Effectiveness of Evidence-Based Telecoaching Delivered Through an Employer-Sponsored Mental Health Benefits Platform
| Autor: | Sanil Pillai, Somya Mathur, Myra Altman, Terry Adkins, Julia B Corcoran, Sara J. Sagui-Henson, Lindsey Mattila, Maximo Prescott |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Evidence-based practice 020205 medical informatics Coronavirus disease 2019 (COVID-19) Health Informatics 02 engineering and technology Burnout Health Information Management 0202 electrical engineering electronic engineering information engineering Medicine Humans Workplace Pandemics Telemental health business.industry COVID-19 General Medicine Mental health Mental Health Presenteeism Well-being Absenteeism Physical therapy Costs and Cost Analysis Female business |
| Zdroj: | Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 28(4) |
| ISSN: | 1556-3669 |
| Popis: | Background: Coaches delivering telemental health services as part of an employer-sponsored benefit may increase access to affordable and effective care. We examined the effectiveness of evidence-based telecoaching delivered via videoconferencing to people requesting mental health services during the coronavirus disease 2019 (COVID-19) pandemic. Materials and Methods: We analyzed data from 1,228 employees (mean age = 35 ± 8 years; 67.2% female) who utilized telecoaching through the Modern Health benefits platform between March 11, 2020 and March 11, 2021. We used paired samples t tests to examine changes in well-being, burnout, absenteeism, and presenteeism before and after telecoaching and moderated regressions to test whether these changes depended on visit utilization. We analyzed rates of clinical improvement for well-being and reduction from entry in symptoms for burnout. We conducted analyses in the full sample and participants presenting with elevated symptoms at baseline. Results: Participants utilized an average of 2.6 visits. Well-being (p = 0.02) significantly increased, while both presenteeism (p < 0.001) and absenteeism (p < 0.001) significantly decreased at follow-up in our full sample, but represented negligible effect sizes. Burnout was not found to have significantly changed at follow-up in our full sample (p = 0.69). In participants beginning care with elevated depressive-related symptoms, well-being significantly increased (p < 0.001) and 46.3% experienced a clinically relevant improvement. In participants beginning care with elevated levels of burnout, burnout significantly decreased (p < 0.001) and 20.9% experienced a reduction in symptoms from entry. Conclusions: Leveraging videoconferencing, telecoaching had positive effects on mental health and workplace outcomes, even during the COVID-19 pandemic. Evidence-based telecoaching represents a promising option for achieving optimal outcomes in people who need mental health services. |
| Databáze: | OpenAIRE |
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