Efficacy of an internet-based problem-solving training for teachers: results of a randomized controlled trial

Autor: Pim Cuijpers, Matthias Berking, David Daniel Ebert, Hanne Thiart, Leif Boß, Heleen Riper, Gerhard Andersson, Dirk Lehr, Elena Heber
Přispěvatelé: Psychiatry, EMGO - Mental health, Clinical Psychology, EMGO+ - Mental Health
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Scandinavian Journal of Work, Environment and Health, 40(6), 582-596. Finnish Institute of Occupational Health
Ebert, D D, Lehr, D, Boß, L, Riper, H, Cuijpers, P, Andersson, G, Thiart, H, Heber, E & Berking, M 2014, ' Efficacy of an Internet-based problem-solving training for teachers : Results of a randomized controlled trial ', Scandinavian Journal of Work, Environment and Health, vol. 40, no. 6, pp. 582-596 . https://doi.org/10.5271/sjweh.3449
Ebert, D D, Lehr, D, BoB, L, Riper, H, Cuijpers, P, Andersson, G, Thiart, H, Heber, E & Berking, M 2014, ' Efficacy of an internet-based problem-solving training for teachers: results of a randomized controlled trial ', Scandinavian Journal of Work, Environment and Health, vol. 40, no. 6, pp. 582-596 . https://doi.org/10.5271/sjweh.3449
Scandinavian Journal of Work, Environment & Health, Vol 40, Iss 6, Pp 582-596 (2014)
Ebert, D D, Lehr, D, Boß, L, Riper, H, Cuijpers, P, Andersson, G, Thiart, H, Heber, E & Berking, M 2014, ' Efficacy of an Internet-based problem-solving training for teachers : Results of a randomized controlled trial ' Scandinavian Journal of Work, Environment and Health, vol 40, no. 6, pp. 582-596 . DOI: 10.5271/sjweh.3449
ISSN: 0355-3140
DOI: 10.5271/sjweh.3449
Popis: Internet-based interventions may be a promising approach to address the adverse effects of occupational stress. However, evidence from RCT for internet-based occupational mental-health interventions is scarce. This study may be the first that evaluates a internet-based guided self-help intervention aimed at reducing depressive symptoms among teachers (as well as employees in general) Objective The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of internet-based problem-solving training (iPST) for employees in the educational sector (teachers) with depressive symptoms. The results of training were compared to those of a waitlist control group (WLC).Methods One-hundred and fifty teachers with elevated depressive symptoms (Center for Epidemiologic Studies Depression Scale, CES-D ≥16) were assigned to either the iPST or WLC group. The iPST consisted of five lessons, including problem-solving and rumination techniques. Symptoms were assessed before the intervention began and in follow-up assessments after seven weeks, three months, and six months. The primary outcome was depressive symptom severity (CES-D). Secondary outcomes included general and work-specific self-efficacy, perceived stress, pathological worries, burnout symptoms, general physical and mental health, and absenteeism.Results iPST participants displayed a significantly greater reduction in depressive symptoms after the intervention (d=0.59, 95% CI 0.26–0.92), after three months (d=0.37, 95% CI 0.05–0.70) and after six months (d=0.38, 95% CI 0.05–0.70) compared to the control group. The iPST participants also displayed significantly higher improvements in secondary outcomes. However, workplace absenteeism was not significantly affected.Conclusion iPST is effective in reducing symptoms of depression among teachers. Disseminated on a large scale, iPST could contribute to reducing the burden of stress-related mental health problems among teachers. Future studies should evaluate iPST approaches for use in other working populations.
Databáze: OpenAIRE