University College Cork, Cork, Ireland., Ni Dhalaigh D; National Suicide Research Foundation, University College Cork, Cork, Ireland., O'Brien C; National Suicide Research Foundation, University College Cork, Cork, Ireland., Paterson C; University of Stirling, Nursing, Midwifery and Allied Health Professionals Research Unit, Stirling, Scotland, UK., Purebl G; Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary., Reich H; German Depression Foundation, Leipzig, Germany.; Depression Research Centre of the German Depression Foundation, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt am Main, Germany., Ross V; Australian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, Australia., Rugulies R; National Research Centre for the Working Environment, Copenhagen, Denmark.; Section of Epidemiology, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Sanches S; Phrenos Center of Expertise for Severe mental illness, Utrecht, The Netherlands.; Altrecht Mental Health Care, Utrecht, The Netherlands., Thompson K; International Association of Suicide Prevention, Washington, DC, USA., Van Audenhove C; Centre for Care Research and Consultancy, LUCAS, KU Leuven, Louvain, Belgium.; Academic Center for General Practice, KU Leuven, Louvain, Belgium.
Jazyk: angličtina
Zdroj: International archives of occupational and environmental health [Int Arch Occup Environ Health] 2023 Oct; Vol. 96 (8), pp. 1149-1165. Date of Electronic Publication: 2023 Jul 14.
DOI: 10.1007/s00420-023-01996-3
Abstrakt: Objective: Multicomponent interventions are recommendable to achieve the greatest mental health benefits, but are difficult to evaluate due to their complexity. Defining long-term outcomes, arising from a Theory of Change (ToC) and testing them in a pilot phase, is a useful approach to plan a comprehensive and meaningful evaluation later on. This article reports on the pilot results of an outcome evaluation of a complex mental health intervention and examines whether appropriate evaluation measures and indicators have been selected ahead of a clustered randomised control trial (cRCT).
Methods: The MENTUPP pilot is an evidence-based intervention for Small and Medium Enterprises (SMEs) active in three work sectors and nine countries. Based on our ToC, we selected the MENTUPP long-term outcomes, which are reported in this article, are measured with seven validated scales assessing mental wellbeing, burnout, depression, anxiety, stigma towards depression and anxiety, absenteeism and presenteeism. The pilot MENTUPP intervention assessment took place at baseline and at 6 months follow-up.
Results: In total, 25 SMEs were recruited in the MENTUPP pilot and 346 participants completed the validated scales at baseline and 96 at follow-up. Three long-term outcomes significantly improved at follow-up (p < 0.05): mental wellbeing, symptoms of anxiety, and personal stigmatising attitudes towards depression and anxiety.
Conclusions: The results of this outcome evaluation suggest that MENTUPP has the potential to strengthen employees' wellbeing and decrease anxiety symptoms and stigmatising attitudes. Additionally, this study demonstrates the utility of conducting pilot workplace interventions to assess whether appropriate measures and indicators have been selected. Based on the results, the intervention and the evaluation strategy have been optimised.
(© 2023. The Author(s).)
Databáze: MEDLINE
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