Towards an assessment of psychosocial work factors in a multi-level mental health intervention in the workplace: results from the MENTUPP pilot-study.
Evaluation
Theory of Change
Workplace mental health
MENTUPP
Public mental health interventions
Journal
International archives of occupational and environmental health
ISSN: 1432-1246
Titre abrégé: Int Arch Occup Environ Health
Pays: Germany
ID NLM: 7512134
Informations de publication
Date de publication:
20 Aug 2024
20 Aug 2024
Historique:
received:
04
03
2024
accepted:
21
07
2024
medline:
20
8
2024
pubmed:
20
8
2024
entrez:
20
8
2024
Statut:
aheadofprint
Résumé
Mental health in the workplace is a growing concern for enterprises and policy makers. MENTUPP is a multi-level mental health intervention implemented in small and medium size enterprises from three work sectors in nine countries. This pilot study aimed to evaluate the feasibility, delivery, and instruments for the MENTUPP intervention to inform the planning of a clustered randomized controlled trial. We administered items from the Copenhagen Psychosocial Questionnaire and the Danish Work Environment Cohort Study measuring psychosocial workplace factors. The questionnaire was answered by 382 participants at baseline, of which 98 participants also answered after six months at follow-up. We calculated mean scores of 19 psychosocial factors at baseline and conducted repeated measures ANOVAs to assess differences in eight psychosocial factors at follow-up. We also examined whether outcomes differed between work sectors and job positions at follow-up. The construction sector and workers with no or a lower leadership role reported more negative working environment factors at baseline. We observed a statistically significant decline in social support from colleagues and social community at work, and a marginally significant decline in justice at work. For the rest of the constructs, we did not observe statistically significant changes. We found significant differences in psychosocial work environment factors among work sectors and job positions at baseline. Contrary to our hypotheses, three psychosocial work environment factors decreased at follow-up. Possible explanations are the utilization of specific psychosocial factors as resources to cope with psychosocial stressors, high participant expectations that were not met by the intervention, insufficient time for structural changes, or the intervention prompting critical evaluations of the work environment. These findings will inform the design and implementation of the forthcoming clustered randomized controlled trial, where they will also be further investigated to validate their significance.
Sections du résumé
BACKGROUND
BACKGROUND
Mental health in the workplace is a growing concern for enterprises and policy makers. MENTUPP is a multi-level mental health intervention implemented in small and medium size enterprises from three work sectors in nine countries. This pilot study aimed to evaluate the feasibility, delivery, and instruments for the MENTUPP intervention to inform the planning of a clustered randomized controlled trial.
METHODS
METHODS
We administered items from the Copenhagen Psychosocial Questionnaire and the Danish Work Environment Cohort Study measuring psychosocial workplace factors. The questionnaire was answered by 382 participants at baseline, of which 98 participants also answered after six months at follow-up. We calculated mean scores of 19 psychosocial factors at baseline and conducted repeated measures ANOVAs to assess differences in eight psychosocial factors at follow-up. We also examined whether outcomes differed between work sectors and job positions at follow-up.
RESULTS
RESULTS
The construction sector and workers with no or a lower leadership role reported more negative working environment factors at baseline. We observed a statistically significant decline in social support from colleagues and social community at work, and a marginally significant decline in justice at work. For the rest of the constructs, we did not observe statistically significant changes.
CONCLUSIONS
CONCLUSIONS
We found significant differences in psychosocial work environment factors among work sectors and job positions at baseline. Contrary to our hypotheses, three psychosocial work environment factors decreased at follow-up. Possible explanations are the utilization of specific psychosocial factors as resources to cope with psychosocial stressors, high participant expectations that were not met by the intervention, insufficient time for structural changes, or the intervention prompting critical evaluations of the work environment. These findings will inform the design and implementation of the forthcoming clustered randomized controlled trial, where they will also be further investigated to validate their significance.
Identifiants
pubmed: 39162783
doi: 10.1007/s00420-024-02096-6
pii: 10.1007/s00420-024-02096-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Kahar Abula
(K)
Benedikt Amann
(B)
Laura Cox
(L)
Johanna Creswell-Smith
(J)
Grace Cully
(G)
Luigia D Alessandro
(LD)
Grace Davey
(G)
Kim Dooyoung
(K)
Asmae Doukani
(A)
Arilda Dushaj
(A)
Naim Fanaj
(N)
Stefan Hackel
(S)
Ulrich Hegerl
(U)
Carolyn Holland
(C)
Sharna Mathieu
(S)
Ana Moreno-Alcazar
(A)
Karen Mulcahy
(K)
Ainslie O Connor
(AO)
Wendy Orchard
(W)
Charlotte Paterson
(C)
György Purebl
(G)
Gentiana Qirjako
(G)
Saara Rapeli
(S)
Sarita Sanches
(S)
Andras Szekely
(A)
Jaap Weeghel
(J)
Kristian Wahlbeck
(K)
Eva Zsak
(E)
Informations de copyright
© 2024. The Author(s).
Références
Arensman E, O’Connor C, Leduc C, Griffin E, Cully G, Ni Dhalaigh D et al (2022) Mental Health promotion and intervention in occupational settings: protocol for a pilot study of the MENTUPP intervention. Int J Environ Res Public Health 19(2):947
doi: 10.3390/ijerph19020947
Aust B, Rugulies R, Finken A, Jensen C (2010) When workplace interventions lead to negative effects: learning from failures. Scand J Public Health 38(3 Suppl):106–119
doi: 10.1177/1403494809354362
Aust B, Rugulies R, Finken A, Jensen C (2010) When workplace interventions lead to negative effects: learning from failures. Scandinavian J Public Health 38(3_suppl):106–119
doi: 10.1177/1403494809354362
Bakker AB, Demerouti E (2017) Job demands-resources theory: taking stock and looking forward. J Occup Health Psychol 22(3):273–285
doi: 10.1037/ocp0000056
Bhui K, Dinos S, Galant-Miecznikowska M, de Jongh B, Stansfeld S (2016) Perceptions of work stress causes and effective interventions in employees working in public, private and non-governmental organisations: a qualitative study. Bjpsych Bull 40(6):318–325
doi: 10.1192/pb.bp.115.050823
Clark TG, Altman DG (2003) Developing a prognostic model in the presence of missing data: an ovarian cancer case study. J Clin Epidemiol 56(1):28–37
doi: 10.1016/S0895-4356(02)00539-5
European Commission (2020) User guide to SME definition. Available from: https://ec.europa.eu/regional_policy/sources/conferences/state-aid/sme/smedefinitionguide_en.pdf
Derdowski LA, Mathisen GE (2023) Psychosocial factors and safety in high-risk industries: a systematic literature review. Saf Sci 157:105948
doi: 10.1016/j.ssci.2022.105948
Dogbla L, Gouvenelle C, Thorin F, Lesage FX, Zak M, Ugbolue UC et al (2023) Occupational risk factors by sectors: an observational study of 20,000 workers. Int J Environ Res Public Health 20(4):3632
doi: 10.3390/ijerph20043632
Eurofound 2017 Sixth European working conditions survey—overview report (2017 update)
Gabriel KP, Aguinis H (2022) How to prevent and combat employee burnout and create healthier workplaces during crises and beyond. Bus Horiz 65(2):183–192
doi: 10.1016/j.bushor.2021.02.037
Ghezzi V, Probst TM, Petitta L, Ciampa V, Ronchetti M, Di Tecco C et al (2020) The interplay among age and employment status on the perceptions of psychosocial risk factors at work. Int J Env Res Pub He 17(10):3611
doi: 10.3390/ijerph17103611
Giusino D, De Angelis M, Mazzetti G, Christensen M, Innstrand ST, Faiulo IR et al (2022) “We all held our own”: Job demands and resources at individual, leader, group, and organizational levels during COVID-19 outbreak in health care. A multi-source qualitative study. Workplace Health Saf 70(1):6–16
doi: 10.1177/21650799211038499
Greiner BA, Leduc C, O’Brien C, Cresswell-Smith J, Rugulies R, Wahlbeck K et al (2022) The effectiveness of organisational-level workplace mental health interventions on mental health and wellbeing in construction workers: a systematic review and recommended research agenda. PLoS ONE 17(11):e0277114
doi: 10.1371/journal.pone.0277114
Hawton K, Casañas ICC, Haw C, Saunders K (2013) Risk factors for suicide in individuals with depression: a systematic review. J Affect Disord 147(1–3):17–28
doi: 10.1016/j.jad.2013.01.004
Hobfoll SE (1998) Stress, culture, and community: the psychology and philosophy of stress. Plenum Press, New York
doi: 10.1007/978-1-4899-0115-6
Hobfoll S (2002) Social and psychological resources and adaptation. Rev Gen Psychol 6:307–324
doi: 10.1037/1089-2680.6.4.307
Hogg B, Medina JC, Gardoki-Souto I, Serbanescu I, Moreno-Alcazar A, Cerga-Pashoja A et al (2021) Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: a systematic review. J Affect Disord 290:378–386
doi: 10.1016/j.jad.2021.04.071
Ito JK, Brotheridge CM (2003) Resources, coping strategies, and emotional exhaustion: a conservation of resources perspective. J Vocat Behav 63(3):490–509
doi: 10.1016/S0001-8791(02)00033-7
Jakobsen JC, Gluud C, Wetterslev J, Winkel P (2017) When and how should multiple imputation be used for handling missing data in randomised clinical trials—a practical guide with flowcharts. BMC Med Res Methodol 17(1):162
doi: 10.1186/s12874-017-0442-1
Johnson S, Cooper C, Cartwright S, Donald I, Taylor P, Cook C (2005) The experience of work-related stress across occupations. J Manag Psychol 20:178–187
doi: 10.1108/02683940510579803
Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 24(2):285–308
doi: 10.2307/2392498
Kristensen TS, Hannerz H, Høgh A, Borg V (2005) The copenhagen psychosocial questionnaire–a tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health 31(6):438–449
doi: 10.5271/sjweh.948
LaMontagne AD, Martin A, Page KM, Reavley NJ, Noblet AJ, Milner AJ et al (2014) Workplace mental health: developing an integrated intervention approach. BMC Psychiatry 14:131
doi: 10.1186/1471-244X-14-131
Langan-Fox J, Cooper C (2011) Handbook of stress in the occupations. Edward Elgar Publishing, pp 1–515
doi: 10.4337/9780857931153
Leka S, Iavicoli S (2017) The psychosocial work environment in times of change: society and the workplace. Saf Sci 100:1–3
doi: 10.1016/j.ssci.2017.07.013
Lund T, Labriola M, Christensen KB, Bültmann U, Villadsen E, Burr H (2005) Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: results from DWECS/DREAM. J Occup Environ Med 47(11):1141–1147
doi: 10.1097/01.jom.0000174301.80318.f2
Lundahl A, Nelson TD, Van Dyk TR, West T (2013) Psychosocial stressors and health behaviors: examining sleep, sedentary behaviors, and physical activity in a low-income pediatric sample. Clin Pediatr 52(8):721–729
doi: 10.1177/0009922813482179
Maqsoom A, Mughees A, Safdar U, Afsar B, Ali Zeeshan Bu (2018) Intrinsic psychosocial stressors and construction worker productivity: impact of employee age and industry experience. Economic Research-Ekonomska Istraživanja 31(1):1880–1902
doi: 10.1080/1331677X.2018.1495571
Memish K, Martin A, Bartlett L, Dawkins S, Sanderson K (2017) Workplace mental health: an international review of guidelines. Prev Med 101:213–222
doi: 10.1016/j.ypmed.2017.03.017
Metzler YA, Bellingrath S (2017) Psychosocial hazard analysis in a heterogeneous workforce: determinants of work stress in blue- and white-collar workers of the European steel industry. Front Public Health 5:210
doi: 10.3389/fpubh.2017.00210
Nielsen K, Yarker J, Munir F, Bültmann U (2018) IGLOO: an integrated framework for sustainable return to work in workers with common mental disorders. Work Stress 32(4):400–417
doi: 10.1080/02678373.2018.1438536
Olfson M, Cosgrove CM, Wall MM, Blanco C (2023) Suicide risks of health care workers in the US. JAMA 330(12):1161–1166
doi: 10.1001/jama.2023.15787
Pejtersen JH, Kristensen TS, Borg V, Bjorner JB (2010) The second version of the copenhagen psychosocial questionnaire. Scand J Public Health 38(3 Suppl):8–24
doi: 10.1177/1403494809349858
Peterson CSA, Li J, Schumacher PK, Yeoman K, Stone DM (2016) Suicide rates by industry and occupation—national violent death reporting system, 32 states. MMWR Morb Mortal Wkly Rep 2020(69):57–62
Petrie K, Joyce S, Tan L, Henderson M, Johnson A, Nguyen H et al (2018) A framework to create more mentally healthy workplaces: a viewpoint. Aust N Z J Psychiatry 52(1):15–23
doi: 10.1177/0004867417726174
Rugulies R, Hasle P, Pejtersen JH, Aust B, Bjorner JB (2016) Workplace social capital and risk of long-term sickness absence. Are associations modified by occupational grade? Euro J Public Health 26(2):328–333
doi: 10.1093/eurpub/ckv244
Rugulies R, Aust B, Greiner BA, Arensman E, Kawakami N, LaMontagne AD et al (2023) Work-related causes of mental health conditions and interventions for their improvement in workplaces. Lancet 402(10410):1368–1381
doi: 10.1016/S0140-6736(23)00869-3
Saint-Martin A, Inanc H, Prinz C 2018 Job quality, health and productivity
Siegrist J, Starke D, Chandola T, Godin I, Marmot M, Niedhammer I et al (2004) The measurement of effort–reward imbalance at work: European comparisons. Soc Sci Med 58(8):1483–1499
doi: 10.1016/S0277-9536(03)00351-4
Skakon J, Kristensen TS, Christensen KB, Lund T, Labriola M (2011) Do managers experience more stress than employees? Results from the intervention project on absence and well-being (IPAW) study among danish managers and their employees. Work 38(2):103–109
doi: 10.3233/WOR-2011-1112
Skivington K, Matthews L, Simpson SA, Craig P, Baird J, Blazeby JM et al (2021) A new framework for developing and evaluating complex interventions: update of medical research council guidance. BMJ 374:n2061
doi: 10.1136/bmj.n2061
Taouk Y, Spittal MJ, LaMontagne AD, Milner AJ (2020) Psychosocial work stressors and risk of all-cause and coronary heart disease mortality: a systematic review and meta-analysis. Scand J Work Environ Health 46(1):19–31
doi: 10.5271/sjweh.3854
Thomson SB, Grandy G (2018) Introduction. In: Thomson SB, Grandy G (eds) Stigmas, work and organizations. Palgrave Macmillan US, New York
doi: 10.1057/978-1-137-56476-4
Thornicroft G, Patel V (2014) Global mental health trials. Oxford University Press, Great Britain
Tóth MD, Ihionvien S, Leduc C, Aust B, Amann BL, Cresswell-Smith J et al (2023) Evidence for the effectiveness of interventions to reduce mental health related stigma in the workplace: a systematic review. BMJ Open 13(2):e067126
doi: 10.1136/bmjopen-2022-067126
Tsantila F, Coppens E, De Witte H, Arensman E, Amann B, Cerga-Pashoja A et al (2023) Outcome assessment of a complex mental health intervention in the workplace. Results from the MENTUPP pilot study. Int Arch Occup Environ Health 96(8):1149–1165
doi: 10.1007/s00420-023-01996-3
Tsantila F, Coppens E, De Witte H, Abdulla K, Amann BL, Arensman E et al (2023a) Developing a framework for evaluation: a theory of change for complex workplace mental health interventions. BMC Public Health 23(1):1171
doi: 10.1186/s12889-023-16092-x
Tsantila F, Coppens E, De Witte H, Arensman E, Aust B, Pashoja AC et al (2023b) Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study. BMJ Open 13(12):e077093
doi: 10.1136/bmjopen-2023-077093
Tyler S, Hunkin H, Pusey K, Gunn K, Clifford B, Procter N (2023) Suicide in the construction industry: a targeted meta-analysis. Arch Suicide Res 27(4):1134–1146
doi: 10.1080/13811118.2022.2131488
Weitzel EC, Löbner M, Glaesmer H, Hinz A, Zeynalova S, Henger S et al (2022) The association of resilience with mental health in a large population-based sample (LIFE-adult-study). Int J Environ Res Public Health 19(23):15944
doi: 10.3390/ijerph192315944
Williams DR, House JS, Cooper CL, Smith M, 1987 Job stress and blue collar work
World Health Organization (2022) WHO guidelines on mental health at work. World Health Organization, Geneva
Worringer B, Genrich M, Müller A, Gündel H (2020) Hospital medical and nursing managers’ perspective on the mental stressors of employees. Int J Environ Res Public Health 17(14):5041
doi: 10.3390/ijerph17145041
Wynne R, De Broeck V, Leka S, Houtman I, McDaid D (2014) Promoting mental health in the workplace. Guidance to implementing a comprehensive approach. European Commission