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Randomized Controlled Trial
. 2015 Oct 26;5(10):e007981.
doi: 10.1136/bmjopen-2015-007981.

Pilot study of a cluster randomised trial of a guided e-learning health promotion intervention for managers based on management standards for the improvement of employee well-being and reduction of sickness absence: GEM Study

Stephen A Stansfeld  1 , Sally Kerry  2 , Tarani Chandola  3 , Jill Russell  2 , Lee Berney  1 , Natalia Hounsome  2 , Doris Lanz  1 , Céire Costelloe  2 , Melanie Smuk  1 , Kamaldeep Bhui  1
Affiliations
Randomized Controlled Trial

Pilot study of a cluster randomised trial of a guided e-learning health promotion intervention for managers based on management standards for the improvement of employee well-being and reduction of sickness absence: GEM Study

Stephen A Stansfeld et al. BMJ Open. .

Abstract

Objectives: To investigate the feasibility of recruitment, adherence and likely effectiveness of an e-learning intervention for managers to improve employees' well-being and reduce sickness absence.

Methods: The GEM Study (guided e-learning for managers) was a mixed methods pilot cluster randomised trial. Employees were recruited from four mental health services prior to randomising three services to the intervention and one to no-intervention control. Intervention managers received a facilitated e-learning programme on work-related stress. Main outcomes were Warwick Edinburgh Mental Wellbeing Scale (WEMWBS), 12-item GHQ and sickness absence <21 days from human resources. 35 in-depth interviews were undertaken with key informants, managers and employees, and additional observational data collected.

Results: 424 of 649 (65%) employees approached consented, of whom 350 provided WEMWBS at baseline and 284 at follow-up; 41 managers out of 49 were recruited from the three intervention clusters and 21 adhered to the intervention. WEMWBS scores fell from 50.4-49.0 in the control (n=59) and 51.0-49.9 in the intervention (n=225), giving an intervention effect of 0.5 (95% CI -3.2 to 4.2). 120/225 intervention employees had a manager who was adherent to the intervention. HR data on sickness absence (n=393) showed no evidence of effect. There were no effects on GHQ score or work characteristics. Online quiz knowledge scores increased across the study in adherent managers. Qualitative data provided a rich picture of the context within which the intervention took place and managers' and employees' experiences of it.

Conclusions: A small benefit from the intervention on well-being was explained by the mixed methods approach, implicating a low intervention uptake by managers and suggesting that education alone may be insufficient. A full trial of the guided e-learning intervention and economic evaluation is feasible. Future research should include more active encouragement of manager motivation, reflection and behaviour change.

Trial registration number: ISRCTN58661009.

Keywords: MENTAL HEALTH; OCCUPATIONAL & INDUSTRIAL MEDICINE; PREVENTIVE MEDICINE; PUBLIC HEALTH.

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Figures

Figure 1
Figure 1
Simplified model of the potential mechanism of effect of the intervention on managers and employees.
Figure 2
Figure 2
Participant flow diagram.
See this image and copyright information in PMC

References

    1. Stansfeld S, Candy B. Psychosocial work environment and mental health—a meta-analytic review. Scand J Work Environ Health 2006;32:443–62. 10.5271/sjweh.1050 - DOI - PubMed
    1. Head J, Kivimäki M, Martikainen P et al. . Influence of change in psychosocial work characteristics on sickness absence: the Whitehall II Study. J Epidemiol Community Health 2006;60:55–61. 10.1136/jech.2005.038752 - DOI - PMC - PubMed
    1. Netterstrøm B, Conrad N, Bech P et al. . The relation between work-related psychosocial factors and the development of depression. Epidemiol Rev 2008;30:118–32. 10.1093/epirev/mxn004 - DOI - PubMed
    1. Bhui KS, Dinos S, Stansfeld SA et al. . A synthesis of the evidence for managing stress at work: a review of the reviews reporting on anxiety, depression, and absenteeism. J Environ Public Health 2012;2012:515874 10.1155/2012/515874 - DOI - PMC - PubMed
    1. Black C. Working for a healthier tomorrow. London: TSO (The Stationery Office), 2008.

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