Reducing stigma and increasing workplace productivity due to mental health difficulties in a large government organization in the UK: a protocol for a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)

Autor: Robert Jefferson Snowden, Nicola S. Gray, Helen Davies
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Work
medicine.medical_treatment
Social Stigma
Psychological intervention
Study Protocol
0302 clinical medicine
Absenteeism
030212 general & internal medicine
Workplace
Problem Solving
Randomized Controlled Trials as Topic
Randomised control trial
lcsh:Public aspects of medicine
Communication
Mental Disorders
Middle Aged
Mental Health
Research Design
Government
Female
Prevail
Adult
medicine.medical_specialty
Adolescent
Stigma (botany)
Avoidant coping
03 medical and health sciences
Young Adult
Intervention (counseling)
medicine
Psychoeducation
Humans
Psychiatry
Self-stigma
Aged
Organizations
business.industry
Public health
Public Health
Environmental and Occupational Health

lcsh:RA1-1270
Presenteeism
Mental health
United Kingdom
030227 psychiatry
Stigma
Work-based intervention
business
Program Evaluation
Zdroj: BMC Public Health
BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020)
ISSN: 1471-2458
Popis: BackgroundCommon mental disorders are the leading cause of workplace absences. While the reasons for this are multifarious, there is little doubt that stigma related to common mental disorder plays a large role in sickness absence and in poor help-seeking. Frequently both managers and staff are unsure of how to approach and intervene with mental health related problems. We have therefore devised a mental health intervention programme (Prevail) that aims to reduce stigma and to educate staff about evidence-based low intensity psychological interventions. These can be used by the individual, as well as in collaboration with managers via co-production of problem-focussed solutions, with the aim of improving mental health, reducing sickness absence, and increasing workplace productivity.MethodsThis two-armed cluster randomised control trial (RCT) will evaluate the effectiveness of Prevail. Eighty managers at a large UK government institution (the DVLA) and their teams (approximately 960 employees) will be randomised into the active intervention group or control (employment as usual) arms of the study. All participants will be invited to complete a series of questionnaires related to mental health stigma, their current and past mental health, and their recent workplace productivity (absenteeism and presenteeism). All employees in the active arm will receive the Prevail Staff intervention, which covers stigma reduction and includes psychoeducation about evidence-based low intensity psychological interventions for common mental disorder. The managers in the active arm will also receive the Prevail Managers programme which covers communication skills, problem formulation, and problem-solving skills. The questionnaire battery will then be given to both groups again 4 weeks post training, and 12 months post-training. Official records of absenteeism from Human Resources will also be gathered from both active and control groups at 12 months post-training.DiscussionThe treatment trial aims to evaluate if Prevail reduces mental health related stigma (of a number of forms), increases help-seeking behaviours, and increases workplace productivity (via decreased absenteeism and presenteeism).Trial registrationISRCTN12040087. Retrospectively registered 04/05/2020.
Databáze: OpenAIRE