Effectiveness of an online text-based stress management program for employees who work in micro- and small-sized enterprises: A randomized controlled trial

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-06-24 DOI:10.1016/j.invent.2024.100754

Natsu Sasaki , Sayaka Ogawa , Utako Sawada , Taichi Shimazu , Byron J. Powell , Hajime Takeno , Akizumi Tsutsumi , Kotaro Imamura

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Abstract

Background

Internet psychoeducational interventions improve employees' mental health. However, implementing them for employees in micro- and small-sized enterprises (MSEs) is challenging.

Objectives

This randomized controlled trial examined the effectiveness of a fully automated text-based stress management program, “WellBe-LINE,” in improving mental health and job-related outcomes for employees in workplaces with fewer than 50 employees.

Methods

The program was developed based on stakeholder interviews and surveys of 1000 employees at MSEs. Adult full-time employees at an enterprise with fewer than 50 employees were recruited from registered members of a web survey company in Japan. Participants were randomly allocated to the intervention or control group (1:1). Participants in the intervention group were invited to register for the program using the LINE app. Psychological distress measured by Kessler 6 (K6) was a primary outcome, with self-administrated questionnaires at baseline, 2-month (post), and 6-month follow-ups. A mixed model for repeated measures conditional growth model analysis was conducted using a group ∗ time interaction as an intervention effect. Implementation outcomes were measured through implementation outcome scales for digital mental health (iOSDMH).

Results

1021 employees were included in this study. No significant effects were shown in any outcome. The reported implementation outcomes were positively evaluated, with 80 % acceptability, 86 % appropriateness, and feasibility (ease of understanding the contents [88 %], frequency [86 %], and length of content [86 %]).

Conclusions

A simple text-message program for employees at MESs was acceptable, appropriate, and feasible; however, it did not result in improved mental health or job-related outcomes.

Trial registration

UMIN clinical trial registration: UMIN000050624 (registration date: March 18, 2023).

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针对微型和小型企业员工的在线文本压力管理计划的有效性：随机对照试验

背景互联网心理教育干预能改善员工的心理健康。本随机对照试验研究了基于文本的全自动压力管理程序 "WellBe-LINE "在改善 50 人以下工作场所员工的心理健康和工作相关结果方面的效果。从日本一家网络调查公司的注册会员中招募 50 人以下企业的成年全职员工。参与者被随机分配到干预组和对照组（1:1）。干预组的参与者受邀使用 LINE 应用程序注册该计划。以 Kessler 6 (K6) 测量的心理困扰是主要结果，在基线、2 个月（后）和 6 个月的随访中使用自我管理问卷。使用组别 ∗ 时间交互作用作为干预效应，对重复测量条件增长模型进行了混合模型分析。实施结果通过数字心理健康实施结果量表（iOSDMH）进行测量。任何结果均未显示出明显的效果。报告的实施结果得到了积极的评价，可接受性为 80%，适当性为 86%，可行性为（内容易懂程度 [88%]、频率 [86%] 和内容长度 [86%]）：UMIN000050624（注册日期：2023 年 3 月 18 日）。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions