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

Bo M. Havermans, C. cile Rl Boot, Evelien Pm Brouwers, Irene Ld Houtman, Yvonne F. Heerkens, Moniek C. Zijlstra-Vlasveld, Jos Wr Twisk, Johannes R. Anema, Allard J. van der Beek

Research output: Contribution to journalArticleAcademicpeer-review

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, Environment and Health
Volume44
Issue number6
DOIs
Publication statusPublished - 2018

Cite this

@article{b114d1a16d554e018629451b07a315f4,
title = "Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization: a 12-month follow-up controlled trial",
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.",
author = "Havermans, {Bo M.} and Boot, {C. cile Rl} and Brouwers, {Evelien Pm} and Houtman, {Irene Ld} and Heerkens, {Yvonne F.} and Zijlstra-Vlasveld, {Moniek C.} and Twisk, {Jos Wr} and Anema, {Johannes R.} and {van der Beek}, {Allard J.}",
year = "2018",
doi = "10.5271/sjweh.3758",
language = "English",
volume = "44",
pages = "613--621",
journal = "Scandinavian Journal of Work, Environment and Health",
issn = "0355-3140",
publisher = "Finnish Institute of Occupational Health",
number = "6",

}

Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization: a 12-month follow-up controlled trial. / Havermans, Bo M.; Boot, C. cile Rl; Brouwers, Evelien Pm; Houtman, Irene Ld; Heerkens, Yvonne F.; Zijlstra-Vlasveld, Moniek C.; Twisk, Jos Wr; Anema, Johannes R.; van der Beek, Allard J.

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

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization: a 12-month follow-up controlled trial

AU - Havermans, Bo M.

AU - Boot, C. cile Rl

AU - Brouwers, Evelien Pm

AU - Houtman, Irene Ld

AU - Heerkens, Yvonne F.

AU - Zijlstra-Vlasveld, Moniek C.

AU - Twisk, Jos Wr

AU - Anema, Johannes R.

AU - van der Beek, Allard J.

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85055785941&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/30033477

U2 - 10.5271/sjweh.3758

DO - 10.5271/sjweh.3758

M3 - Article

VL - 44

SP - 613

EP - 621

JO - Scandinavian Journal of Work, Environment and Health

JF - Scandinavian Journal of Work, Environment and Health

SN - 0355-3140

IS - 6

ER -