Stress management in the workplace for employees with hypertension: a randomized controlled trial
| Autor: | William Gerin, Jonathan A. Shaffer, Lynn Clemow, Joseph E. Schwartz, Karina W. Davidson, Redford B. Williams, Thomas G. Pickering, Virginia P. Williams |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Stress management Blood Pressure 030204 cardiovascular system & hematology law.invention Occupational Stress 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Adaptation Psychological Outcome Assessment Health Care Health care medicine Humans 030212 general & internal medicine Workplace Emotional exhaustion Applied Psychology Cognitive Behavioral Therapy business.industry Original Articles Middle Aged Clinical trial Blood pressure Hypertension Rumination Physical therapy Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Translational Behavioral Medicine. 8:761-770 |
| ISSN: | 1613-9860 1869-6716 |
| Popis: | While behavioral interventions can improve blood pressure (BP) in individuals with hypertension, getting such services to people who could benefit remains difficult. Workplace programs have potential as dissemination vehicles. The objective is to evaluate the effectiveness of a standardized stress management program delivered in groups at the workplace for reducing BP compared with enhanced usual care. This randomized controlled trial studied 92 urban medical center employees with hypertension randomized into two groups. The intervention was a 10-week group workshop on cognitive-behavioral coping skills. Enhanced usual care included self-help materials for BP reduction and physician referral. Intervention group participants’ systolic BP (SBP) decreased 7.5 mm Hg over controls between baseline and follow-up, from 149.1 (95% CI: 146.0–152.1) to 140.0 (95% CI: 134.7–145.2), p < .001. The differential change between intervention and enhanced usual care groups (Group × Time interaction) was 7.5 mm Hg (t = −2.05; p = .04). Diastolic BP reductions were not significantly different. Scores on measures of emotional exhaustion and depressive rumination showed significant improvements and correlated with reductions in SBP. There was no significant change in the usual care group. A standardized worksite group intervention produced clinically meaningful reductions in SBP in participants with hypertension. |
| Databáze: | OpenAIRE |
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