Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization: A 12-month follow-up controlled trial

B.M. Havermans, C.R. Boot, E.P. Brouwers, I.L. Houtman, Y.F. Heerkens, M.C. Zijlstra-Vlasveld, J.W. Twisk, J.R. Anema, A.J. van der Beek

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Abstract

Objectives
Healthcare workers frequently deal with work stress. This is a risk factor for adverse mental and physical health effects. The objective of this study was to investigate the effectiveness of a digital platform-based implementation strategy – compared to a control group – on stress, work stress determinants (ie. psychosocial work factors) and the level of implementation among healthcare workers.
Methods
By way of matching, 30 teams from a healthcare organization were assigned to the experimental (15 teams; N=252) or wait-list control (15 teams; N=221) group. The experimental group received access to the strategy for 12 months. They were asked to complete the 5-step protocol within six months. The primary outcome was stress (DASS-21) and secondary outcomes were psychological demands, social support, autonomy, and the level of implementation. Questionnaire-based data were collected at baseline, and at 6- and 12-months follow-up. Linear mixed model analyses were used to test differences between the two groups. Results In total, 210 participants completed the baseline questionnaire and at least one follow-up questionnaire. There was a significant effect of the strategy on stress in favor of the experimental group [B=-0.95, 95% confidence interval (CI) -1.81 – -0.09]. No statistically significant differences were found for any secondary outcomes.

Conclusions
The strategy showed potential for primary prevention of work stress, mainly explained by an increase in stress in the control group that was prevented in the experimental group. More research is necessary to assess the full potential of the strategy.
Original languageEnglish
Pages (from-to)613-621
JournalScandinavian Journal of Work and Environmental Health
Volume44
Issue number6
DOIs
Publication statusPublished - 2018

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compound A 12
Organizations
Delivery of Health Care
Patient Care Team
Linear Models
Mental Health
Confidence Intervals
Surveys and Questionnaires

Keywords

  • ANXIETY
  • DEPRESSION
  • DISEASE
  • ENVIRONMENT
  • LEVEL INTERVENTIONS
  • MENTAL-HEALTH
  • OUTCOMES
  • PROFESSIONALS
  • PROGRAM
  • SCALES
  • effect
  • employee
  • health care
  • intervention
  • occupational stress
  • organizational
  • prevention
  • work-related stress
  • worker

Cite this

Havermans, B.M. ; Boot, C.R. ; Brouwers, E.P. ; Houtman, I.L. ; Heerkens, Y.F. ; Zijlstra-Vlasveld, M.C. ; Twisk, J.W. ; Anema, J.R. ; van der Beek, A.J. / Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization : A 12-month follow-up controlled trial. In: Scandinavian Journal of Work and Environmental Health. 2018 ; Vol. 44, No. 6. pp. 613-621.
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abstract = "ObjectivesHealthcare workers frequently deal with work stress. This is a risk factor for adverse mental and physical health effects. The objective of this study was to investigate the effectiveness of a digital platform-based implementation strategy – compared to a control group – on stress, work stress determinants (ie. psychosocial work factors) and the level of implementation among healthcare workers.MethodsBy way of matching, 30 teams from a healthcare organization were assigned to the experimental (15 teams; N=252) or wait-list control (15 teams; N=221) group. The experimental group received access to the strategy for 12 months. They were asked to complete the 5-step protocol within six months. The primary outcome was stress (DASS-21) and secondary outcomes were psychological demands, social support, autonomy, and the level of implementation. Questionnaire-based data were collected at baseline, and at 6- and 12-months follow-up. Linear mixed model analyses were used to test differences between the two groups. Results In total, 210 participants completed the baseline questionnaire and at least one follow-up questionnaire. There was a significant effect of the strategy on stress in favor of the experimental group [B=-0.95, 95{\%} confidence interval (CI) -1.81 – -0.09]. No statistically significant differences were found for any secondary outcomes.ConclusionsThe strategy showed potential for primary prevention of work stress, mainly explained by an increase in stress in the control group that was prevented in the experimental group. More research is necessary to assess the full potential of the strategy.",
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author = "B.M. Havermans and C.R. Boot and E.P. Brouwers and I.L. Houtman and Y.F. Heerkens and M.C. Zijlstra-Vlasveld and J.W. Twisk and J.R. Anema and {van der Beek}, A.J.",
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Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization : A 12-month follow-up controlled trial. / Havermans, B.M.; Boot, C.R.; Brouwers, E.P.; Houtman, I.L.; Heerkens, Y.F.; Zijlstra-Vlasveld, M.C.; Twisk, J.W.; Anema, J.R.; van der Beek, A.J.

In: Scandinavian Journal of Work and Environmental Health, Vol. 44, No. 6, 2018, p. 613-621.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization

T2 - A 12-month follow-up controlled trial

AU - Havermans, B.M.

AU - Boot, C.R.

AU - Brouwers, E.P.

AU - Houtman, I.L.

AU - Heerkens, Y.F.

AU - Zijlstra-Vlasveld, M.C.

AU - Twisk, J.W.

AU - Anema, J.R.

AU - van der Beek, A.J.

PY - 2018

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N2 - ObjectivesHealthcare workers frequently deal with work stress. This is a risk factor for adverse mental and physical health effects. The objective of this study was to investigate the effectiveness of a digital platform-based implementation strategy – compared to a control group – on stress, work stress determinants (ie. psychosocial work factors) and the level of implementation among healthcare workers.MethodsBy way of matching, 30 teams from a healthcare organization were assigned to the experimental (15 teams; N=252) or wait-list control (15 teams; N=221) group. The experimental group received access to the strategy for 12 months. They were asked to complete the 5-step protocol within six months. The primary outcome was stress (DASS-21) and secondary outcomes were psychological demands, social support, autonomy, and the level of implementation. Questionnaire-based data were collected at baseline, and at 6- and 12-months follow-up. Linear mixed model analyses were used to test differences between the two groups. Results In total, 210 participants completed the baseline questionnaire and at least one follow-up questionnaire. There was a significant effect of the strategy on stress in favor of the experimental group [B=-0.95, 95% confidence interval (CI) -1.81 – -0.09]. No statistically significant differences were found for any secondary outcomes.ConclusionsThe strategy showed potential for primary prevention of work stress, mainly explained by an increase in stress in the control group that was prevented in the experimental group. More research is necessary to assess the full potential of the strategy.

AB - ObjectivesHealthcare workers frequently deal with work stress. This is a risk factor for adverse mental and physical health effects. The objective of this study was to investigate the effectiveness of a digital platform-based implementation strategy – compared to a control group – on stress, work stress determinants (ie. psychosocial work factors) and the level of implementation among healthcare workers.MethodsBy way of matching, 30 teams from a healthcare organization were assigned to the experimental (15 teams; N=252) or wait-list control (15 teams; N=221) group. The experimental group received access to the strategy for 12 months. They were asked to complete the 5-step protocol within six months. The primary outcome was stress (DASS-21) and secondary outcomes were psychological demands, social support, autonomy, and the level of implementation. Questionnaire-based data were collected at baseline, and at 6- and 12-months follow-up. Linear mixed model analyses were used to test differences between the two groups. Results In total, 210 participants completed the baseline questionnaire and at least one follow-up questionnaire. There was a significant effect of the strategy on stress in favor of the experimental group [B=-0.95, 95% confidence interval (CI) -1.81 – -0.09]. No statistically significant differences were found for any secondary outcomes.ConclusionsThe strategy showed potential for primary prevention of work stress, mainly explained by an increase in stress in the control group that was prevented in the experimental group. More research is necessary to assess the full potential of the strategy.

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KW - MENTAL-HEALTH

KW - OUTCOMES

KW - PROFESSIONALS

KW - PROGRAM

KW - SCALES

KW - effect

KW - employee

KW - health care

KW - intervention

KW - occupational stress

KW - organizational

KW - prevention

KW - work-related stress

KW - worker

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DO - 10.5271/sjweh.3758

M3 - Article

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JO - Scandinavian Journal of Work and Environmental Health

JF - Scandinavian Journal of Work and Environmental Health

SN - 0355-3140

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